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ISSN: 2161-119X

Otolaryngology: 黑料网
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  • Research Article   
  • Otolaryngology 2014, Vol 4(2): 160
  • DOI: 10.4172/2161-119X.1000160

Technique of Harmonic Focus In Tracheostomy

Kiyoaki Tsukahara1*, Kazuhiro Nakamura1, Ray Motohashi1, Hiroki Sato1 and Mamoru Suzuki2
1Department of Head and Neck Surgery, Tokyo Medical University Hachioji Medical Center, , Tokyo 193-0998, Japan
2Department of Otolaryngology, Tokyo Medical University, , sinjyukuku Tokyo, 160-0023, Japan
*Corresponding Author : Kiyoaki Tsukahara, Tokyo Medical University Hachioji Medical Center 1163 Tatemachi, Hachioji, Tokyo 193-0998, Japan, Tel: +81 42 665 5611, Fax: +81 42 665 5639, Email: tsuka@tokyo-med.ac.jp

Received Date: Feb 09, 2014 / Accepted Date: Feb 20, 2014 / Published Date: Feb 27, 2014

Abstract

Objectives: The purpose of the present study was to show the technique of the Harmonic FOCUS® Cured Shears (HF) in tracheostomy in the shortest possible period of time.

Methods: Patients were 10 individuals who had undergone tracheostomy at Tokyo Medical University Hachioji Medical Center. HF was used in the all 10 patients. A skin incision was made in the inferior margin of the cricoid cartilage, and FOCUS® was used from treatment of subcutaneous fat onwards. FOCUS® was used both to dissect the subcutaneous fat, as well as the anterior muscles of the neck and anterior jugular vein, and to seal these parts. The pyramidal lobe of the thyroid gland was transected at a height directly below the cricoid cartilage, and the trachea was reached.

Results: The mean time taken to reach the trachea was 93.1 s (range, 63-115 s). Conclusions: The HF is useful for tracheostomy and enables an airway to be secured within a short period of time.

Keywords: Harmonic focus, Tracheostomy, Short time, Energy device

Citation: Tsukahara K, Nakamura K, Motohashi R, Sato H, Suzuki M, et al. (2014) Technique of Harmonic Focus® In Tracheostomy. Otolaryngology 4:160. Doi: 10.4172/2161-119X.1000160

Copyright: © 2014 Tsukahara K, et al. This is an open-access article distributedunder the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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