Application Prospect of Monopolar Low-temperature Plasma Knife in Oral and Maxillofacial Surgery

IF 1.6 Q2 MEDICINE, GENERAL & INTERNAL Journal of clinical medicine research Pub Date : 2023-10-24 DOI:10.32629/jcmr.v4i3.1308
Chengwei Li, Xiaosheng Fan, Yixuan Zhang, Lan Wang, Kuangzheng Li
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Abstract

Oral and maxillofacial surgery is primarily responsible for the treatment of oral and maxillofacial tumors, jaw fractures, maxillary sinusitis, and other temporomandibular joint diseases using surgical techniques. With improvements in living conditions and dietary changes, the demand for diagnosis and treatment in oral and maxillofacial surgery has been steadily increasing. Simultaneously, both patients and healthcare providers have higher expectations for intraoperative effectiveness and postoperative recovery. With the advancement of technology, surgical knives in oral and maxillofacial surgery have gradually transitioned from traditional physical blades to high-frequency electric scalpels. However, high-frequency electric scalpels have drawbacks, including substantial tissue damage, the generation of intraoperative smoke, electrode adhesion, imprecise cutting, and reliance on traditional surgical blades. This paper proposes the idea of using a monopolar low-temperature plasma knife in oral and maxillofacial surgery, with a focus on research utilizing the monopolar low-temperature plasma surgical system produced by Jingyi Medical (Host Model: PSG-60A; Electrode Model: PS-01) as an example. This equipment disrupts tissue molecular bonds through the low-temperature plasma layer formed around the knife tip, allowing for tissue cutting and separation. This approach significantly reduces tissue damage compared to traditional surgical blades and high-frequency electric scalpels, while also simplifying surgical procedures, improving cutting precision, and enhancing postoperative recovery. Through this research, it can be observed that the monopolar low-temperature plasma knife has significant potential for widespread application in oral and maxillofacial surgery.
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单极低温等离子刀在口腔颌面外科中的应用前景
口腔颌面外科主要负责使用外科技术治疗口腔颌面肿瘤、颌骨骨折、上颌鼻窦炎和其他颞下颌关节疾病。随着生活条件的改善和饮食习惯的改变,对口腔颌面外科诊疗的需求稳步增加。同时,患者和医疗保健提供者对术中疗效和术后恢复都有更高的期望。随着技术的进步,口腔颌面外科的手术刀逐渐从传统的物理刀片过渡到高频电刀。然而,高频电手术刀有缺点,包括严重的组织损伤、术中产生烟雾、电极粘连、切割不精确以及对传统手术刀片的依赖。本文提出了单极低温等离子刀在口腔颌面外科手术中的应用思路,重点研究了利用经益医疗生产的单极低温等离子刀进行口腔颌面外科手术系统(主机型号:PSG-60A;电极型号:PS-01)为例。该设备通过在刀尖周围形成的低温等离子体层破坏组织分子键,允许组织切割和分离。与传统手术刀和高频电刀相比,该方法显著减少了组织损伤,同时简化了手术程序,提高了切割精度,增强了术后恢复。通过本研究可以看出,单极低温等离子刀在口腔颌面外科中具有广泛应用的潜力。
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