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Coblation-assisted endonasal endoscopic resection of juvenile nasopharyngeal angiofibroma

Published online by Cambridge University Press:  08 June 2011

L Ye ,
X Zhou ,
J Li  and
J Jin
L Ye*
Affiliation:
Department of Otolaryngology, Zhongnan Hospital of Wuhan University, Hubei, People's Republic of China
X Zhou
Affiliation:
Department of Otolaryngology, Zhongnan Hospital of Wuhan University, Hubei, People's Republic of China
J Li
Affiliation:
Department of Otolaryngology, Zhongnan Hospital of Wuhan University, Hubei, People's Republic of China
J Jin
Affiliation:
Department of Otolaryngology, Zhongnan Hospital of Wuhan University, Hubei, People's Republic of China
*
Address for correspondence: Dr LinFeng Ye, Department of Otolaryngology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, People's Republic of China Fax: +86 2767812892 E-mail: [email protected]
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Abstract

Objective:

Juvenile nasopharyngeal angiofibroma may be successfully resected using endoscopic techniques. However, the use of coblation technology for such resection has not been described. This study aimed to document cases of Fisch class I juvenile nasopharyngeal angiofibroma with limited nasopharyngeal and nasal cavity extension, which were completely resected using an endoscopic coblation technique.

Methods:

We retrospectively studied 23 patients with juvenile nasopharyngeal angiofibroma who underwent resection with either traditional endoscopic instruments (n = 12) or coblation (n = 11). Intra-operative blood loss and overall operative time were recorded.

Results:

The mean tumour resection time for coblation and traditional endoscopic instruments was 87 and 136 minutes, respectively (t = 9.962, p < 0.001). Mean intra-operative blood loss was 121 and 420 ml, respectively (t = 28.944, p < 0.001), a significant difference. Both techniques achieved complete tumour resection with minimal damage to adjacent tissues, and no recurrence in any patient.

Conclusion:

Coblation successfully achieves transnasal endoscopic resection of juvenile nasopharyngeal angiofibroma (Fisch class I), with good surgical margins and minimal blood loss.

Keywords

NasopharynxAngiofibromaSurgical ProceduresOperativeHaemorrhageEndoscopyCoblation
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 9 , September 2011 , pp. 940 - 944
Copyright
Copyright © JLO (1984) Limited 2011

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