Management of laryngeal papillomatosis using coblation: another option of surgical intervention

European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
Rehab AwadSara Harris

Abstract

Recurrent respiratory papillomatosis is a disease caused by the human papilloma virus (HPV). HPV is frequently localised in the larynx. The disease tends to recur and frequent intervention is usually required. Management modules include surgical intervention using microdebriders or laser ablation as well as adjuvant treatments which aim mainly at maintaining an adequate airway and secondly to manage dysphonia caused by the growth on the vocal folds. In this pilot study, another surgical modality is trialled using plasma-mediated radio-frequency ablation (coblation). Retrospective study examining management of 15 adult patients diagnosed with recurrent laryngeal papillomatosis and surgically treated using coblation. One patient required multiple procedures. Pre-operative assessment in voice clinic evaluating voice quality and its impact on patients' life-quality using voice parameters and self-assessment questionnaires. Follow-up post-operatively using the same parameters from 4 to 6 weeks after surgery until up to 2 years later to check recurrence rate. No other adjuvant treatment was used and all patients received post-operative voice therapy. 78.6% of patients did not show evidence of recurrence during the study period. Impro...Continue Reading

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Citations

Aug 13, 2020·The Annals of Otology, Rhinology, and Laryngology·Sophia ChenMilan R Amin
Apr 20, 2021·Laryngoscope Investigative Otolaryngology·Alexandra Welschmeyer, Gerald S Berke
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Nov 28, 2021·Life·Amr Mohamed OudaAla-Eddin Al Moustafa

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