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Coblation-assisted endonasal endoscopic resection of juvenile nasopharyngeal angiofibroma

Published online by Cambridge University Press:  08 June 2011

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]

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.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2011

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References

1Onerci, TM, Yucel, OT, Ogretmenoglu, O. Endoscopic surgery in treatment of juvenile nasopharyngeal angiofibroma. Int J Pediatr Otolaryngol 2003;67:1219–25CrossRefGoogle ScholarPubMed
2Wormald, PJ, Van Hasselt, A. Endoscopic removal of juvenile angiofibromas. Otolaryngol Head Neck Surg 2003;129:684–91CrossRefGoogle ScholarPubMed
3Mair, EA, Battiata, A, Casler, JD. Endoscopic laser assisted excision of juvenile nasopharyngeal angiofibroma. Arch Otolaryngol Head Neck Surg 2003;129:454–9CrossRefGoogle Scholar
4Andrews, JC, Fisch, U, Valavanis, A, Aeppli, U, Makek, MS. The surgical management of extensive nasopharyngeal angiofibromas with the infratemporal fossa approach. Laryngoscope 1989;99:429–37CrossRefGoogle ScholarPubMed
5Windfuhr, JP, Deck, JC, Remmert, S. Hemorrhage following coblation tonsillectomy. Ann Otol Rhinol Laryngol 2005;114:749–56CrossRefGoogle ScholarPubMed
6Mann, WJ, Jecker, P, Amedee, RG. Juvenile angiofibroma: changing surgical concept over the last 20 years. Laryngoscope 2004;114:291–3CrossRefGoogle ScholarPubMed
7Madgy, DN, Belenky, W, Dunkley, B, Shinhar, S. A simple surgical technique using the plasma hook for correcting acquired nasopharyngeal stenosis. Laryngoscope 2005;115:370–2CrossRefGoogle ScholarPubMed
8Glade, RS, Pearson, SE, Zalzal, GH, Choi, SS. Coblation adenotonsillectomy: an improvement over electrocautery technique? Otolaryngol Head Neck Surg 2006;134:852–5CrossRefGoogle ScholarPubMed
9Noordzij, JP, Affleck, BD. Coblation versus unipolar electrocautery tonsillectomy: a prospective, randomized, single-blind study in adult patients. Laryngoscope 2006;116:1303–9CrossRefGoogle ScholarPubMed
10Parsons, SP, Cordes, SR, Comer, B. Comparison of posttonsillectomy pain using the ultrasonic scalpel, coblator, and electrocautery. Otolaryngol Head Neck Surg 2006;134:106–13CrossRefGoogle ScholarPubMed