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Radiofrequency coblation for treatment of advanced laryngotracheal recurrent respiratory papillomatosis

Published online by Cambridge University Press:  11 December 2009

A S Carney ,
A S Evans ,
S Mirza  and
A Psaltis
A S Carney*
Affiliation:
Department of Otolaryngology - Head and Neck Surgery, Flinders Medical Centre and Flinders University, Adelaide, South Australia, Australia
A S Evans
Affiliation:
Department of Otolaryngology - Head and Neck Surgery, Flinders Medical Centre and Flinders University, Adelaide, South Australia, Australia
S Mirza
Affiliation:
Department of Otolaryngology - Head and Neck Surgery, Flinders Medical Centre and Flinders University, Adelaide, South Australia, Australia
A Psaltis
Affiliation:
Department of Otolaryngology - Head and Neck Surgery, Flinders Medical Centre and Flinders University, Adelaide, South Australia, Australia
*
Address for correspondence: Associate Professor A Simon Carney, Head of ENT Unit, Flinders Medical Centre, Flinders Drive, Bedford Park, Adelaide, SA, Australia 5042. Fax: +61 8 8219 9908 E-mail: simon@ent-surgery.com
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Abstract

Background:

A variety of treatment modalities are currently used to treat recurrent respiratory papillomatosis. We aimed to study the efficacy of radiofrequency cold ablation (coblation) for the treatment of laryngotracheal recurrent respiratory papillomatosis, by comparing treatment intervals for coblation and CO2 laser vaporisation.

Method:

Retrospective case series of adult patients with advanced laryngotracheal recurrent respiratory papillomatosis.

Results:

Six patients were treated for at least two years by CO2 laser vaporisation with or without intralesional cidofovir. All six subsequently underwent treatment with radiofrequency coblation with or without intralesional cidofovir. Coblation resulted in longer periods between interventions, compared with CO2 laser (p = 0.03).

Conclusion:

Radiofrequency coblation appears to be an attractive alternative technique to CO2 laser for the surgical treatment of advanced laryngotracheal papillomata.

Keywords

Radiofrequency, CoblationRecurrent Respiratory PapillomatosisLarynxTrachea
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 5 , May 2010 , pp. 510 - 514
Copyright
Copyright © JLO (1984) Limited 2009

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References

1Derkay, CS, Darrow, DH. Recurrent respiratory papillomatosis. Ann Otol Rhinol Laryngol 2006;115:1–11CrossRefGoogle ScholarPubMed
2Bishai, D, Kashima, H, Shah, K. The cost of juvenile-onset recurrent respiratory papillomatosis. Arch Otolaryngol Head Neck Surg 2000;126:935–9CrossRefGoogle ScholarPubMed
3Schraff, S, Derkay, CS, Burke, B, Lawso, L. American Society of Pediatric Otolaryngology members' experience with recurrent respiratory papillomatosis and the use of adjuvant therapy. Arch Otolaryngol Head Neck Surg 2004;130:1039–42CrossRefGoogle ScholarPubMed
4Kashima, HK, Kessis, T, Mounts, P, Shah, K. Polymerase chain reaction identification of human papillomavirus DNA in CO2 laser plume from recurrent respiratory papillomatosis. Otolaryngol Head Neck Surg 1991;104:191–5CrossRefGoogle ScholarPubMed
5El-Bitar, MA, Zalzal, GH. Powered instrumentation in the treatment of recurrent respiratory papillomatosis: an alternative to the carbon dioxide laser. Arch Otolaryngol Head Neck Surg 2002;128:425–8CrossRefGoogle Scholar
6Patel, RS, MacKenzie, K. Powered laryngeal shavers and laryngeal papillomatosis: a preliminary report. Clin Otolaryngol 2000;25:358–60CrossRefGoogle ScholarPubMed
7Pasquale, K, Wiatrak, B, Woolley, A, Lewis, L. Microdebrider versus CO2 laser removal of recurrent respiratory papillomas: a prospective analysis. Laryngoscope 2003;113:139–43CrossRefGoogle ScholarPubMed
8Arya, AK, Donne, A, Nigam, A. Double-blind randomized controlled study of coblation tonsillotomy versus coblation tonsillectomy on postoperative pain in children. Clin Otolaryngol 2005;30:226–9CrossRefGoogle ScholarPubMed
9Atef, A, Mosleh, M, El Bosraty, H, Abd El Fatah, G, Fathi, A. Bipolar radiofrequency volumetric tissue reduction of inferior turbinate: does the number of treatment sessions influence the final outcome? Am J Rhinol 2006;20:25–31CrossRefGoogle ScholarPubMed
10Bortnick, DP. Coblation: an emerging technology and new technique for soft-tissue surgery. Plast Reconstr Surg 2001;107:614–15CrossRefGoogle ScholarPubMed
11Psaltis, A, Carney, AS. The use of radiofrequency ablation for the treatment of laryngotracheal papillomatosis. Australian Journal of Oto-laryngology 2003;6:86–8Google Scholar
12Akst, LM, Lee, W, Discolo, C, Knott, D, Younes, A, Koltai, PJ. Stepped-dose protocol of cidofovir therapy in recurrent respiratory papillomatosis in children. Arch Otolaryngol Head Neck Surg 2003;129:841–6CrossRefGoogle ScholarPubMed
13Milczuk, HA. Intralesional cidofovir for the treatment of severe juvenile recurrent respiratory papillomatosis: long-term results in 4 children. Otolaryngol Head Neck Surg 2003;128:788–94CrossRefGoogle ScholarPubMed
14Polites, N, Joniau, S, Wabnitz, D, Fassina, R, Smyth, C, Varley, P et al. Postoperative pain following coblation tonsillectomy: randomized clinical trial. A N Z J Surg 2006;76:226–9CrossRefGoogle ScholarPubMed
15Parsons, SP, Cordes, SR, Comer, B. Comparison of post-tonsillectomy pain using the ultrasonic scalpel, coblator, and electrocautery. Otolaryngol Head Neck Surg 2006;134:106–13CrossRefGoogle Scholar
16Robinson, S, Ettema, SL, Brusky, L, Woodson, BT. Lingual tonsillectomy using bipolar radiofrequency plasma excision. Otolaryngol Head Neck Surg 2006;134:328–30CrossRefGoogle ScholarPubMed
17Belloso, A, Morar, P, Tahery, J, Saravanan, K, Nigam, A, Timms, MS. Randomized-controlled study comparing post-operative pain between coblation palatoplasty and laser palatoplasty. Clin Otolaryngol 2006;31:138–43Google ScholarPubMed
18Timms, MS, Bruce, IA, Patel, NK. Radiofrequency ablation (coblation): a promising new technique for laryngeal papillomata. J Laryngol Otol 2007;121:28–30CrossRefGoogle ScholarPubMed
19Patel, N, Rowe, M, Tunkel, D. Treatment of recurrent respiratory papillomatosis in children with the microdebrider. Ann Otol Rhinol Laryngol 2003;112:7–10CrossRefGoogle ScholarPubMed