Possibilities of coblation in otorhinolaryngology: analytical review

Svistushkin, V. M.; Старостина, С. В.; Toldanov, Alexey

doi:10.1007/s00405-021-07055-2

Cited by 3 publications

(4 citation statements)

References 60 publications

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“…The Coblation can be used now in many laryngeal surgical procedures as it causes minimal trauma to the surrounding tissues, performs complete haemostasis and is easier in the postoperative period for the patient. 24,25 The rationale for the endoscopic repair of low-grade clefts is to create opposing raw surfaces at the mucosal edges and, most importantly, the apex. Many tools are available to denude the mucosa, including cold instruments and carbon dioxide…”

Section: Discussionmentioning

confidence: 99%

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Repair of posterior laryngeal cleft: a 10-year experience in a tertiary referral hospital

et al. 2023

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Objective This study aimed to present experience with surgical treatment of laryngeal cleft cases through both open and endoscopic approaches. Method A retrospective evaluation of all patients diagnosed as having a laryngeal cleft in a tertiary hospital over 10 years was performed. Pre-operative data, conservative and surgical management of cases, and outcomes were collected, tabulated and analysed. Results This study included 43 patients aged from 2 to 44 months with a median of 9.19 months. Concerning management technique, 12 patients had conservative treatment and the remaining 31 underwent a surgical procedure (of them, 20 patients underwent endoscopic intervention and 11 had the open surgical technique). In the open group, we used either tibial periosteum (six cases) or harvested costal cartilage (five cases). Conclusion Surgical management in the form of endoscopic Coblation-assisted or an open approach is indicated in severe cases or mild cases not responding to conservative management.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Repair of posterior laryngeal cleft: a 10-year experience in a tertiary referral hospital

et al. 2023

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“…Low-temperature plasma ablation is a new technique widely used in otorhinolaryngology [ 26 , 27 , 28 , 29 ]; however, its application in ophthalmology is rare. Huang H. et al, concluded that low-temperature plasma ablation is effective and safe for treating pterygiums.…”

Section: Discussionmentioning

confidence: 99%

“…At a relatively low temperature, a high quantity of plasma transmits energy to the tissue, resulting in the rupture of organic bonds and the breakdown of molecular structures. This technique can prevent heat damage to the surrounding tissues, which is beneficial for minimizing post-operative discomfort, improving tissue healing, lowering the risk of infection and reducing the possibility of post-operative hemorrhaging [ 26 ]. Coblation has been applied in otorhinolaryngology [ 26 , 27 , 28 , 29 ], urology [ 30 ] and orthopedic surgery [ 27 ], but it is rarely reported in ophthalmology.…”

Section: Introductionmentioning

confidence: 99%

Long-Term Clinical Outcome of Low-Temperature Plasma Ablation Treatment for Recurrent Corneal Erosions

Lin

Zhu

Yang

et al. 2022

JCM

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Purpose: To observe the therapeutic effect of low-temperature plasma ablation in treating patients with recurrent corneal erosions (RCEs). Materials and Methods: From 2020 to 2022, 35 participants with unilateral RCEs voluntarily enrolled. Here, 35 eyes of 35 patients were treated with low-temperature plasma ablation (coblation). All surgeries were performed by the same doctor (X.H.). The coblation went back and forth over the entire erosion area around five times for about five minutes. After the operation, patients were scheduled for follow-up visits at the outpatient clinic after 1 month, 3 months, 6 months, and 12 months, and at the end of the trial. During every visit, each patient underwent an evaluation of their ocular symptoms utilizing the following: pain score, intraocular pressure, slit lamp biomicroscopic examination, dry eye analysis, corneal topography, and corneal in vivo confocal microscopy (IVCM). Results: The mean follow-up time was 12.4 ± 6.1 months, ranging from 6 to 29 months. Of the 35 patients who had low-temperature plasma ablation, 32 eyes (91.43%) were completely symptom-free and three (8.57%) eyes had repeated episodes of recurrent corneal erosions after the surgery, at 3, 10, and 12 months, respectively. The typical RCE morphologic abnormalities observed in IVCM included the deformation and relaxation of the corneal epithelium, disorganized stromal fibers, reduced nerve fiber density, and disordered organization. After low-temperature plasma ablation, the loose cysts disappeared, and the epithelium became solid and tight. There was no obvious difference in the intraocular pressure (p = 0.090) or corneal astigmatism (p = 0.175) before and after treatment. The mean pain score decreased significantly, with a preoperative score of 7.7 ± 2.4 and postoperative score of 1.1 ± 1.8 (p < 0.001). The mean corneal thickness decreased from 562.6 ± 42.2 mm to 549.6 ± 26.9 mm (p = 0.031). The mean non-invasive keratograph tear meniscus height (NIKTMH) decreased from 0.210 ± 0.054 mm to 0.208 ± 0.045 mm (p = 0.001), and the mean TBUT decreased from 6.191 ± 2.811 s to 5.815 ± 2.802 s (p < 0.001), which manifested as a slight worsening of dry eyes. In one case, the patient’s corneal astigmatism became more severe, which may be related to the high instantaneous energy when the operation did not flush in a timely manner, and it was recovered after 6 months. Conclusion: Low-temperature plasma ablation is an effective and safe procedure to treat patients with recurrent corneal erosions.

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Surgical Management of Bilateral Abductor Paralysis: Diode Laser Versus Coblation; A Prospective Study

El-Sobki,

Elzayat,

El-Deeb

et al. 2023

Journal of Voice

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Possibilities of coblation in otorhinolaryngology: analytical review

Cited by 3 publications

References 60 publications

Repair of posterior laryngeal cleft: a 10-year experience in a tertiary referral hospital

Repair of posterior laryngeal cleft: a 10-year experience in a tertiary referral hospital

Long-Term Clinical Outcome of Low-Temperature Plasma Ablation Treatment for Recurrent Corneal Erosions

Surgical Management of Bilateral Abductor Paralysis: Diode Laser Versus Coblation; A Prospective Study

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