Die operative Therapie des Rhinophyms mit dem ultraschallaktivierten Skalpell (Ultracision Harmonic Scalpel®)

Abstract

The UltraCision Harmonic Scalpel offers a surgical treatment of rhinophyma with efficacious intra- and postoperative hemostasis. The combination of simultaneous tissue dissection and hemostasis enables a good overall view and control of the surgical site. Based on its mechanical function, the UltraCision Harmonic Scalpel has only a little thermal effect on neighbouring tissues and a good tactile experience that enables a controlled tissue resection. The UltraCision Harmonic Scalpel combines the advantages of tissue dissection and simultaneous hemostasis with the controlled handling of the traditional scalpel in rhinophyma surgery.

Focus Harmonic Scalpel Compared to Conventional Haemostasis in Open Total Thyroidectomy: A Prospective Randomized Trial

“…The primary application for the HS in the otolaryngological literature is its use for tonsillectomy and thyroidectomy. The use of the HS has also been described in excising cancer of the tongue and soft palate [17], submandibular sialadenectomy [18], parotidectomy [9, 19, 20], treating allergic rhinitis by means of inferior turbinate alteration [21], and surgical treatment of rhinophyma [22]. Unlike the variable results described with the use of the HS in tonsillectomy, literature is consistent concerning the usefulness of the harmonic scalpel in thyroid surgery.…”

Advantages of a new technique of neck dissection using an ultrasonic scalpel

“…It is generally considered that only arteries of up to 1 mm and veins up to 2 mm in diameter can be safely dissected and coagulated with the harmonic scalpel (Metternich et al, 2003b). Lee and Park (1999) have even coagulated vessels of up to 5 mm in diameter in laboratory tests and the effectiveness on 3 mm vessels was documented in clinical settings.…”

Monopolar electrocautery versus sharp dissection in the neck dissection: a retrospective study

“…However, it is known that the ME is elevating the temperature in the surrounding tissues. Using electrocautery, the temperature of 200 °C at the tip leads to carbonization of the neighboringtissueand causes an additional thermal trauma 20 , which may lead to increased postoperative pain and healing disturbances in some tissues 21,22 . The harmonic scalpel seems to have further advantages to the monopolar electrocautery 21 , although the cases' heterogeneity does not offer safe conclusions for the neck dissection 10 .…”