Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-22T20:49:35.708Z Has data issue: false hasContentIssue false
  • English
  • Français

Coblation resection of paediatric laryngeal papilloma

Published online by Cambridge University Press:  14 June 2011

A Rachmanidou  and
P C Modayil
A Rachmanidou
Affiliation:
Department of ENT, University Hospital Lewisham NHS Trust, London, UK
P C Modayil*
Affiliation:
Department of Otolaryngology, Royal Manchester Children's Hospital, UK
*
Address for correspondence: Mr Prince Cheriyan Modayil, 87 Cedar Court, Manchester M25 1GZ, UK E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To demonstrate the successful treatment of laryngeal papillomatosis in a 32-month-old girl, using coblation (radio-frequency ablation) resection.

Case report:

A 32-month-old girl was referred to the ENT out-patients clinic due to a hoarse cry and a very croaky voice since birth. Under general anaesthesia, fibre-optic airway endoscopy revealed a large papillomatous lesion involving the anterior glottis, which was reported as a laryngeal papilloma on histological analysis. This was later excised using an Evac 70Xtra wand. The patient made an uneventful post-operative recovery, and there were no signs of recurrence on repeated airway endoscopies at three and 18 months.

Conclusion:

Coblation (radio-frequency ablation) is a promising surgical technique for the treatment of paediatric laryngeal papillomatosis. The main advantages of this technique include limited damage to underlying tissues and a bloodless field.

Keywords

PapillomaLaryngeal NeoplasmsHuman Papilloma VirusSurgical EquipmentMicrowaves
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 8 , August 2011 , pp. 873 - 876
Copyright
Copyright © JLO (1984) Limited 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Recurrent respiratory papillomatosis. In: http://emedicine.medscape.com/article/302648-overview [9 May 2011]Google Scholar
2Shah, KV, Stern, WF, Shah, FK, Bishai, D, Kashima, HK. Risk factors for juvenile onset recurrent respiratory papillomatosis. Pediatr Infect Dis J 1998;17:372–6CrossRefGoogle ScholarPubMed
3Powel, NB, Riley, RW, Troell, RJ. Radiofrequency volumetric reduction of the palate in subjects with sleep disordered breathing. Chest 1998;113:1163–74CrossRefGoogle Scholar
4Nelson, LM. Temperature controlled radiofrequency tonsil reduction: extended follow up. Otolaryngol Head Neck Surg 2001;125:456–61Google ScholarPubMed
5Utley, DS, Goode, RL, Hakim, I. Radiofrequency energy tissue ablation for the treatment of nasal obstruction secondary to turbinate hypertrophy. Laryngoscope 1999;109:683–9CrossRefGoogle ScholarPubMed
6Cable, BB, Mair, EA. Radiofrequency ablation of lymphangiomatous macroglossia. Laryngoscope 2001;111:1859–61CrossRefGoogle ScholarPubMed
7Timms, MS, Bruce, IA, Patel, NK. Radiofrequency ablation (coblation): a promising new technique for laryngeal papillomata. J Laryngol Otol 2007;121:28–30CrossRefGoogle ScholarPubMed
8Carney, AS, Evans, AS, Mirza, S, Psaltis, A. Radiofrequency coblation for treatment of advanced laryngotracheal recurrent respiratory papillomatosis. J Laryngol Otol 2010;124:510–15CrossRefGoogle ScholarPubMed
9Woloszko, J, Stalder, KR, Brown, IG. Plasma characteristics of repetitively-pulsed electrical discharges in saline solutions used for surgical procedures. IEEE Trans Plasma Sci 2002;30:1376–83CrossRefGoogle Scholar
10Saleh, EM. Complications of treatment of recurrent laryngeal papillomatosis with the carbon dioxide laser in children. J Laryngol Otol 1992;106:715–18CrossRefGoogle ScholarPubMed
11Crockett, MD, McCabe, FB, Shive, JC. Complications of laser surgery for recurrent respiratory papillomatosis. Ann Otol Rhinol Laryngol 1987;96:639–44CrossRefGoogle ScholarPubMed
12Psaltis, A, Carney, A, Simon, A. Use of radiofrequency ablation in the treatment of tracheal papillomatosis: a case report. Otolaryngol Head Neck Surg 2004;131:137Google Scholar
13Snoeck, R, Wellens, W, Desloovere, C. Treatment of severe laryngeal papillomatosis with intralesional injections of Cidovidir. J Med Virol 1998;54:219–253.0.CO;2-C>CrossRefGoogle Scholar
14Pransky, SM, Magit, AE, Kearns, DB, Duncan, NO. Intralesional Cidovidir for recurrent respiratory papillomatosis in children. Arch Otolaryngol Head Neck Surg 1999;125:143–8CrossRefGoogle ScholarPubMed
15Rosen, CA, Woodson, GE, Thompson, JW, Hengesteg, AP, Bradlow, HL. Preliminary results of the use of indole-3-carbinol for recurrent respiratory papillomatosis. Otolaryngol Head Neck Surg 1998;118:810–15CrossRefGoogle ScholarPubMed
16Abramson, AL, Shikowitz, MJ, Mullooly, VM, Steinberg, BM, Asmella, CA, Rothstein, HR. Variable light-dose effect on photodynamic therapy for laryngeal papillomas. Arch Otolaryngol Head Neck Surg 1998;120:852–5CrossRefGoogle Scholar
17Derkay, CS, Malis, DJ, Zalzal, G. A staging system for assessing severity of disease and response to therapy in recurrent respiratory papillomatosis. Laryngoscope 1998;108:935–7CrossRefGoogle ScholarPubMed