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Coblation-assisted transoral supraglottic laryngectomy
1Department of Otorhinolaryngology Head and Neck Surgery, The Sixth Medical Center of PLA General Hospital, Beijing, China.
Ear, Nose, & Throat Journal
|July 5, 2022
Summary
Coblation-assisted transoral supraglottic laryngectomy (TSL) offers a simplified approach for selected supraglottic cancers. This technique enables safe tumor resection with negative margins and avoids tracheotomy in most patients.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Head and Neck Surgery
Background:
- Transoral supraglottic laryngectomy (TSL) is a standard treatment for supraglottic cancers.
- Evaluating novel techniques for TSL is crucial for improving patient outcomes.
Purpose of the Study:
- To assess a simplified transoral supraglottic laryngectomy (TSL) technique using a coblation-assisted system.
- To determine the safety and efficacy of coblation-assisted TSL for selected supraglottic tumors.
Main Methods:
- Eight patients with T1-3N2M0 supraglottic cancer underwent TSL with a coblation-assisted system.
- En bloc tumor resection with negative margins and selective neck dissection were performed.
Main Results:
- All tumors were successfully resected with clear surgical margins.
- Mean TSL operation time was 39 minutes; nasogastric tube removal averaged 8.6 days.
- No patients required tracheotomy, and all were extubated post-operatively.
Conclusions:
- Coblation-assisted TSL is a simple, low-risk procedure.
- This technique is a feasible and safe option for carefully selected supraglottic cancer patients.
