Introducing the new Coblation™ Turbinator™ turbinate reduction wand: Our initial experience of twenty‐two patients requiring surgery for nasal obstruction

Khong, Grace; Lazarova, L; Bartolo, Amanda; Leong, Samuel

doi:10.1111/coa.12983

Cited by 3 publications

(3 citation statements)

References 10 publications

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“…Though the wand is significantly larger at 2.9 mm in width, it removes tissue more aggressively and provides improved hemostasis than older coblation techniques. A preliminary study reveals good outcomes, not inferior to microdebrider-assisted methods [23].…”

Section: Ionized Field Ablation-assisted Turbinoplastymentioning

confidence: 91%

In-office Functional Nasal Surgery

Kao

Rabbani

Ting

et al. 2019

Otolaryngologic Clinics of North America

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is a member of the Speaker's Bureau for the Spirox Latera lateral nasal implant. Synopsis Nasal airway obstruction is a common complaint encountered by the otolaryngologist. In-office nasal procedures are becoming increasingly popular, and should be considered for patients desiring immediate treatment without the adverse effects of general anesthesia, operating room costs or scheduling delays. In this paper, we discuss the factors in patient selection, room setup , and other considerations. We discuss the options available for in-office treatment for nasal valve repair including turbinoplasty, septoplasty, and nasal valve repair/functional rhinoplasty-type techniques described in our literature.

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Section: Ionized Field Ablation-assisted Turbinoplastymentioning

confidence: 91%

In-office Functional Nasal Surgery

Kao

Rabbani

Ting

et al. 2019

Otolaryngologic Clinics of North America

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“…New While not a novel technique, a new turbinate-specific coblator wand has recently been manufactured for RFA [62]. Compared to traditional RFA wands, this wand is slightly broader and has an active electrode at the tip, as well as suction and saline irrigation ports.…”

Section: Emerging Techniquesmentioning

confidence: 99%

“…This was designed to better control the amount of energy and heat delivered to the turbinate. However, no statistical difference has been found between typical RFA, RFA with the new coblator wand, and MAIT cohorts regarding patient outcomes, although larger and longer studies are needed [ 62 , 63 ].…”

Section: Reviewmentioning

confidence: 99%

Surgical Management of Inferior Turbinate Hypertrophy in the Era of Widespread Communicable Disease

Smith¹,

Daines²,

Cazzaniga³

et al. 2023

Cureus

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Inferior turbinate reduction procedures have been performed for decades. After significant evolution, turbinoplasty and other mucosal-sparing techniques have become the main method to successfully reduce turbinate hypertrophy. The debate of which technique produces the most effective and durable outcomes is ongoing. During this critical era of widespread communicable diseases, including but not limited to COVID-19, HIV, and hepatitis, additional attention is necessary to balance outcomes with a degree of generation of airborne particles when selecting a technique. This review article aims to identify the optimal method for inferior turbinate reduction that weighs both outcomes and aerosol production. The MEDLINE database was searched to discover relevant publications through August 2022. Key search terms included inferior turbinate hypertrophy, turbinate reduction surgery, turbinoplasty methods, surgical management of turbinate hypertrophy, surgical aerosol generation, COVID-19 surgery, surgery smoke plume, SARS-CoV-2 transmission during surgery, and nasal procedures COVID-19 aerosols. Surgical management of the inferior turbinates includes radiofrequency ablation (RFA), microdebrider-assisted turbinoplasty (MAIT), electrocautery, laser, and ultrasound. Piezo-assisted turbinoplasty and a turbinate-specific coblation wand are new additions to the literature. All techniques appear to improve patient symptoms of nasal obstruction. MAIT and RFA are comparable, although MAIT demonstrated better long-term outcomes in some studies and appears to generate fewer airborne particles. Studies evaluating the production of aerosols due to RFA are lacking. Ultrasound outcomes are also excellent and generate no aerosols, but the technique has not been compared against the microdebrider. Electrocautery can result in increased pain and crusting for patients and causes the highest amount of aerosols. Deficiencies of current studies, including a lack of comparison of aerosol generation, duration of follow-up, omission of outfracture, and inadequate randomized controlled trials among existing and new techniques, have limited the identification of the best inferior turbinate reduction method. Given the durability of MAIT and its minimal aerosol production, it can be reinforced as the most sensible technique until further evidence is available.

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