{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T05:44:41Z","timestamp":1783489481324,"version":"3.55.0"},"reference-count":29,"publisher":"Cambridge University Press (CUP)","issue":"10","license":[{"start":{"date-parts":[[2021,8,23]],"date-time":"2021-08-23T00:00:00Z","timestamp":1629676800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215121001973_sec_a1\"><jats:title>Objective<\/jats:title><jats:p>The Harmonic Scalpel and Ligasure (Covidien) devices are commonly used in head and neck surgery. Parotidectomy is a complex and intricate surgery that requires careful dissection of the facial nerve. This study aimed to compare surgical outcomes in parotidectomy using these haemostatic devices with traditional scalpel and cautery.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215121001973_sec_a2\" sec-type=\"methods\"><jats:title>Method<\/jats:title><jats:p>A systematic review of the literature was performed with subsequent meta-analysis of seven studies that compared the use of haemostatic devices to traditional scalpel and cautery in parotidectomy. Outcome measures included: temporary facial paresis, operating time, intra-operative blood loss, post-operative drain output and length of hospital stay.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215121001973_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>A total of 7 studies representing 675 patients were identified: 372 patients were treated with haemostatic devices, and 303 patients were treated with scalpel and cautery. Statistically significant outcomes favouring the use of haemostatic devices included operating time, intra-operative blood loss and post-operative drain output. Outcome measures that did not favour either treatment included facial nerve paresis and length of hospital stay.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215121001973_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>Overall, haemostatic devices were found to reduce operating time, intra-operative blood loss and post-operative drain output.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215121001973","type":"journal-article","created":{"date-parts":[[2021,8,23]],"date-time":"2021-08-23T09:49:40Z","timestamp":1629712180000},"page":"848-854","source":"Crossref","is-referenced-by-count":8,"title":["Haemostatic devices in parotid surgery: a systematic review"],"prefix":"10.1017","volume":"135","author":[{"given":"L","family":"Allen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"MacKay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M H","family":"Rigby","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Trites","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S M","family":"Taylor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2021,8,23]]},"reference":[{"key":"S0022215121001973_ref4","first-page":"514","article-title":"Preliminary results for superficial parotidectomy using the ultrasonically activated scalpel (Ultracision Harmonic Scalpel)","volume":"82","author":"Metternich","year":"2003","journal-title":"Laryngorhinootologie"},{"key":"S0022215121001973_ref6","doi-asserted-by":"publisher","DOI":"10.1177\/0003489414528674"},{"key":"S0022215121001973_ref10","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-012-2849-6"},{"key":"S0022215121001973_ref26","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2006.06.049"},{"key":"S0022215121001973_ref8","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-012-2204-3"},{"key":"S0022215121001973_ref11","doi-asserted-by":"publisher","DOI":"10.1177\/0194599814527730"},{"key":"S0022215121001973_ref23","first-page":"1","article-title":"New trends in head and neck surgery: a prospective evaluation of the Harmonic Scalpel","volume":"14","author":"Salami","year":"2008","journal-title":"Med Sci Monit"},{"key":"S0022215121001973_ref24","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2008.0043"},{"key":"S0022215121001973_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.critrevonc.2009.10.004"},{"key":"S0022215121001973_ref28","doi-asserted-by":"publisher","DOI":"10.1186\/s13005-017-0141-5"},{"key":"S0022215121001973_ref18","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2002.128346"},{"key":"S0022215121001973_ref29","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000003581"},{"key":"S0022215121001973_ref16","doi-asserted-by":"publisher","DOI":"10.1186\/1758-3284-1-21"},{"key":"S0022215121001973_ref19","doi-asserted-by":"publisher","DOI":"10.1089\/109264204322862289"},{"key":"S0022215121001973_ref17","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2001.119325"},{"key":"S0022215121001973_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2004.09.011"},{"key":"S0022215121001973_ref3","doi-asserted-by":"publisher","DOI":"10.1002\/hed.2890080309"},{"key":"S0022215121001973_ref27","doi-asserted-by":"publisher","DOI":"10.1097\/01.MLG.0000163336.37077.8F"},{"key":"S0022215121001973_ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2009.06.745"},{"key":"S0022215121001973_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2010.03.018"},{"key":"S0022215121001973_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2013.02.007"},{"key":"S0022215121001973_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2004.03.043"},{"key":"S0022215121001973_ref14","doi-asserted-by":"publisher","DOI":"10.1002\/lary.5541121406"},{"key":"S0022215121001973_ref25","doi-asserted-by":"publisher","DOI":"10.1007\/s12325-008-0024-z"},{"key":"S0022215121001973_ref7","doi-asserted-by":"publisher","DOI":"10.1053\/otot.2002.125987"},{"key":"S0022215121001973_ref1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2005.05.3025"},{"key":"S0022215121001973_ref13","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2002.128072"},{"key":"S0022215121001973_ref21","first-page":"175","article-title":"Dissection with harmonic scalpel versus cold instruments in parotid surgery","volume":"10","author":"Deganello","year":"2014","journal-title":"B-ent"},{"key":"S0022215121001973_ref9","doi-asserted-by":"publisher","DOI":"10.1177\/1553350616639143"}],"container-title":["The Journal of Laryngology &amp; 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