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Coblation: An Alternative to CO2 Laser and Microdebrider for Laryngeal Papillomatosis

International Journal of Otolaryngology and Head & Neck Surgery 2018年第2期7卷 47-54页

作者： Dasari Samuel Deenadayal Nabeelah Naeem Vyshanavi Bommakanti Dr. Deenadayal’s ENT Care Centre Secunderabad India

Objective: To assess the efficacy of coblation in treating laryngeal papillomatosis and its effect on post operative voice outcome. Study Design: This is a retrospective study. Setting: Tertiary referral centre. Subjects and Methods: All the patients diagnosed with laryngeal papillomatosis between January 2013 to December 2016 were included in this study. Preoperative assessment was done with rigid and flexible laryngoscopy. PRAAT software was used for voice analysis. All patients underwent coblation assisted microlaryngeal surgery. Post operatively patients were followed up at 1 week, 15 days, 1 month, 3 months and 6 months with rigid laryngoscopy. Voice analysis was repeated after 3 months to assess the improvement in voice. Results: Coblation was found to be effective in treating laryngeal papillomatosis. In our series of seven patients, three patients underwent repeat procedure with coblation for recurrence. But longterm follow up these patients did not reveal any recurrence of laryngeal papillomatosis. Voice analysis revealed a significant improvement in measures of perturbation and maximum phonation time. Conclusion: Coblation is a promising alternative to the conventional methods for the treatment of laryngeal papillomas as it can achieve satisfactory disease clearance with good voice quality.

关键词： Coblation microlaryngeal Surgery Laryngeal Papillomatosis JORRP Recurrent Respiratory Papillomatosis Laser Microdebrider

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