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Adenoidectomy

Coblation Adenoidectomy

Coblation can also be used to perform Adenoidectomy. The device used in this procedure is the EVac Xtra, or the PROcise EZ Plasma Wand. Coblation Adenoidectomy offers the following advantages:

• Minimal intraoperative blood loss¹
• Precision of tissue removal¹
• Less damage to surrounding tissue¹
• Less postoperative neck pain²
• Less incidence of dehydration²
• Dry Adenoidectomy under visual guidance, minimize risk of ET tube damage and Coblation can clear the Coenas completely from lymphatic tissue.

References

1. Ghosh S. A Roper. Timms MS. Adenoidectomy with the Coblator: a logical extension of radiofrequency tonsillectomy. Journal of Laryngology and Otology. 2005; 119: pp 398-399; May Issue.
2. 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

Clinical Information

1. Coblation Adenotonsillectomy: An Improvement Over Electrocautery Technique?
   Glade R, Pearson S, ZalZal G, Choi S, Otolaryngology-HNS (2006) 134, 852-855.2
   Objective: To compare post-op complication rates of Coblation and electrocautery adenotonsillectomies.
   Conclusion: Coblation tonsillectomy had similar rates of primary and secondary hemorrhage when compared with electrocautery tonsillectomy but a lower incidence of post-op dehydration. Coblation adenoidectomy caused less post-op neck pain than curette/cautery adenoidectomy without significant advantage over cautery adenoidectomy.
2. Pediatric Tonsillectomy: Coblation vs. Electrocautery
   Shapiro N, Bhattacharyya N. Laryngoscope. 2007;117: 406–410.5
   Objective: To compare intra-operative efficiency and postoperative recovery between cold dissection adenotonsillectomy (CDA) and Coblation adenotonsillectomy (CAA).
   Conclusion: Coblation adenotonsillectomy offers better operative speed and intra-operative hemostasis as compared with Cold dissection adenotonsillectomy.
3. Adenoidectomy With the Coblator: A Logical Extension of Radiofrequency Tonsillectomy
   Timms MS, Ghosh S, Roper A. J Laryngol Otolaryngol. May 2005;119:1–2.12
   Objective: Describe the use of the Coblator to remove adenoid tissue using radiofrequency ablation. Compare this method to conventional and newer methods of adenoidectomy.
   Conclusion: Coblation adenoidectomy is an attractive and efficient technique. Its advantages over conventional procedures include that it produces a bloodless field, precisely removes tissue, and leads to less damage to underlying tissue.
4. Bipolar Radiofrequency for Adenoidectomy
   Palmer J, Otolaryngology–HNS (2006) 135, 323-324
   Objective: To evaluate the efficacy and benefits of using Coblation for adenoidectomy procedures.
   Conclusion: Coblation provides the author with a more precise and controlled method of removing tissue with less damage to surrounding areas and offers optimal visualization of the surgical field.

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