<p>Coblation is a new technology used in soft tissue surgery. This technique uses lower energies than standard bipolar diathermy. It does ablation at lower temperature which causes less damage to the surrounding tissues and also less post-operative pain. Microscope assisted tonsillectomy is a new surgical technique and established as a suitable and standard method of tonsillectomy. Microscope-assisted coblation tonsillectomy reduces the intra-operative and post-operative hemorrhage, post-operative pain and decrease the hospital stay, so that help in an early improvement of the patient. This technique is associated with less pain and quick return to normal diet and daily activity of the patient. This technique is an effective and safe technique for doing tonsillectomy. Surgeons can also operate with precision in enlarged and magnified view in microscope or endoscope assisted tonsillectomy. Moreover, this technique makes it easier to educate the students. The purpose of this review article is to discuss the principle, techniques, outcome, advantages and limitations of microscope assisted coblation tonsillectomy. </p>
Recurrent respiratory papilloma (RRP) is a benign and self-limiting disease caused by the human papillomavirus (HPV) where the lesions seen in the aerodigestive tract. [1] The bimodal age distribution is associated with RRP where characteristic young children and young adults are often affected. [1] This disease is often seen in children and the virus is transmitted by contact with infected secretions from the birth canal. The histopathological presentations are benign squamous epithelium stratification. [2] These lesions are typically confined to the larynx but sometimes seen at the nasopharynx, tracheobronchial area, and very uncommonly the lungs parenchyma. [3] The prognosis of RRP vary from spontaneous remission to aggressive progression and spreading to the lungs. The diagnosis of RRP is based on medical records, clinical presentations, and imaging. The final diagnosis of RRP is always based on histopathological examination where samples are taken from the lesions of the larynx and trachea. Laryngeal papillomatosis is a benign neoplasm, described as exophytic proliferative lesions of connective tissue covered by epithelial tissue. It often begins at the commissure and anterior part of the vocal cords and later on involves all the parts of the larynx and even lower airway such as the trachea, bronchi, and lung parenchyma in some patients. The lesions of the laryngeal papillomatosis are usually multiple in numbers and less frequently solitary. [4] There are two forms of RRP: Juvenile RRP and adult-onset RRP. If the age of the patient is <12 years in RRP is called Juvenile RRP and often seen in 2-5 years.
epIdeMIologyThe incidence of RRP is around 4 per 1 lakh in children and 2 per 1 lakh in adults. [5] The incidence of RRP varies according to different factors such as age and socioeconomic status. [5] These are higher among low socioeconomic status and low educational backgrounds. [6] However, the severity of the diseases is not associated with socioeconomic status. [5] The prevalence of HPV infections is more among female sex. The prevalence of the
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.