Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2021, Vol. 35 ›› Issue (2): 16-21.doi: 10.6040/j.issn.1673-3770.1.2020.105

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Application and progress of coblation in children with obstructive sleep apnea

FENG Chen, GUO Ruixiang, WANG Yan   

  1. Department of Otorhinolaryngology, Qilu Hospital, Cheeloo College of Medicine, of Shandong University/NHC Key Laboratory of Otorhinolaryngology (Shandong University), Jinan 250012, Shandong, China
  • Published:2021-04-20

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Abstract: The scientific concept of precise and minimally invasive surgery promotes the continuous progress of otolaryngology head and neck surgery. A typical example is the application and development of coblation. This article describes the advantages and disadvantages of coblation in children with obstructive sleep apnea surgery(tonsillectomy and adenoidectomy). Its operation is simple, and the operation time is short. Regarding coblation, the surgical field is clear, and the amount of bleeding is low. Moreover, the temperature is low to avoid thermal burns. The wound surface is smooth and flat, the postoperative pain is mild, and the restoration to normal diet occurs early; the albuginea is formed early after the operation, but a thin layer of denatured collagen is added on the basis of inflammatory cells and fibrous tissue; therefore, the albuginea is thicker, and delayed shedding time may delay bleeding. This article highlights the individualized treatment of tonsillectomy in children and advocates for intracapsular(partial)tonsillectomy in order to preserve the immunity of children. Coblation technology has obvious advantages, but it still needs to be continuously explored in clinical practice to widen its application prospects.

Key words: Sleep apnea, obstructive, Children, Coblation, Tonsillectomy, adenoidectomy, Extracapsular tonsillectomy, Intracapsular tonsillectomy

CLC Number: 

  • R766.7
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