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Coblation-assisted management of pediatric airway stenosis

Judd H Fastenberg1, Soham Roy2, Lee P Smith3

  • 1Albert Einstein College of Medicine, Department of Otorhinolaryngology-Head & Neck Surgery, 430 Lakeville Road, New Hyde Park, NY, 11042, USA.

International Journal of Pediatric Otorhinolaryngology
|July 3, 2016
PubMed

Insights

Bipolar radiofrequency plasma ablation (Coblation) shows promise for treating pediatric airway stenosis. This technique effectively managed various conditions in 6 children without significant complications.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Minimally Invasive Procedures

Background:

  • Pediatric airway stenosis presents significant challenges for otolaryngologists.
  • Effective endoscopic treatment options are crucial for improving patient outcomes.

Purpose of the Study:

  • To evaluate the efficacy of bipolar radiofrequency plasma ablation (Coblation) in treating pediatric airway stenosis.
  • To assess the safety and outcomes of Coblation for various pediatric airway conditions.

Main Methods:

  • Retrospective case series analysis of 6 pediatric patients.
  • Review of medical records from July 2009 to December 2015 at a tertiary care pediatric academic medical center.
  • Analysis of patient presentation, surgical interventions, and post-operative course.

Main Results:

  • Coblation was successfully used for glottic stenosis, bilateral vocal fold immobility, and intratracheal lesions.
  • Procedures included scar/granulation tissue removal, partial arytenoidectomy, and posterior cordectomy.
  • All 6 patients achieved good results with no major complications or sequelae.

Conclusions:

  • Bipolar radiofrequency plasma ablation (Coblation) appears to be an effective endoscopic tool for pediatric airway stenosis.
  • Further research with larger patient cohorts is warranted to solidify its application.
  • Coblation offers a potentially valuable minimally invasive approach for complex pediatric airway issues.
Abstract

Keywords:
CoblationGlottic stenosisPediatric airway stenosis

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