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Possibilities of coblation in otorhinolaryngology: analytical review

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Abstract

Objective

Review literature data on the coblation method in otorhinolaryngology.

Materials and methods

All materials from our study are published in peer-reviewed journals. The review is PubMed generated. In our clinic, 20 patients with bilateral paralytic laryngeal stenosis underwent cold-plasma posterior arytenoidcordotomy with Coblator II.

Results

The analysis of the high-energy techniques currently applied in otorhinolaryngology shows the benefits of coblation due to the effect of lower temperatures on tissues. Patients subjectively reported improved breathing on day 10 with a closed coblation tracheostoma; after 3–6 months everyone underwent successful decannulation with plastic surgery of the cutaneous-tracheal fistula. Lately, the operated vocal fold was in the abduction position and the lumen of the glottis in the posterior third was 7–8 mm. Compensation of vocal function in the long-term postoperative period was achieved by patients due to long-term orthophonic training and the development of a vestibuloscapular phonation mechanism.

Conclusion

The advantages of coblation are mainly minimal trauma to the surrounding tissues, convenient resection, the ability to perform complete hemostasis at one time, and easier postoperative period for the patient.

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Authors and Affiliations

  1. Department of Ear, Throat and Nose Diseases of N.V. Sklifosovsky Clinical Medicine Institute of the Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), 6/1, Bol’shayaPirogovskaya St., 119021, Moscow, Russia

    Valerij M. Svistushkin, Svetlana V. Starostina & Alexey V. Toldanov

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  1. Valerij M. Svistushkin
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Contributions

Study concept and design: AT, SS, VM. Collection and processing of material: AT. Statistical data processing: AT, SS. Text writing: AT, SS. Editing: VM, SS.

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Correspondence to Alexey V. Toldanov.

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Local ethics committee Sechenov University (05-17 from 14.06.2017).

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Svistushkin, V.M., Starostina, S.V. & Toldanov, A.V. Possibilities of coblation in otorhinolaryngology: analytical review. Eur Arch Otorhinolaryngol 279, 1655–1662 (2022). https://doi.org/10.1007/s00405-021-07055-2

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