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Coblation resection of paediatric laryngeal papilloma

Published online by Cambridge University Press:  14 June 2011

A Rachmanidou  and
P C Modayil
A Rachmanidou
Affiliation:
Department of ENT, University Hospital Lewisham NHS Trust, London, UK
P C Modayil*
Affiliation:
Department of Otolaryngology, Royal Manchester Children's Hospital, UK
*
Address for correspondence: Mr Prince Cheriyan Modayil, 87 Cedar Court, Manchester M25 1GZ, UK E-mail: [email protected]
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Abstract

Objective:

To demonstrate the successful treatment of laryngeal papillomatosis in a 32-month-old girl, using coblation (radio-frequency ablation) resection.

Case report:

A 32-month-old girl was referred to the ENT out-patients clinic due to a hoarse cry and a very croaky voice since birth. Under general anaesthesia, fibre-optic airway endoscopy revealed a large papillomatous lesion involving the anterior glottis, which was reported as a laryngeal papilloma on histological analysis. This was later excised using an Evac 70Xtra wand. The patient made an uneventful post-operative recovery, and there were no signs of recurrence on repeated airway endoscopies at three and 18 months.

Conclusion:

Coblation (radio-frequency ablation) is a promising surgical technique for the treatment of paediatric laryngeal papillomatosis. The main advantages of this technique include limited damage to underlying tissues and a bloodless field.

Keywords

PapillomaLaryngeal NeoplasmsHuman Papilloma VirusSurgical EquipmentMicrowaves
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 8 , August 2011 , pp. 873 - 876
Copyright
Copyright © JLO (1984) Limited 2011

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