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Allison Rasband-Lindquist, Keith Sale
Tracheostomy predisposes patients to various complications. The most common late complication is granuloma formation; others include tracheal stenosis, bleeding, infection, and fistula development. Small granulomas may not require treatment, but large ones necessitate removal to prevent bleeding, obstruction, respiratory distress and, in rare cases, death. Various treatment options have been described, but no single modality has proved to be superior. We describe a novel approach to treating substomal tracheal granulation by using trans-stomal Coblation for patients whose granulation is difficult to visualize...
October 2016: Ear, Nose, & Throat Journal
Li-Qiang Yang, Wei-Yi Gong, Xiao-Ping Wang, Zhi Dou, Yuan-Jie Zeng, Jia-Xiang Ni
BACKGROUND: Patients with thoracic neuropathic pain often do not respond to medication and physical therapy. Coblation technology has been demonstrated to have potential for pain management. METHODS: Fifteen patients underwent computed tomography-guided percutaneous coblation to ablate the thoracic paravertebral nerve for their medication-resistant thoracic neuropathic pain. The pain intensity was assessed by visual analog scale (VAS) 1 day before surgery and 1 week and 1, 3, and 6 months after surgery, and the difference between preoperative and postoperative VAS values was determined to evaluate the pain relief effectiveness...
October 7, 2016: Pain Practice: the Official Journal of World Institute of Pain
Liangliang He, Jianning Yue, Liqiang Yang, Baishan Wu, Guoqing Cao, Yuna Guo, Guanghui Lai, Yuanzhang Tang, Jiaxiang Ni
A degenerative cervical disc is a pain generator for headaches, and headaches can benefit from cervical prolapse surgery. However, as an alternative intervention for open cervical surgery, no study has reported whether headaches can benefit from cervical nucleoplasty.The objective of this study was to evaluate the efficacy of cervical coblation nucleoplasty in the treatment of cervicogenic headaches.In a prospective cohort study performed between December 2013 and August 2015, 20 patients with cervicogenic headaches undergoing cervical nucleoplasty for shoulder-arm pain were recruited into group C, and 20 patients with cervicogenic headaches undergoing lumbar nucleoplasty for low back pain, matched for age and sex, were recruited into group L...
September 2016: Medicine (Baltimore)
J P Windfuhr, K Savva
BACKGROUND: Tonsillotomy procedures (TT) are being increasingly performed owing to the low postoperative morbidity compared with extracapsular tonsillectomy (TE). Patients may experience regrowth of tonsillar tissue or tonsillitis in the tonsillar remnants eventually resulting in a secondary tonsillectomy. OBJECTIVES: A review of the literature was undertaken to evaluate the current indications and contraindications, surgical instruments, risks of surgery, and the need for further research related to TT...
September 26, 2016: HNO
Mara Bozza Stephenson, Bryan Glaenzer, Angelo Malamis
Spinal metastases are a common and morbid condition in America. Of the 1.6 million new cases of cancer estimated to be diagnosed in the USA in 2015, approximately 5-10 % will develop spinal metastases. This number is expected to increase as the life expectancy of cancer patients increases. Patients with osteolytic spinal metastases experience severe and often debilitating pain, which significantly reduces quality of life. Due to the morbidity of open surgery, particularly in oncologic patients, the treatment paradigm has shifted towards minimally invasive therapy...
November 2016: Current Treatment Options in Oncology
Zorik Spektor, David J Kay, David L Mandell
PURPOSE: To compare post-operative pain severity, analgesic intake, and complications in children undergoing tonsillectomy and adenoidectomy with bipolar radiofrequency ablation (Coblation) vs. pulsed-electron avalanche knife (PEAK) technology. MATERIALS AND METHODS: This was a prospective, non-randomized, non-blinded comparative cohort study in a private practice setting with three fellowship-trained pediatric otolaryngologists. Patients aged 3 to 12years undergoing tonsillectomy and adenoidectomy were assigned to surgery with either bipolar radiofrequency ablation or pulsed electron avalanche knife instrumentation...
August 5, 2016: American Journal of Otolaryngology
Jennifer C Lane, James Dworkin-Valenti, Lisa Chiodo, Michael Haupert
OBJECTIVE & HYPOTHESIS: Stated in the Null form: There will be no difference in primary or secondary hemorrhage rate in children undergoing tonsillectomy or adenotonsillectomy across three surgical techniques: PEAK Plasmablade, electric monopolar cautery, coblation. STUDY DESIGN: Retrospective chart analysis. SETTING: Academic Medical Center: Children's Hospital. SUBJECTS & METHODS: Electronic chart data were collected from patient's age 2-18 years who underwent tonsillectomy, with or without adenoidectomy, at a tertiary pediatric hospital between June 2011 to May 2013 by electric monopolar cautery, coblation, or PEAK PlasmaBlade...
September 2016: International Journal of Pediatric Otorhinolaryngology
Bing Liu, Liangjun Cheng, Hao Ming, Chang Zhong
OBJECTIVE: Radiofrequency (RF) coblation operates at low temperatures (40-70°C) and allows for ablation, hemostasis, and aspiration, in addition to the lesion excision; thermal damage to the surrounding tissues is thus minimized. Herein, we evaluated the benefit of low-temperature RF coblation treatment of the early-stage glottic cancer. The main aim of the study was to evaluate the feasibility, complications, and efficacy of low-temperature RF coblation as a treatment modality for the early-stage glottic cancer...
April 2016: Journal of Cancer Research and Therapeutics
Jacinto Fernández Sanromán, Alberto Costas López, Martín Fernández Ferro, Annahys López de Sánchez, Bogdan Stavaru, Jorge Arenaz Bua
PURPOSE: To study the complications of temporomandibular joint (TMJ) arthroscopic procedures using two-portal coblation technologies. MATERIALS AND METHODS: The 397 consecutive patients (475 joints) who underwent arthroscopic surgery were prospectively analyzed. RESULTS: Complications were observed in 39 (8.21%) procedures. Complications recognized during or immediately after surgery were observed in 25 cases (5.26%). Vascular injury in the points of trocar insertion was observed in seven cases...
September 2016: Journal of Cranio-maxillo-facial Surgery
Judd H Fastenberg, Soham Roy, Lee P Smith
OBJECTIVES: The treatment of pediatric airway stenosis represents a major challenge for the otolaryngologist. The aim of this study is to evaluate the use of bipolar radiofrequency plasma ablation (Coblation) in the treatment of pediatric airway stenosis. STUDY DESIGN: Retrospective case series. Tertiary care pediatric academic medical center. METHODS: The medical records of 6 pediatric patients at Cohen Children's Medical Center from July 2009 to December 2015 were reviewed...
August 2016: International Journal of Pediatric Otorhinolaryngology
Vikas Agrawal, Pranay Kumar Agarwal, Aniruddh Agrawal
This study aims to define the surgical boundaries of adenoidectomy by demonstrating that recurrence of adenoids and its symptoms can be avoided if a complete adenoidectomy is performed, by following these surgical limits. A prospective descriptive study was carried out at Speciality ENT Hospital, Mumbai, India. Endoscopic adenoidectomy was performed in 83 patients using coblation technology. In all patients, adenoids were removed superiorly till the periosteum over the body of sphenoid; posteriorly till the pharyngobasilar fascia; laterally till fossa of Rosenmuller in the posterior part and till the torus tubarius in the anterior part; and inferiorly till the Passavant's ridge...
June 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
D Dabravolski, J Eßer, A Lahm, H Merk
No abstract text is available yet for this article.
June 7, 2016: Zeitschrift Für Orthopädie und Unfallchirurgie
Dzmitry Dabravolski, Jan Esser, Andreas Lahm, Harry Merk
BACKGROUND: A radical surgery of spine metastases is not possible in many cases, especially by elder multi morbid patients.The modern Cavity/Coblation method offers a very good therapeutic alternative for such patients.The goal of this paper was to evaluate and present the method as well as the results of the treatment of 302 patients with vertebral tumours/metastases. METHODS: Patients. Patients with vertebral destructions of the spine caused by spinal tumours and metastases were treated...
June 7, 2016: Journal of Neurosurgical Sciences
Vaibhav H Ramprasad, Marisa A Ryan, Alfredo E Farjat, Rose J Eapen, Eileen M Raynor
OBJECTIVES: Supraglottoplasty is the first-line surgical treatment for severe laryngomalacia. The purpose of this study is to determine the current trends of practice patterns in managing children who require supraglottoplasty. METHODS: A 25-question survey regarding supraglottoplasty techniques and perioperative management was sent by e-mail to 274 physician members of the Society for Ear, Nose and Throat Advances in Children (SENTAC). RESULTS: 101 surgeons responded and 72% of respondents were in academic practice (p < 0...
July 2016: International Journal of Pediatric Otorhinolaryngology
D Dabravolski, J Eßer, A Lahm, H Merk
Background and objectives: Until recently, it was almost impossible to perform major surgery on metastases in the spine. This is especially the case for multiple spinal metastases and for older multi-morbid patients with higher OP risks. It is very important in such cases that the operation should be as minimally invasive as possible, and should aim to reduce pain, treat fractures and to improve the quality of life. The aim of this publication is to present and discuss the specific features of the methodology, problems, surgical techniques, as well as the effectiveness of the modernised cavity/coblation method and results of the treatment of 240 patients with spine metastases...
June 1, 2016: Zeitschrift Für Orthopädie und Unfallchirurgie
David L Walner, Chris Mularczyk, Kedar Kakodkar
Persistent tracheocutaneous fistulae (PTCFs) are sequelae of long-term tracheostomy tube use, and while many procedures exist to correct this issue, several are invasive and incur risk to the patient. This case study discusses a minimally invasive approach to closure of small PFTFs with a coblator device that may reduce the risks associated with other closure procedures. We demonstrated successful tracheocutaneous fistulae closure after coblation in all 4 patients that the operation was performed. We believe this technique can be considered for patients under select circumstances and can be part of a surgeon's armamentarium for the treatment of small PTCFs...
June 2016: International Journal of Pediatric Otorhinolaryngology
Giovanni Cammaroto, Filippo Montevecchi, Giovanni D'Agostino, Ermelinda Zeccardo, Chiara Bellini, Bruno Galletti, Medhat Shams, Hesham Negm, Claudio Vicini
Coblation tongue surgery and Trans-oral robotic surgery (TORS) proved to be the most published therapeutical options for the treatment of patients affected by obstructive sleep apneas (OSAHS). A systematic review of the literature and an analysis of the data are presented. The mean rates of failure were 34.4 and 38.5 %, respectively in TORS and Coblation groups. Complications occurred in 21.3 % of the patients treated with TORS and in 8.4 % of the patients treated with Coblation surgery. TORS seems to give slightly better results, allowing a wider surgical view and a measurable, more consistent removal of lingual tissue...
May 24, 2016: European Archives of Oto-rhino-laryngology
Yufeng Pang, Jingrong Gong, Juan Huang, Shuangzhu He, Hong Zhou
OBJECTIVE: A retrospective study to compare surgical parameters and postoperative pain in patients undergoing coblation tonsillectomy with or without microscopic guidance. METHODS: Data regarding duration of surgery and hospital stay, intraoperative blood loss, incidence of haemorrhage and postoperative pain scores were retrieved from the medical records of adult patients undergoing coblation tonsillectomy under direct vision or with microscopic guidance. RESULTS: The incidence of secondary haemorrhage (>24 h postoperatively) was significantly lower and the duration of hospital stay was significantly shorter in the microscope group (n = 92) than the direct vision group (n = 76)...
August 2016: Journal of International Medical Research
Adam Donne, Kim Keltie, Helen Cole, Andrew Sims, Hannah Patrick, Steve Powell
OBJECTIVES: To estimate the number of patients with recurrent respiratory papillomatosis (RRP) currently managed in secondary and tertiary health care in the UK and the frequency of its treatment with Coblation(™) . DESIGN: Cross-sectional survey of ENT consultants in the UK with validation using Hospital Episode Statistics (HES) inpatient data SETTING: Online survey. PARTICIPANTS: ENT CONSULTANTS IN THE UK: MAIN OUTCOME MEASURES: Number of RRP patients currently managed in acute care in the UK and frequency of use of Coblation...
May 21, 2016: Clinical Otolaryngology
Amit Shah, Alistair J Best, Winston J Rennie
Various therapeutic options are available for treatment of recalcitrant plantar fasciitis. Studies using TOPAZ coblation (ArthroCare, Sunnyvale, CA) have had good early results. The current coblation technique involves a surgical incision or breach of the highly specialized plantar fat pad, which can be associated with risks. We describe a novel technique of ultrasound-guided percutaneous coblation with a lateral heel approach. Advantages include precise targeting of the plantar fascia by direct dynamic visualization of the coblation tip, a true percutaneous approach with a needle skin puncture (<5 mm), and preservation of the plantar fat pad by using a lateral heel approach...
June 2016: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
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