The use of radio wave scalpel "Surgitron" in the surgical treatment of the outer ear neoplasms

The number of ENT organs diseases continues to grow, and therefore the problem of combating these diseases has been and remains relevant in otorhinolaryngology. The least studied of all the ENT organs neoplasm are ear tumors. Aims: to increase the efficiency of surgical treatment of neoplasms of the outer ear using a radio wave scalpel "Surgitron". Patients and Methods. The work is based on the results of treatment of 230 patients (146 in the main and 84 in the control groups) with tumor-like formations, benign and malignantouter ear tumors. Results. The first place in the structure of ear neoplasms in the main group was occupied by tumor-like formations 58 patients (40%), benign tumors were somewhat less common -48 patients (33%), and even less often malignant neoplasms (40 patients, 27%). Most often, the auricle neoplasms were removed without the underlying cartilage (in 60 patients; 56.6%). Limited tumors (I-II stage) were removed under local anesthesia with 1% solution of novocaine with the addition, in the absence of contraindications, 5 drops of 0.1% solution of adrenaline per 10 ml of novocaine. After detachment of the tumor with skin and perichondrium from the underlying cartilage, an incision was made using a Surgitron radio wave scalpel, after which the tumor was removed within healthy tissues without cartilage resection. A strip of healthy skin around a benign tumor should be at least 3 mm. The surface of the cartilage at the bottom of the wound was examined under an operating microscope. The cartilage undamaged by the tumor had a smooth, shiny surface. Bleeding during the operation was minimal, stopped with the help of Surgitron, in the coagulation mode. In 1 patient with senile keratosis, in which the neoplasm was localized on the anterior surface of the auricle, the tumor was removed with a section of cartilage tissue. Conclusion. The use of the radio wave scalpel "Surgitron" in surgical interventions for outer ear neoplasms can reduce the time of the operation, reduce blood loss to a minimum, the time of wound epithelialization and the length of the patients stay in the hospital. Comparison of the number of recurrences according to the result of using a radio wave scalpel and the classical surgical method (for tumor-like formations 12% and 24.2%, respectively, for benign tumors 8.3% and 40%, for malignant tumors 30% and 70%) indicates a high effectiveness of surgical treatment using "Surgitron".