Energy-Based Devices in Superficial Parotidectomy: Bipolar Diathermy Versus Harmonic Scalpel

Abstract

Superficial parotidectomy is the standard surgical treatment for benign parotid gland tumors. The selection of an appropriate energy-based device for dissection and hemostasis during this procedure has become increasingly important due to the close proximity of the facial nerve to the operative field. Bipolar diathermy and the harmonic scalpel differ in their mechanisms of energy delivery, thermal spread, and hemostatic efficiency.