Title
Thermal versus cold instrument incisions in cervical dissection for oral squamous cell carcinoma: A comparative study
Authors
Sunil Kumar Gulia1, O. V. Ramanand2, Uday Sagar Sandepogu3*, Priya Sharma4, Yadavalli Guruprasad5, Palanati Sai Ram6 & Heena Dixit7
Affiliation
1Department of Oral and maxillofacial Surgery, SGT University, Gurugram, Badli, Jhajjar, Haryana, India; 2Department of Oral snd Maxillofacial Pathology, Nimra Institute of Dental Sciences, Ibrahimpatnam, Vijayawada, India; 3Department of Oral and Maxillofacial Surgery, Consultant Maxillofacial Surgeon and Implantologist, St Theresa Hospital, Hyderabad India; 4Department of Oral and Maxillofacial Surgery, Peoples dental Academy, People's University, Bhopal, Madhya Pradesh, India; 5Department of Oral and Maxillofacial Surgery, Government Dental College and Research Institute, VIMS Campus, Cantonment, Ballari, India; 6Department of Oral and Maxillofacial Surgery, MNR Dental College and Institute, Sangareddy, Telangana, India; 7Hospital and Healthcare Management, DY Patil Deemed to be University, Navi Mumbai, India; *Corresponding author
Sunil Kumar Gulia - E-mail: djgulia10@gmail.com
O.V. Ramanand - E-mail: ovr.1985@gmail.com
Uday Sagar Sandepogu - E-mail: san71sagar@gmail.com
Priya Sharma - E-mail: priya222.k@gmail.com
Yadavalli Guruprasad - E-mail: yadavalliguruprasad@gmail.com
Palanati Sai Ram - E-mail: sairam0679@gmail.com
Heena Dixit - E-mail: heena16.d@gmail.com
Article Type
Research Article
Date
Received July 1, 2025; Revised July 31, 2025; Accepted July 31, 2025, Published July 31, 2025
Abstract
The impact of thermal versus cold instrument incisions in cervical dissection is of interest. A prospective comparative research was conducted on 40 patients with histopathologically confirmed OSCC undergoing neck dissection. EC significantly reduced incision time (7.4 ± 1.2 vs. 10.1 ± 1.6 min) and blood loss (142.5 ± 30.2 vs. 198.4 ± 35.7 mL). However, postoperative pain was higher in the EC group (VAS 6.8 ± 0.7 vs. 5.2 ± 0.9) and wound healing was delayed (11.2 ± 1.3 vs. 9.1 ± 1.4 days). No significant difference in operative duration or oncologic margin status was noted. While EC offers intraoperative advantages, CS incisions yield better postoperative healing and lower pain.
Keywords
Oral squamous cell carcinoma, neck dissection, electrocautery, cold scalpel, wound healing
Citation
Gulia et al. Bioinformation 21(7): 2112-2115 (2025)
Edited by
Rashmi Daga
ISSN
0973-2063
Publisher
License
This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.
