Double-Bladed Scalpel: A New Option for Harvesting Margins in Head and Neck CancersCernea C.R. · Velasco O. · Gomes M.Q.T. · Vellutini E. · Hojaij F.C. · de Carlucci Jr. D. · Nishio S. · Morais-Besteiro J. · Ishida L.C. · Ferraz A.R.
aDepartment of Head and Neck Surgery, bDepartment of Plastic Surgery and cDepartment of Neurosurgery, University of São Paulo Medical School, and dDepartment of Head and Neck Surgery, Federal University of São Paulo, São Paulo, Brazil
Background: In advanced head and neck tumors margins are very rarely comprehensively checked by frozen sections. The goal of this study was to analyze a new proposal for harvesting margins using a double-bladed scalpel.Methods:Thirty-eight patients underwent a comprehensive resection of advanced head and neck tumors with a double-bladed scalpel. Margins were mapped and checked by frozen sections, while tumor resection continued. When positive margins were identified, they were excised again, and checked by frozen sections. Results: Thirty-three patients (87%) had clear skin and soft tissue margins at frozen sections. Five patients (13%) had focal skin and soft tissue-positive margins at frozen sections, which were re-excised. Two patients (5%) had skin and soft tissue-positive margins only at permanent sections. One was reoperated and 1 received radiation therapy. The 3-year local control rate was 58%. Conclusions: In this preliminary study, the double-bladed scalpel appeared to be an interesting option for complete intraoperative evaluation of surgical margins of advanced head and neck tumors.
Claudio R. Cernea, MD
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01422-000 São Paulo (Brazil)
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This paper was given as an oral presentation at the 6th International Conference on Head and Neck Cancer, August 7–11, 2004, Washington, D.C., USA.
Received: June 2, 2005
Accepted after revision: July 22, 2005
Published online: January 27, 2006
Number of Print Pages : 5
Number of Figures : 4, Number of Tables : 1, Number of References : 12
ORL (Journal for Oto-Rhino-Laryngology and Ist Related Specialties)
Vol. 68, No. 2, Year 2006 (Cover Date: March 2006)
Journal Editor: O'Malley, B.W., Jr. (Philadelphia, Pa.)
ISSN: 0301–1569 (print), 1423–0275 (Online)
For additional information: http://www.karger.com/ORL