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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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