Abstract • Twenty-five patients who underwent parotid gland surgery using the Shaw Hemostatic Scalpel (group 1) were compared with 25 patients who had similar surgery using conventional techniques (group 2). Overall, the patients in group 1 had less blood loss and shorter operative times. In patients who underwent superficial parotidectomy, the incidence of temporary partial facial nerve paralysis was 31% in the experimental group v 43% in the conventional group. The mean number of branch paralyses per patient was one in group 1 v 1.9 in group 2, and time to recovery of full function was 50% less in group 1. The Shaw Hemostatic Scalpel is a safe, efficacious instrument for use in parotid gland surgery. (Arch Otolaryngol 1984;110:739-741) References 1. Fee, WE: Use of the Shaw scalpel in head and neck surgery . Otolaryngol Head Neck Surg 1981;89:515-519. 2. Miehlke A: Surgery of the salivary glands and the extratemporal portion of the facial nerve , in Naumann HH, (ed): Head and Neck Surgery , Stell PM (trans). Philadelphia, WB Saunders Co, 1980, p 439. 3. Frazell El: Clinical aspects of tumors of the major salivary glands . Cancer 1954;7:637-659.Crossref 4. Conley JJ: Salivary Glands and the Facial Nerve . New York, Grune & Stratton Inc, 1975, p 301. 5. Eneroth C: Parotid tumors and facial nerve , in Miehlke A (ed): Surgery of the Facial Nerve . Philadelphia, WB Saunders Co, 1973, p 125. 6. Work WP, Bailey DG: Surgery of the major salivary glands , in Shumrick DA, Paparella MM (eds): Otolaryngology . Philadelphia, WB Saunders Co, 1980, vol 3, p 2260.
Archives of Otolaryngology – American Medical Association
Published: Nov 1, 1984