Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-27T08:05:55.534Z Has data issue: false hasContentIssue false
  • English
  • Français

Novel use of Coblation technology in an unusual congenital tracheal stenosis

Published online by Cambridge University Press:  20 May 2013

G Sim  and
S Vijayasekaran
G Sim*
Affiliation:
Department of Paediatric Otolaryngology/Head and Neck Surgery, Princess Margaret Hospital for Children, University of Western Australia, Perth, Western Australia, Australia
S Vijayasekaran
Affiliation:
Department of Paediatric Otolaryngology/Head and Neck Surgery, Princess Margaret Hospital for Children, University of Western Australia, Perth, Western Australia, Australia Department of Otolaryngology, School of Surgery, University of Western Australia, Perth, Western Australia, Australia
*
Address for correspondence: Dr George Sim, Department of Paediatric tolaryngology/Head & Neck Surgery, Princess Margaret Hospital for Children, Roberts Road, Subiaco, Western Australia, Australia6008 Fax: +61 08 9340 8693 E-mail: gkcsim@gmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

We report the case of an unusual late presentation of congenital tracheal stenosis in a 13-year-old boy. He was treated with minimally invasive Coblation resection of the stenotic segment, avoiding a major open tracheal resection and reconstruction. This case report is the first to document the use of an ultra-fine Coblation wand in the treatment of congenital tracheal stenosis.

Results:

The case proceeded well, without any complications. The patient had a fully healed and patent trachea at 12-week post-operative review.

Conclusion:

Complex cases of congenital stenosis should be managed with a multidisciplinary approach. Different and novel treatment options should be explored to find one that suits the individual patient. Minimally invasive Coblation technology can offer less invasive treatment with quicker recovery and shorter hospitalisation.

Keywords

Radiofrequency AblationCongenital Tracheal Stenosis
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 128 , Supplement S1 , January 2014 , pp. S55 - S58
Copyright
Copyright © JLO (1984) Limited 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Medscape Reference: Drugs, Diseases and Procedures. Congenital malformations of the trachea. In: http://emedicine.medscape.com/article/837827-overview [28 November 2012]Google Scholar
2Hoffer, ME, Tom, LW, Wetmore, RF, Handler, SD, Potsic, WP. Congenital tracheal stenosis: the otolaryngologist's perspective. Arch Otolaryngol Head Neck Surg 1994;120:449–53CrossRefGoogle ScholarPubMed
3Koopman, JP, Bogers, AJ, Witsenburg, M, Lequin, MH, Tibboel, D, Hoeve, LJ. Slide tracheoplasty for congenital tracheal stenosis. J Pediatr Surg 2004;39:19–23CrossRefGoogle ScholarPubMed
4Elliot, M, Roebuck, D, Noctor, C, McLaren, C, Hartley, B, Mok, Q et al. The management of congenital tracheal stenosis. Int J Pediatr Otorhinolaryngol 2003;67(suppl 1):S183–92CrossRefGoogle Scholar
5Dodge-Khatami, A, Tsang, VT, Roebuck, DJ, Elliot, MJ. Management of congenital tracheal stenosis: a multidisciplinary approach. Images Paediatr Cardiol 2000;2:29–39Google ScholarPubMed
6Khalid, AN, Goldenberg, D. Surgical management of upper airway stenosis. In: Flint, PW, Haughey, BH, Lund, VJ, Niparko, JK, Richardson, MA, Robbins, KT et al. , eds. Cummings Otolaryngology: Head & Neck Surgery, 5th edn.Philadelphia: Mosby Elsevier, 2010;943–52CrossRefGoogle Scholar
7Cantrell, JR, Guild, H. Congenital stenosis of the trachea. Am J Surg 1964;108:297–305CrossRefGoogle ScholarPubMed
8Blumer, JR, Bauman, NM, Kearns, DP, Smith, RJ. Distal tracheal stenosis in neonates and infants. Otolaryngol Head Neck Surg 1992;107:583–90CrossRefGoogle ScholarPubMed
9Woloszko, J, Stadler, K, Brown, I. Plasma characteristics of repetitively pulsed electrical discharges in saline solutions used for surgical procedures. IEEE Transactions on Plasma Science 2002;30:3CrossRefGoogle Scholar
10Stadler, K, Woloszko, J, Brown, I, Smith, C. Repititive plasma discharges in saline solutions. Applied Physics Letters 2001;79:27Google Scholar
11Andres, TM, Cotton, RT, Bailey, WW, Myer, CM, Vester, SR. Tracheoplasty for congenital complete tracheal rings. Arch Otolaryngol Head Neck Surg 1994;120:1363–9CrossRefGoogle Scholar