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

Previous Articles     Next Articles

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

PDF (PC)

768

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
[1] Su C Y, Hsu J L. Transoral laser marsupialization of epiglottic cysts[J]. Laryngoscope, 2007, 117(7):1153-1154.
[2] Fujii R, Tsunoda K. Safe, complete resection of epiglottic cysts with phono-ultra-microsurgical technique[J]. J Laryngol Otol, 2008, 112(2):201-203.
[3] Forte V, Fuoco G, James A. A new classification system for congenital laryngeal cyts[J]. Laryngoscope, 2004, 114(6):1123-1127.
[4] 于志良,王卫卫,王明华.耳鼻喉综合动力系统切除会厌囊肿23例[J]. 山东大学耳鼻喉眼学报,2008,22(3):278-279. YU Zhiliang, WANG Weiwei, WANG Minghua. Excision of huge epiglottis cysts under MedtrnicXPS3000 in 23 cases[J]. J Otolaryngol Ophthalmol Shandong University, 2008, 22(3):278-279.
[5] Baharudin A, Hazama M. Carbon dioxide laser excision of a big epiglottic cyst[J]. Med Malaysia, 2006, 61(5):636-637.
[6] Friedman M, LoSavio P, Ibrahim H, et al. Radiofrequency tonsil reduction:safety,morbidity,and efficacy[J]. Laryngoscope, 2003, 113(5):882-887.
[7] Chinpairoj S, Feldman M D, Saunders J C, et al. A comparison of monopolar electrosurgery to a new multipolar electrosurgical system in a rat model[J]. Laryngoscope, 2001, 111(2):213-217.
[8] Heidemann C H, Wallén M, Aakesson M, et al. Post-tonsillectomy hemorrhage: assessment of risk factors with special attention to introduction of coblation technique[J]. Eur Arch Otorhinolaryngol, 2009, 266(7):1011-1015.
[9] Yoon T M, Choi J O, Lim S C, et al. The incidence of epiglottic cysts in a cohort of adults with acute epiglottitis[J]. Clin Otolaryngol, 2010, 35(1):18-24.
[10] Kim S G, Lee J H, Park D J, et al. Efficacy of spinal needle aspiration for epiglottic abscess in 90 patients with acute epiglottitis[J]. Acta Otolaryngol, 2009, 129(7):760-767.
[11] Temple R H, Timms M S. Paediatric coblation tonsillectomy[J]. Int J Pediatr Otorhinlaryngol, 2001, 61(3):195-198.
[1] XU Lei, ZHU Juanfen, CHENG Lei. Comparison of three surgical methods in adult patients undergoing tonsillectomy. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(6): 49-52.
[2] PANG Yufeng, GONG Jingrong, ZOU Yang, HUANG Juan. Application of modified naso-pharyngeal tube in postoperative packing of FESS. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(1): 47-50.
[3] CUI Changxia, TAO Xiangchen, ZHU Wei. Postoperative pain and corneal irritation after surface corneal refractive surgery [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(6): 60-63.
[4] CHEN Yanli, ZHU Zhongshou, SONG Peng. The clinical efficacy of suction electro-coagulator under electronic laryngoscopy for treatment of 37 cases of epiglottic cyst [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(5): 92-93.
[5] ZHANG Jie, LI Jin-rang, LIU Tao. Pain evaluation with surface electromyogram in patients after tonsillectomy [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(6): 57-60.
[6] LUO Song. Application of long handled electric knife in epiglottic cyst resection [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(6): 40-42.
[7] YU Peng-ju1, XU Feng-lei2， JIANG Man-jie2. Electric coagulation hemostasis under nasal endoscopy for 121 cases of intractable nosebleed [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(4): 4-5.
[8] HOU Jin, WANG Bo-tao, YAN Jing, REN Xiao-yong, KANG Quan-qing, XU Min. Hemorrhage following coblation-assisted tonsillectomy and adenoidectomy in children [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(2): 52-55.
[9] YANG Jie-chao, ZOU Jia-ping, ZHANG Lei. Epiglottic cyst treatment by electric coagulation under an endoscope and an anesthetic laryngoscope [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(2): 91-92.
[10] WANG Jun, MA Li, GAO Gang, YANG Ju-fang. Carbon dioxide laser to treat epiglottic cyst in patients [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2012, 26(1): 46-47.
[11] WU Hongliang1, GAO Yanyong1, YU Junxiong2, TAO Zanying3, LIU Qianghe1, HE Xiaosong1, GENG Wanping1. Effect of patient-controlled intravenous analgesia for endoscopic sinus surgery on plasma IL-6 and IL-10 [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2011, 25(4): 44-47.
[12] LIANG Hui1,　PAN Xinliang1,　WANG Qirong2,　HAN Fei2,　CUI Zhaoyang2,　YU Shudong2. Dexamethasone use to reduce pain after tonsillectomy in adults [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2010, 24(01): 65-.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd