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CoblationTM-assisted excision of suprastomal granulation tissue

Published online by Cambridge University Press:  29 September 2021

U Alkan ,
E Yosefof Open the ORCID record for E Yosefof [Opens in a new window] ,
Y Nachalon ,
H Shoffel-Havakuk ,
H Gilat  and
Y Stern
U Alkan
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Rabin Medical Center, Beilinson Hospital, Petah Tikva, Israel Sackler Faculty of Medicine, Tel Aviv University, Israel
E Yosefof*
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Rabin Medical Center, Beilinson Hospital, Petah Tikva, Israel Sackler Faculty of Medicine, Tel Aviv University, Israel
Y Nachalon
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Rabin Medical Center, Beilinson Hospital, Petah Tikva, Israel Sackler Faculty of Medicine, Tel Aviv University, Israel
H Shoffel-Havakuk
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Rabin Medical Center, Beilinson Hospital, Petah Tikva, Israel Sackler Faculty of Medicine, Tel Aviv University, Israel
H Gilat
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Rabin Medical Center, Beilinson Hospital, Petah Tikva, Israel Sackler Faculty of Medicine, Tel Aviv University, Israel
Y Stern
Affiliation:
Sackler Faculty of Medicine, Tel Aviv University, Israel Pediatric Upper Airway Unit, Schneider Children's Medical Center of Israel, Petah Tikva, Israel
*
Author for correspondence: Dr Eyal Yosefof, Department of Otorhinolaryngology and Head and Neck Surgery, Rabin Medical Center, Beilinson Hospital, Petah Tikva4941492, Israel E-mail: eyalyos@gmail.com
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Abstract

Background

Suprastomal granulation tissue is a common complication of long-term tracheostomy. It may be associated with bleeding, aphonia, airway obstruction and delayed decannulation.

Methods

This study describes the experience of a tertiary paediatric medical centre with CoblationTM-assisted suprastomal granulation tissue excision.

Results

Thirteen children (mean age, 5.7 years) who underwent the procedure from 2013 to 2019 because of delayed decannulation or aphonia were included. Lumen obstruction ranged from 50 to 90 per cent, with a mean of 68.8 per cent. After the procedure, decannulation was successfully performed in 7 patients, and voice quality improved in 10 patients. There were no peri- or post-operative complications.

Conclusion

This is the largest series to date that describes Coblation used for the treatment of suprastomal granuloma. Coblation has advantages of high precision, relatively low temperature (thereby avoiding thermal injury to adjacent tissue), haemostatic resection and feasibility for use for even large granulomas. The promising results should prompt further studies in larger samples.

Keywords

TracheostomyTracheaGranulation TissueEndoscopyAirway Obstruction
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 10 , October 2022 , pp. 930 - 933
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr E Yosefof takes responsibility for the integrity of the content of the paper

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