JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2014, Vol. 28 ›› Issue (6): 43-46.doi: 10.6040/j.issn.1673-3770.0.2014.085

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Coblation and routine excision to treat epiglottic cysts

ZHOU Jing-chun1, KE Zhao-yang1, MA Ling-guo1, ZHANG Jing-jing2, ZHANG Wei1, FENG Chun-ying1   

  1. 1. Second Clinical Medical College of Jinan University/Shenzhen People's Hospital, Shenzhen 518020, Guangdong, China;
    2. Peking University Shenzhen Hospital, Shenzhen 518036, Guangdong, China
  • Received:2014-03-10 Published:2014-12-16

Abstract: Objective To compare the effectiveness of coblation and routine excison in the treatment of epiglottic cysts. Method sixty adult patients with epiglottic cysts were randomly divided into coblation group (ArthroCare Evac 70 ArthroWand) or routine dissection group (cold instruments). The operating time and postoperative pain were assessed by VAS. The postoperative epiglottic edema, pseudomembrane time, as well as complications, were observed in a double blind fasion. Result The operating time was shorter in coblation group,which also presented less complaint of pain 1-6 days after surgery and smaller extent of epiglottic edema 1-3 days after surgery, but, more pseudomembrane shed off on the 8th day. No difference was found in the beginning time of defilming. No dyspnea or hemorrhage occurred in both groups. No recurrence was observed 12 months after the surgery. Conclusion Comparing with conventional procedure, coblation assisted dissection can shorten operation time and reduce the postoperative pain.

Key words: Coblation dissection, Pain, Postoperative hemorrhage, Epiglottic cyst

CLC Number: 

  • R766.9
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