Department of Ear, Throat and Nose Diseases of N.V. Sklifosovsky Clinical Medicine Institute of the Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), 6/1, Bol'shayaPirogovskaya St., 119021, Moscow, Russia.
Eur Arch Otorhinolaryngol. 2022 Apr;279(4):1655-1662. doi: 10.1007/s00405-021-07055-2. Epub 2021 Sep 5.
Review literature data on the coblation method in otorhinolaryngology.
All materials from our study are published in peer-reviewed journals. The review is PubMed generated. In our clinic, 20 patients with bilateral paralytic laryngeal stenosis underwent cold-plasma posterior arytenoidcordotomy with Coblator II.
The analysis of the high-energy techniques currently applied in otorhinolaryngology shows the benefits of coblation due to the effect of lower temperatures on tissues. Patients subjectively reported improved breathing on day 10 with a closed coblation tracheostoma; after 3-6 months everyone underwent successful decannulation with plastic surgery of the cutaneous-tracheal fistula. Lately, the operated vocal fold was in the abduction position and the lumen of the glottis in the posterior third was 7-8 mm. Compensation of vocal function in the long-term postoperative period was achieved by patients due to long-term orthophonic training and the development of a vestibuloscapular phonation mechanism.
The advantages of coblation are mainly minimal trauma to the surrounding tissues, convenient resection, the ability to perform complete hemostasis at one time, and easier postoperative period for the patient.
回顾耳鼻喉科中电切的文献资料。
我们研究中的所有材料均发表在同行评议的期刊上。综述是基于 PubMed 生成的。在我们的诊所中，有 20 名双侧麻痹性喉狭窄患者接受了冷等离子体后杓状软骨切除术，使用 Coblator II 进行治疗。
对目前在耳鼻喉科中应用的高能技术进行分析表明，由于电切对组织的低温效应，电切具有优势。术后第 10 天，患者主观报告说，通过闭合的电切气管造口呼吸得到改善；3-6 个月后，所有人都通过皮气管瘘口的整形手术成功拔管。最近，手术侧声带处于外展位，声门后三分之一的声门腔为 7-8mm。由于长期的语音训练和前庭肩胛发声机制的发展，患者在长期的术后期间实现了对发声功能的补偿。
电切的优势主要是对周围组织的创伤极小、切除方便、能够一次实现完全止血，以及患者的术后恢复期更轻松。
