Coblation-Assisted Endoscopic Approach for Airway Stenosis
Background: Acquired laryngotracheal stenosis is a challenging condition for the otolaryngologist. The gold standard of treatment for a long time has been open surgical procedure but not without significant morbidities. To avoid morbidities, various endoscopic approaches like balloon dilatation, ste...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-08-01
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| Series: | Medical Journal of Dr. D.Y. Patil Vidyapeeth |
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| Online Access: | https://journals.lww.com/10.4103/mjdrdypu.mjdrdypu_256_23 |
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| author | Vikas Gupta Kiran Upadhyay Rakesh Datta Sheetal Raina Ritika Bhatia BR Lohith |
| author_facet | Vikas Gupta Kiran Upadhyay Rakesh Datta Sheetal Raina Ritika Bhatia BR Lohith |
| author_sort | Vikas Gupta |
| collection | DOAJ |
| description | Background:
Acquired laryngotracheal stenosis is a challenging condition for the otolaryngologist. The gold standard of treatment for a long time has been open surgical procedure but not without significant morbidities. To avoid morbidities, various endoscopic approaches like balloon dilatation, stenting, CO2 laser, and cryotherapy have emerged in the last decade. Coblation-assisted tracheoplasty is one such novel approach which enables the removal of target tissue with minimal damage to surrounding tissues.
Aim and Objectives:
The aim of this case series is to evaluate the use of bipolar radiofrequency plasma ablation (Coblation) in the treatment of acquired adult tracheal stenosis.
Materials and Methods:
This is a retrospective case series in a tertiary care center. The medical records of six patients with tracheal stenosis who were treated with coblation from March 2020 to December 2020 were reviewed. Patient presentation, surgical intervention(s), post-operative course, and complications were analyzed.
Result:
All six patients had acquired tracheal stenosis post-tracheostomy. Coblation along with balloon dilatation and Mitomycin-C were done for these patients. All six patients could be successfully decannulated without complications, perioperative, or post-operative sequalae.
Conclusion:
The results of this study suggest that coblation may be an effective endoscopic tool for the treatment of tracheal stenosis. Further studies with a large number of patients are required as this technique comes more in application. |
| format | Article |
| id | doaj-art-9310d31d00d74e70a22ec2c442d27bba |
| institution | OA Journals |
| issn | 2589-8302 2589-8310 |
| language | English |
| publishDate | 2024-08-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Medical Journal of Dr. D.Y. Patil Vidyapeeth |
| spelling | doaj-art-9310d31d00d74e70a22ec2c442d27bba2025-08-20T01:54:34ZengWolters Kluwer Medknow PublicationsMedical Journal of Dr. D.Y. Patil Vidyapeeth2589-83022589-83102024-08-0117473073410.4103/mjdrdypu.mjdrdypu_256_23Coblation-Assisted Endoscopic Approach for Airway StenosisVikas GuptaKiran UpadhyayRakesh DattaSheetal RainaRitika BhatiaBR LohithBackground: Acquired laryngotracheal stenosis is a challenging condition for the otolaryngologist. The gold standard of treatment for a long time has been open surgical procedure but not without significant morbidities. To avoid morbidities, various endoscopic approaches like balloon dilatation, stenting, CO2 laser, and cryotherapy have emerged in the last decade. Coblation-assisted tracheoplasty is one such novel approach which enables the removal of target tissue with minimal damage to surrounding tissues. Aim and Objectives: The aim of this case series is to evaluate the use of bipolar radiofrequency plasma ablation (Coblation) in the treatment of acquired adult tracheal stenosis. Materials and Methods: This is a retrospective case series in a tertiary care center. The medical records of six patients with tracheal stenosis who were treated with coblation from March 2020 to December 2020 were reviewed. Patient presentation, surgical intervention(s), post-operative course, and complications were analyzed. Result: All six patients had acquired tracheal stenosis post-tracheostomy. Coblation along with balloon dilatation and Mitomycin-C were done for these patients. All six patients could be successfully decannulated without complications, perioperative, or post-operative sequalae. Conclusion: The results of this study suggest that coblation may be an effective endoscopic tool for the treatment of tracheal stenosis. Further studies with a large number of patients are required as this technique comes more in application.https://journals.lww.com/10.4103/mjdrdypu.mjdrdypu_256_23balloon dilatationcoblationendoscopylaryngotracheal stenosistracheal stenosistracheoplasty |
| spellingShingle | Vikas Gupta Kiran Upadhyay Rakesh Datta Sheetal Raina Ritika Bhatia BR Lohith Coblation-Assisted Endoscopic Approach for Airway Stenosis Medical Journal of Dr. D.Y. Patil Vidyapeeth balloon dilatation coblation endoscopy laryngotracheal stenosis tracheal stenosis tracheoplasty |
| title | Coblation-Assisted Endoscopic Approach for Airway Stenosis |
| title_full | Coblation-Assisted Endoscopic Approach for Airway Stenosis |
| title_fullStr | Coblation-Assisted Endoscopic Approach for Airway Stenosis |
| title_full_unstemmed | Coblation-Assisted Endoscopic Approach for Airway Stenosis |
| title_short | Coblation-Assisted Endoscopic Approach for Airway Stenosis |
| title_sort | coblation assisted endoscopic approach for airway stenosis |
| topic | balloon dilatation coblation endoscopy laryngotracheal stenosis tracheal stenosis tracheoplasty |
| url | https://journals.lww.com/10.4103/mjdrdypu.mjdrdypu_256_23 |
| work_keys_str_mv | AT vikasgupta coblationassistedendoscopicapproachforairwaystenosis AT kiranupadhyay coblationassistedendoscopicapproachforairwaystenosis AT rakeshdatta coblationassistedendoscopicapproachforairwaystenosis AT sheetalraina coblationassistedendoscopicapproachforairwaystenosis AT ritikabhatia coblationassistedendoscopicapproachforairwaystenosis AT brlohith coblationassistedendoscopicapproachforairwaystenosis |