Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2021, Vol. 35 ›› Issue (2): 1-8.doi: 10.6040/j.issn.1673-3770.1.2020.104

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Further standardized promotion of the application of radiofrequency coblation in otorhinolaryngology, head and neck surgery

XIAO Shuifang, ZHANG Junbo   

  1. Department of Otorhinolaryngology & Head and Neck Surgery, Peking University First Hospital, Beijing 100034, China
  • Published:2021-04-20

Abstract: Radiofrequency coblation is a relatively new electrical cutting technology. Since its first introduction in Department of Otorhinolaryngology, Head and Neck Surgery for inferior turbinate reduction more than 20 years ago, this technology has been employed in a wide range of surgeries, including tonsillectomy, adenoidectomy, some pharyngeal surgeries for treating obstructive sleep apnea syndrome, and surgeries for resecting some benign or malignant disease located in located in nasal cavity, nasal sinus, nasal skull base, and upper aerodigestive tract. On the basis of literatures and our own clinical experience, we reviewed the application status of this technology, focusing on its advantages and limitations in different surgical procedures compared with other cutting devices. The purpose is to further promote the radiofrequency coblation assisted surgery, and to provide some references for physicians who want to perform the surgeries.

Key words: Radiofrequency coblation, Otorhinolaryngology, Head and Neck Surgery head and neck surgery, Electrosurgical excision, Soft tissue surgery, Review, Specification

CLC Number: 

  • R762
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[4] XIANG Liulan, YE YuanhangOverview,JIANG Luyun, LIU YangGuidance. Elucidating the role and mechanism of Tim-3 in allergic rhinitis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(6): 118-122.
[5] ObjectiveTo compare the effects of intra-arterial thrombolysis and traditional treatment in central retinal artery occlusion(CRAO). MethodsWe searched the Pubmed, Embase,, CNKI, and Wan Fang databases for related studies that were published up to May , . We included clinical controls that compared intra-arterial thrombolysis and conventional treatment in CRAO. The random effect model and R software were used for data analysis. ResultsWe identified seven studies including CRAO patients. Meta-analysis results of two randomized controlled trials(RCTs)showed that there was no significant difference in visual acuity improvement between CRAO patients treated with arterial thrombolysis therapy and those with conventional therapy(RR: ., % confidence interval .-., P=.). Meta-analysis results of five cohort studies indicated that compared with conventional therapy, arterial thrombolysis therapy significantly improved visual acuity(RR: ., % confidence interval .-., P<.). The difference between thrombolysis therapy and conventional therapy may be caused by the different treatment time windows in patients. Concerning the adverse reactions after treatment, two RCTs and five cohort studies showed that the adverse reactions in the thrombolysis group are significantly higher than those in the conventional treatment group. ConclusionAlthough intra-arterial thrombolysis therapy has therapeutic potential in CRAO patients, there is still insufficient clinical evidence to prove its effectiveness and safety. Further studies with a large sample and high quality RCTs are required.. Intra-arterial thrombolysis for central retinal artery occlusion: a Meta-analysisCHEN Xi, LI Shanshan, ZHAO Lu, YOU Ran, WANG Yanling Department of Ophthalmology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, ChinaAbstract: [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(4): 28-34.
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[10] PAN Yongjie, SUN Guochen, ZANG Chuanshan. Granular cell tumor in the larynx: a report of four cases and a literature review. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(5): 104-106.
[11] XIE Shaobing, ZHANG Yanni, XU Zhenhang, ZHANG Jianhui, WU Xuewen, SUN Hong. A systematic review of surgical timing of traumatic facial paralysis. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(6): 18-21.
[12] YU Qingqing, TANG Jun, WANG Yuejian. A systemic review system to evaluate the effects of different tonsil and adenoid surgical methods on children with obstructive sleep apnea-hypopnea syndrome. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(5): 42-48.
[13] XIE Hui. Treatment of allergic rhinitis with traditional Chinese medicine. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(4): 22-25.
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