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Coblation CommENTary
Our quarterly ENT Physician newsletter
Adenoidectomy Clinical Information
- Glade RS, Pearson SE, Zalzal GH, Choi SS. Coblation adenotonsillectomy: an improvement over electrocautery technique? Otolaryngol Head Neck Surg. 2006 May; 134(5):852-5.
This paper compares postoperative complication rates of Coblation and electrocautery adenotonsillectomies. The authors found that Coblation tonsillectomy had similar rates of primary and secondary hemorrhage when compared with electrocautery tonsillectomy but a lower incidence of postoperative dehydration. Also, Coblation adenoidectomy caused less postoperative neck pain than curette/cautery adenoidectomy without significant advantage over cautery adenoidectomy.
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- Ghosh S, A Roper, Timms MS. Adenoidectomy with the Coblator: a logical extension of radiofrequency tonsillectomy. J Laryngol Otol. 2005; 119: 398-399.
This paper compares the use of Coblation for the adenoidectomy procedure to other newer methods of adenoidectomy. The authors found that Coblation Adenoidectomy provides a bloodless field, precision of tissue removal, and leads to less damage to surrounding tissue.
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- Madgy D, Belenky W, Dunkley B, Shinhar S. A simple surgical technique for correcting acquired nasopharyngeal stenosis (NPS). Laryngoscope. 2005; 115 (2): 370-372.
The author used Coblation to treat three adult patients with a history of severe NPS, demonstrating a classic clinical history consistent with problematic obstructive symptoms, including chronic mouth breathing, excessively loud snoring, and apneic episodes.
No surgical complications were observed in any case. In all three cases, the obstructive symptoms and sleep apnea experienced before surgery were resolved, night-time snoring was barely audible or completely gone, and daytime sleepiness was no longer a problem. The proposed approach using Coblation technology was easy to perform, has the potential to provide a standardized technique for correcting acquired NPS, and all three pediatric cases demonstrated complete resolution of NPS symptoms.
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