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- Title
Prospective trial of the ultrasonic dissector in thyroid surgery.
- Authors
Leonard, David S.; Timon, Conrad
- Abstract
Background Use of the ultrasonic dissector in thyroid surgery is becoming more prevalent, with reduced operative time and incision size reported. We assessed the value of the harmonic scalpel in routine thyroid lobectomy. Methods We conducted a single blind, prospective pilot study of 52 euthyroid patients requiring thyroid lobectomy. Those with lesions not suitable for resection through a 4-cm incision, a history of thyroiditis, or uncontrolled thyroid dysfunction were excluded. Patients were allocated to 1 of 2 groups: group I (n = 31), thyroid lobectomies using conventional surgical techniques; or group II (n = 21), thyroid lobectomies using the ultrasonic dissector. Results Outcomes for the 2 patient groups were comparable. There was no significant difference in operative time or incision size. Conclusions The ultrasonic dissector does not confer any quantifiable benefit in routine thyroid lobectomy when compared with conventional techniques. This is the first reported series in which its use has not reduced operative time. © 2008 Wiley Periodicals, Inc. Head Neck, 2008
- Subjects
THYROID gland; OPERATIVE surgery; THYROIDECTOMY; OTOLARYNGOLOGY; TEMPORAL lobectomy; SURGICAL excision
- Publication
Head & Neck, 2008, Vol 30, Issue 7, p904
- ISSN
1043-3074
- Publication type
Article
- DOI
10.1002/hed.20805