GLOSSECTOMY SIMPLIFIED USING FOCUS HARMONIC - OUR

INITIAL EXPERIENCE
PRESENTER: DR. PRERNA RAUTRAY DR. ABID ALI MIRZA UNDER THE GUIDANCE OF – PROFESSOR DR. AMRENDRA
POST GRADUATE TRAINEE MBBS, MS PROFESSOR DR. DR.S.GIRISH RAO MBBS, MS, Mch
ORAL & MAXILLOFACIAL BANGALORE INSTITUTE OF K.S.GOPINATH MDS (ORAL AND SURGICAL ONCOLOGIST
SURGERY ONCOLOGY MAXILOFACIAL SURGERY), BANGALORE INSTITUTE OF
RV DENTAL COLLEGE
MBBS,MS FAMS FRCS
FDSRCS,FFDSRCSI ONCOLOGY
BANGALORE INSTITUTE OF
HOD, RV.DENTAL COLLLEGE
ONCOLOGY

Tongue carcinoma accounts for 36.5% of all the malignancies seen in the oral cavity. The choice of treatment is a surgical
resection of the tumor which is often complicated by the intraoperative bleeding due to the rich blood supply of the tongue. The
ultrasonically activated scalpel , commercially known as the focus harmonic performs tissue dissection and coagulation
simultaneously by an ultra high frequency movement of blade which enables a good overall view and control of surgical situs in
a relatively bloodless field.
We, in our unit have performed procedures like hemiglossectomy and total glossectomy in 20 consecutive patients using the
FOCUS HARMONIC and would like to share our initial experience

WIDE HEMIGLOSSECTOMY TOTAL

EXCISIONS GLOSSECTOMY

MALE 5 6 1

A 70 year old man FEMALE 2 4 2

A 53 year old man
reported to our unit
reported to our unit
with a chief
with a chief
complaint of swelling
complaint of
on the right lateral
ulceration on the left
border of tongue ADVANTAGES
lateral border of
since 1month
tongue
•Minimal bleeding with a
relatively bloodless field
• Vessels upto 4-5mm could be
coagulated
FOCUS HARMONIC •Reduced intra operative time
USED TO PERFORM •No secondary haemmorhage
ULCEROPROLI HEMIGLOSSECTOMY
FERATIVE
MRI •Less tissue damage to residual
ULCEROPROLIF FOCUS HARMONIC
SHOWING structures MRI
GROWTH ON ERATIVE USED TO
IRREGULAR SHOWING
THE RIGHT
MASS ON • Post operative edema minimal GROWTH PERFORM TOTAL
IRREGULAR
LATERAL GLOSSECTOMY
BORDER
THE RIGHT •Faster healing ON THE LEFT MASS ON
BODY OF LATERAL THE RIGHT
TONGUE BORDER BODY OF
TONGUE

CLOSURE SPECIMEN

SPECIMEN