Abstract
To provide additional support for the use of coblation in the surgical treatment of juvenile nasopharyngeal angiofibroma (JNA) tumors. Coblation radiofrequency has been recently described in endoscopic sinus surgery for polyp and tumor resection from the sinuses to the skull base. This is a case series from our institution in which we safely and successfully treated three adolescent boys with JNA using the coblation assisted technique. The first case was the smallest of the cases (Radkowski stage IB) and was embolized pre-operatively. The second and third cases, both larger in size (Radkowski stage IIC and IIB) did not undergo pre-operative embolization. The total surgical times were 105, 160, and 150. min and the estimated blood losses were 150, 400, and 130. mL, respectively. This yielded a blood loss per minute rate of only 1.4, 2.5, and 0.9. mL/min for the respective cases. None of the three patients required post-operative blood transfusion, nasal packing, or hospitalization of greater than one day. Follow-up showed no complications and no recurrence in these patients. Coblation assisted transnasal endoscopic resection of JNA is a feasible technique that can dissect through and debulk JNA tumor, despite its extreme vascularity. The surgery can be performed with minimal morbidity and low intraoperative blood loss, even with non-embolized tumors up to Radkowski IIC. These finding further support complete resection of JNA tumors using minimally invasive coblation assisted techniques.
| Original language | English |
|---|---|
| Pages (from-to) | 439-442 |
| Number of pages | 4 |
| Journal | International Journal of Pediatric Otorhinolaryngology |
| Volume | 76 |
| Issue number | 3 |
| DOIs | |
| State | Published - Mar 1 2012 |
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Keywords
- Coblation
- Endoscopic
- Juvenile nasopharyngeal angiofibroma
- Nonembolized
ASJC Scopus subject areas
- Otorhinolaryngology
- Pediatrics, Perinatology, and Child Health
Cite this
Coblation assisted endoscopic juvenile nasopharyngeal angiofibroma resection. / Ruiz, Jose; Saint-Victor, Sandra; Tessema, Belachew; Eloy, Jean Anderson; Anstead, Amy.
In: International Journal of Pediatric Otorhinolaryngology, Vol. 76, No. 3, 01.03.2012, p. 439-442.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Coblation assisted endoscopic juvenile nasopharyngeal angiofibroma resection
AU - Ruiz, Jose
AU - Saint-Victor, Sandra
AU - Tessema, Belachew
AU - Eloy, Jean Anderson
AU - Anstead, Amy
PY - 2012/3/1
Y1 - 2012/3/1
N2 - To provide additional support for the use of coblation in the surgical treatment of juvenile nasopharyngeal angiofibroma (JNA) tumors. Coblation radiofrequency has been recently described in endoscopic sinus surgery for polyp and tumor resection from the sinuses to the skull base. This is a case series from our institution in which we safely and successfully treated three adolescent boys with JNA using the coblation assisted technique. The first case was the smallest of the cases (Radkowski stage IB) and was embolized pre-operatively. The second and third cases, both larger in size (Radkowski stage IIC and IIB) did not undergo pre-operative embolization. The total surgical times were 105, 160, and 150. min and the estimated blood losses were 150, 400, and 130. mL, respectively. This yielded a blood loss per minute rate of only 1.4, 2.5, and 0.9. mL/min for the respective cases. None of the three patients required post-operative blood transfusion, nasal packing, or hospitalization of greater than one day. Follow-up showed no complications and no recurrence in these patients. Coblation assisted transnasal endoscopic resection of JNA is a feasible technique that can dissect through and debulk JNA tumor, despite its extreme vascularity. The surgery can be performed with minimal morbidity and low intraoperative blood loss, even with non-embolized tumors up to Radkowski IIC. These finding further support complete resection of JNA tumors using minimally invasive coblation assisted techniques.
AB - To provide additional support for the use of coblation in the surgical treatment of juvenile nasopharyngeal angiofibroma (JNA) tumors. Coblation radiofrequency has been recently described in endoscopic sinus surgery for polyp and tumor resection from the sinuses to the skull base. This is a case series from our institution in which we safely and successfully treated three adolescent boys with JNA using the coblation assisted technique. The first case was the smallest of the cases (Radkowski stage IB) and was embolized pre-operatively. The second and third cases, both larger in size (Radkowski stage IIC and IIB) did not undergo pre-operative embolization. The total surgical times were 105, 160, and 150. min and the estimated blood losses were 150, 400, and 130. mL, respectively. This yielded a blood loss per minute rate of only 1.4, 2.5, and 0.9. mL/min for the respective cases. None of the three patients required post-operative blood transfusion, nasal packing, or hospitalization of greater than one day. Follow-up showed no complications and no recurrence in these patients. Coblation assisted transnasal endoscopic resection of JNA is a feasible technique that can dissect through and debulk JNA tumor, despite its extreme vascularity. The surgery can be performed with minimal morbidity and low intraoperative blood loss, even with non-embolized tumors up to Radkowski IIC. These finding further support complete resection of JNA tumors using minimally invasive coblation assisted techniques.
KW - Coblation
KW - Endoscopic
KW - Juvenile nasopharyngeal angiofibroma
KW - Nonembolized
UR - http://www.scopus.com/inward/record.url?scp=84856781998&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84856781998&partnerID=8YFLogxK
U2 - 10.1016/j.ijporl.2011.11.005
DO - 10.1016/j.ijporl.2011.11.005
M3 - Article
C2 - 22269889
AN - SCOPUS:84856781998
VL - 76
SP - 439
EP - 442
JO - International Journal of Pediatric Otorhinolaryngology
JF - International Journal of Pediatric Otorhinolaryngology
SN - 0165-5876
IS - 3
ER -