{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T04:57:18Z","timestamp":1768798638261,"version":"3.49.0"},"reference-count":13,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2024,2,5]],"date-time":"2024-02-05T00:00:00Z","timestamp":1707091200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003The harmonic scalpel (HS) is a technique introduced to reduce blood loss and intraoperative time during neck dissection (ND).<\/jats:p><jats:p>\n          Objective\u2003To compare the results of HS with traditional hemostasis in ND through a systematic review and metanalysis.<\/jats:p><jats:p>\n          Methods\u2003A computer-based strategy of systematic literature survey included research in the MEDLINE, EMBASE, and Cochrane Library databases from January 2007 up to August 2022. The survey strategy employed was [harmonic scalpel OR ultrasonic scalpel] AND neck dissection.<\/jats:p><jats:p>\n          Results\u2003There were 61 articles identified that addressed the use of HS in patients undergoing ND. From those, 10 randomized clinical trials were selected, comprising 264 cases of ND using HS and 262 cases of ND without HS.<\/jats:p><jats:p>\n          Conclusion\u2003The use of HS for ND significantly reduces the operative time, intraoperative bleeding, volume of draining fluid, and the number of ligatures.<\/jats:p>","DOI":"10.1055\/s-0044-1779010","type":"journal-article","created":{"date-parts":[[2024,2,6]],"date-time":"2024-02-06T00:56:35Z","timestamp":1707180995000},"page":"e702-e707","source":"Crossref","is-referenced-by-count":3,"title":["Neck Dissection with Harmonic Instruments and Electrocautery: A Systematic Review"],"prefix":"10.1055","volume":"28","author":[{"given":"Rog\u00e9rio Aparecido","family":"Dedivitis","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery, Faculty of Medicine, University of S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"},{"name":"Department of Head and Neck Surgery, Hospital das Cl\u00ednicas, Faculty of Medicine, University of S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leandro Luongo","family":"de Matos","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery, Faculty of Medicine, University of S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"},{"name":"Instituto do C\u00e2ncer do Estado de S\u00e3o Paulo (ICESP), SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0234-9807","authenticated-orcid":false,"given":"Mario Augusto Ferrari","family":"Castro","sequence":"additional","affiliation":[{"name":"Universidade Metropolitana de Santos, Medicine School, Santos, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S\u00edlvia Migueis Picado","family":"Petrarolha","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery, Faculty of Medicine, University of S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luiz Paulo","family":"Kowalski","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery, Faculty of Medicine, University of S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,2,5]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1016\/j.jcms.2013.02.007","article-title":"Neck dissection with the harmonic scalpel in patients with squamous cell carcinoma of the oral cavity","volume":"42","author":"A Dean","year":"2014","journal-title":"J Craniomaxillofac Surg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1016\/j.oraloncology.2016.08.010","article-title":"Comparison of spinal accessory dysfunction following neck dissection with harmonic scalpel and electrocautery - A randomized study","volume":"61","author":"A Mathialagan","year":"2016","journal-title":"Oral Oncol"},{"issue":"06","key":"ref3","doi-asserted-by":"crossref","first-page":"894","DOI":"10.1177\/0194599811403874","article-title":"The utility of the harmonic scalpel in selective neck dissection: a prospective, randomized trial","volume":"144","author":"S G Walen","year":"2011","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1007\/s10006-020-00897-w","article-title":"Neck dissection with harmonic instruments and electrocautery: a prospective comparative study","volume":"25","author":"L A Vaira","year":"2021","journal-title":"Oral Maxillofac Surg"},{"issue":"05","key":"ref5","doi-asserted-by":"crossref","first-page":"590","DOI":"10.1016\/j.anl.2016.11.004","article-title":"Neck dissection with harmonic scalpel and electrocautery? A randomised study","volume":"44","author":"R K Verma","year":"2017","journal-title":"Auris Nasus Larynx"},{"issue":"04","key":"ref6","first-page":"255","article-title":"Laparoscopic cholecystectomy in 200 consecutive patients using an ultrasonically activated scalpel","volume":"5","author":"J F Amaral","year":"1995","journal-title":"Surg Laparosc Endosc"},{"issue":"10","key":"ref7","doi-asserted-by":"crossref","first-page":"1069","DOI":"10.1001\/archotol.132.10.1069","article-title":"Randomized controlled trial of harmonic scalpel use during thyroidectomy","volume":"132","author":"P Miccoli","year":"2006","journal-title":"Arch Otolaryngol Head Neck Surg"},{"issue":"06","key":"ref8","doi-asserted-by":"crossref","first-page":"945","DOI":"10.1097\/SLA.0b013e31816bcd61","article-title":"The harmonic scalpel technique without supplementary ligation in total thyroidectomy with central neck dissection: a prospective randomized study","volume":"247","author":"Y W Koh","year":"2008","journal-title":"Ann Surg"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.otohns.2008.10.003","article-title":"Modified lateral neck lymphadenectomy: prospective randomized study comparing harmonic scalpel with clamp-and-tie technique","volume":"140","author":"P Miccoli","year":"2009","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"01","key":"ref10","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1186\/s40463-016-0173-z","article-title":"Harmonic scalpel impact on blood loss and operating time in major head and neck surgery: a randomized clinical trial","volume":"45","author":"D K Fritz","year":"2016","journal-title":"J Otolaryngol Head Neck Surg"},{"key":"ref11","first-page":"369345","article-title":"Harmonic scalpel versus conventional haemostasis in neck dissection: a prospective randomized study","volume":"2013","author":"E Ferri","year":"2013","journal-title":"Int J Surg Oncol"},{"issue":"04","key":"ref12","doi-asserted-by":"crossref","first-page":"904","DOI":"10.1002\/lary.23704","article-title":"The efficacy of the harmonic scalpel in neck dissection: a prospective randomized study","volume":"123","author":"Y S Shin","year":"2013","journal-title":"Laryngoscope"},{"issue":"05","key":"ref13","first-page":"PI1","article-title":"New trends in head and neck surgery: a prospective evaluation of the Harmonic Scalpel","volume":"14","author":"A Salami","year":"2008","journal-title":"Med Sci Monit"}],"container-title":["International Archives of Otorhinolaryngology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0044-1779010.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T16:29:01Z","timestamp":1730824141000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0044-1779010"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,5]]},"references-count":13,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2024,10,25]]},"published-print":{"date-parts":[[2024,10]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0044-1779010","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1809-9777","1809-4864"],"issn-type":[{"value":"1809-9777","type":"print"},{"value":"1809-4864","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,5]]}}}