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1 results

  • Applications of electrothermal bipolar vessel sealing devices in transoral head and neck surgery

  • Scott Chandrasiri, Raguwinder Bindy Singh Sahota, Suren Krishnan, Andrew Foreman, Ahmed Bassiouni, Jake Jervis-Bardy, J C Hodge
  • Journal:
    The Journal of Laryngology & Otology / Volume 138 / Issue 4 / April 2024
    Published online by Cambridge University Press:
    09 October 2023, pp. 457-460
    Print publication:
    April 2024
  • Objective

    Electrothermal bipolar vessel sealing devices are electrosurgical devices that seal tissues and blood vessels up to 7 mm in diameter. This paper discusses our experience using electrothermal bipolar vessel sealing devices in transoral head and neck surgery.

    Methods

    Electrothermal bipolar vessel sealing devices were used in five patients with lesions of varying size and type within the pharyngo-larynx. These were treated transorally by the otolaryngology department at the Royal Adelaide Hospital. Either the Medtronic LigaSure or BiZact devices were used for transoral resection, debulking or division of these lesions.

    Results

    Electrothermal bipolar vessel sealing devices were considered helpful in four out of the five cases. Success was dependent on suitable transoral access. A single unsuccessful case reflected the LigaSure jaw's inability to engage a large tumour effectively.

    Conclusion

    Electrothermal bipolar vessel sealing devices can be safely deployed transorally to treat lesions of the upper aero-digestive tract in selected patients. Further studies investigating additional indications would broaden applications of this approach.