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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
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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 

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