Radiofrequency coblation for treatment of advanced laryngotracheal recurrent respiratory papillomatosis

被引：29

作者：

Carney, A. S. ^{[1
]}

Evans, A. S.

Mirza, S.

Psaltis, A.

机构：

[1] Flinders Med Ctr, ENT Unit, Dept Otolaryngol Head & Neck Surg, Adelaide, SA 5042, Australia

来源：

JOURNAL OF LARYNGOLOGY AND OTOLOGY | 2010年 / 124卷 / 05期

关键词：

Radiofrequency; Coblation; Recurrent Respiratory Papillomatosis; Larynx; Trachea; POSTOPERATIVE PAIN; CHILDREN; TONSILLECTOMY; MICRODEBRIDER; CIDOFOVIR; THERAPY; LASER;

D O I：

10.1017/S0022215109992398

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Background: A variety of treatment modalities are currently used to treat recurrent respiratory papillomatosis. We aimed to study the efficacy of radiofrequency cold ablation (coblation) for the treatment of laryngotracheal recurrent respiratory papillomatosis, by comparing treatment intervals for coblation and CO(2) laser vaporisation. Method: Retrospective case series of adult patients with advanced laryngotracheal recurrent respiratory papillomatosis. Results: Six patients were treated for at least two years by CO, laser vaporisation with or without intralesional cidofovir. All six subsequently underwent treatment with radiofrequency coblation with or without intralesional cidofovir. Coblation resulted in longer periods between interventions, compared with CO(2) laser (p = 0.03). Conclusion: Radiofrequency coblation appears to be an attractive alternative technique to CO, laser for the surgical treatment of advanced laryngotracheal papillomata.

引用

页码：510 / 514

页数：5

共 19 条

[1] Stepped-dose protocol of cidofovir therapy in recurrent respiratory papillomatosis in children [J].

Akst, LM ;

Lee, W ;

Discolo, C ;

Knott, D ;

Younes, A ;

Koltai, PJ .

ARCHIVES OF OTOLARYNGOLOGY-HEAD & NECK SURGERY, 2003, 129 (08) :841-846

[2] Double-blind randomized controlled study of coblation tonsillotomy versus coblation tonsillectomy on postoperative pain in children [J].

Arya, AK ;

Donne, A ;

Nigam, A .

CLINICAL OTOLARYNGOLOGY, 2005, 30 (03) :226-229

[3] Bipolar radiofrequency volumetric tissue reduction of inferior turbinate: Does the number of treatment sessions influence the final outcome? [J].

Atef, A ;

Mosleh, M ;

El Bosraty, H ;

El Fatah, GA ;

Fathi, A .

AMERICAN JOURNAL OF RHINOLOGY, 2006, 20 (01) :25-31

[4]

Belloso A, 2006, CLIN OTOLARYNGOL, V31, P138

[5] The cost of juvenile-onset recurrent respiratory papillomatosis [J].

Bishai, D ;

Kashima, H ;

Shah, K .

ARCHIVES OF OTOLARYNGOLOGY-HEAD & NECK SURGERY, 2000, 126 (08) :935-939

[6] Coblation: An emerging technology and new technique for soft-tissue surgery [J].

Bortnick, DP .

PLASTIC AND RECONSTRUCTIVE SURGERY, 2001, 107 (02) :614-615

[7]

Derkay CS, 2006, ANN OTO RHINOL LARYN, V115, P1

[8] Powered instrumentation in the treatment of recurrent respiratory papillomatosis - An alternative to the carbon dioxide laser [J].

El-Bitar, MA ;

Zalzal, GH .

ARCHIVES OF OTOLARYNGOLOGY-HEAD & NECK SURGERY, 2002, 128 (04) :425-428

[9] POLYMERASE CHAIN-REACTION IDENTIFICATION OF HUMAN PAPILLOMAVIRUS DNA IN CO2-LASER PLUME FROM RECURRENT RESPIRATORY PAPILLOMATOSIS [J].

KASHIMA, HK ;

KESSIS, T ;

MOUNTS, P ;

SHAH, K .

OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 1991, 104 (02) :191-195

[10] Intralesional cidofovir for the treatment of severe juvenile recurrent respiratory papillomatosis: Long-term results in 4 children [J].

Milczuk, HA .

OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2003, 128 (06) :788-794

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