Application of Coblation Resection in Various Benign Laryngotracheal Diseases

Lee, Doh Young; Jin, Young Ju; Choi, Hyo Geun; Kim, Heejin; Kim, Kwang Hyun; Jung, Young Ho

J Korean Soc Laryngol Phoniatr Logop > Volume 25(1); 2014 > Article

Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2014;25(1): 31-35.

Doh Young Lee, Young Ju Jin, Hyo Geun Choi, Heejin Kim, Kwang Hyun Kim, Young Ho Jung

Department of Otolaryngology-Head and Neck Surgery, Seoul National University Boramae Hospital, Seoul National University College of Medicine

ABSTRACT

Objectives : The aim of this study was to evaluate the effectiveness and feasibility of coblation resection for the treatment of laryngotracheal disease. Methods : We conducted a retrospective review, evaluating 7 patients with laryngotracheal disease treated using coblator. Information collected included demographic data of the patients, diagnosis, size and location of the disease, procedure time, the number of previous operation, and the postoperative complication.
Results
: Among the etiology, granulation is most frequent (n=4), followed by recurrent repiratory papillomatosis (n=2) and tracheal stenosis (n=1). The location of lesions was peristomal area (n=2), glottis (n=2), subglottis (n=2) and mid-trachea. Coblation resection could remove the lesions completely and there was no significant complication including local burn, bleeding, and hypertrophic scar. The procedure time was shorter than the previous operation using $CO_2$ laser.
Conclusion
: Coblation resection is an effective and safe method for layngotracheal disease and can substitute the classic method such as $CO_2$ laser.

KEY WORDS： Laryngotracheal disease;Coblator;Laser;Microdebrider;Tracheal stenosis;