Alnemr, M., Elshora, M., Odabasha, A., Fouad, Y. (2024). Use of Coblation In Debulking Obstructing Laryngeal Tumors. Egyptian Journal of Ear, Nose, Throat and Allied Sciences, 25(25), 1-6. doi: 10.21608/ejentas.2024.253132.1693
Mohamed Abdelmohsen Alnemr; Mohamed Elsayed Elshora; Ashraf Elhussiny Odabasha; Yasser Ahmed Fouad. "Use of Coblation In Debulking Obstructing Laryngeal Tumors". Egyptian Journal of Ear, Nose, Throat and Allied Sciences, 25, 25, 2024, 1-6. doi: 10.21608/ejentas.2024.253132.1693
Alnemr, M., Elshora, M., Odabasha, A., Fouad, Y. (2024). 'Use of Coblation In Debulking Obstructing Laryngeal Tumors', Egyptian Journal of Ear, Nose, Throat and Allied Sciences, 25(25), pp. 1-6. doi: 10.21608/ejentas.2024.253132.1693
Alnemr, M., Elshora, M., Odabasha, A., Fouad, Y. Use of Coblation In Debulking Obstructing Laryngeal Tumors. Egyptian Journal of Ear, Nose, Throat and Allied Sciences, 2024; 25(25): 1-6. doi: 10.21608/ejentas.2024.253132.1693
Use of Coblation In Debulking Obstructing Laryngeal Tumors
1Otorhinolaryngology–Head and Neck Surgery Department, Faculty of Medicine, Zagazig University, Egypt
2Otorhinolaryngology–Head and Neck Surgery Department, Faculty of Medicine, Zagazig University, Egypt
Abstract
Background: Management of airway in cases of obstructing laryngeal tumors (OLT) is considered a challenging surgical problem. Tracheostomy can secure a patent airway; however, it was reported as a negative prognostic factor. Endolaryngeal debulking (ED) of these tumors, without doing tracheotomy, aims at ensuring a patent airway till starting the appropriate definitive treatment (DT). Coblation can induce localized molecular disintegration of the tissues with a low temperature. Therefore, it can be used safely in airway surgery with low risks of postoperative edema or scarring Aim of Work:To study the safety of using temperature-controlled radiofrequency ablation (coblation) in ED of OLT without doing tracheostomy Method:This is an uncontrolled interventional prospective case series study that included 16 cases having OLT. All of them were prepared for coblation-assisted ED and biopsy. They were followed up till initiation of the DT. Results: From February 2023 until October 2023, 16 patients with OLT were first presented to our unit. 13 patients were intubated successfully and coblation-assisted ED without primary tracheostomy was done for them. Extubation was performed Successfully, without the need for re-intubation or tracheostomy, in 12 cases with coblation debulking success rate of 92.3% Conclusion: Using coblation in endolaryngeal debulking of obstructing laryngeal tumors is an effective surgical procedure to avoid temporary tracheostomy before initiation of the definitive treatment.
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