Coblation supraglottoplasty: a ten-year experience in a tertiary referral hospital

Repair of posterior laryngeal cleft: a 10-year experience in a tertiary referral hospital

“…The Coblation can be used now in many laryngeal surgical procedures as it causes minimal trauma to the surrounding tissues, performs complete haemostasis and is easier in the postoperative period for the patient. 24,25 The rationale for the endoscopic repair of low-grade clefts is to create opposing raw surfaces at the mucosal edges and, most importantly, the apex. Many tools are available to denude the mucosa, including cold instruments and carbon dioxide…”

“…Working without suspension in our hands gives a wider space for manipulation and gives a better chance to work using the endoscopic guidance with the advantage of more malleability to work around the corners; moreover, it is the same approach used for supraglottoplasty. 25 Shah et al performed a retrospective chart review in patients who underwent surgical repair of type I or II laryngeal cleft using Coblation and compared the results with those of laser and cold-steel methods. The study was able to detect significant differences in pre-operative and post-operative swallow study scores for the Coblation and laser groups.…”

“…The Coblation can be used now in many laryngeal surgical procedures as it causes minimal trauma to the surrounding tissues, performs complete haemostasis and is easier in the post-operative period for the patient. 24,25…”

“…Working without suspension in our hands gives a wider space for manipulation and gives a better chance to work using the endoscopic guidance with the advantage of more malleability to work around the corners; moreover, it is the same approach used for supraglottoplasty. 25…”