Rachmanidou A, Modayil P C
Department of ENT, University Hospital Lewisham NHS Trust, London, UK.
J Laryngol Otol. 2011 Aug;125(8):873-6. doi: 10.1017/S0022215111001253. Epub 2011 Jun 14.
To demonstrate the successful treatment of laryngeal papillomatosis in a 32-month-old girl, using coblation (radio-frequency ablation) resection.
A 32-month-old girl was referred to the ENT out-patients clinic due to a hoarse cry and a very croaky voice since birth. Under general anaesthesia, fibre-optic airway endoscopy revealed a large papillomatous lesion involving the anterior glottis, which was reported as a laryngeal papilloma on histological analysis. This was later excised using an Evac 70Xtra wand. The patient made an uneventful post-operative recovery, and there were no signs of recurrence on repeated airway endoscopies at three and 18 months.
Coblation (radio-frequency ablation) is a promising surgical technique for the treatment of paediatric laryngeal papillomatosis. The main advantages of this technique include limited damage to underlying tissues and a bloodless field.
证明使用低温等离子体消融术（射频消融）切除法成功治疗一名32个月大女童的喉乳头状瘤病。
一名32个月大女童因自出生以来声音嘶哑、非常沙哑而被转诊至耳鼻喉科门诊。在全身麻醉下，纤维光学气道内窥镜检查发现一个累及声门前部的巨大乳头状瘤病变，组织学分析报告为喉乳头状瘤。随后使用Evac 70Xtra探头将其切除。患者术后恢复顺利，在术后3个月和18个月的重复气道内窥镜检查中均未出现复发迹象。
低温等离子体消融术（射频消融）是一种有前景的治疗儿童喉乳头状瘤病的外科技术。该技术的主要优点包括对深层组织的损伤有限以及术野无血。
