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Novel use of Coblation technology in an unusual congenital tracheal stenosis

  • G Sim (a1) and S Vijayasekaran (a1) (a2)

Abstract

Background:

We report the case of an unusual late presentation of congenital tracheal stenosis in a 13-year-old boy. He was treated with minimally invasive Coblation resection of the stenotic segment, avoiding a major open tracheal resection and reconstruction. This case report is the first to document the use of an ultra-fine Coblation wand in the treatment of congenital tracheal stenosis.

Results:

The case proceeded well, without any complications. The patient had a fully healed and patent trachea at 12-week post-operative review.

Conclusion:

Complex cases of congenital stenosis should be managed with a multidisciplinary approach. Different and novel treatment options should be explored to find one that suits the individual patient. Minimally invasive Coblation technology can offer less invasive treatment with quicker recovery and shorter hospitalisation.

Copyright

Corresponding author

Address for correspondence: Dr George Sim, Department of Paediatric tolaryngology/Head & Neck Surgery, Princess Margaret Hospital for Children, Roberts Road, Subiaco, Western Australia, Australia6008 Fax: +61 08 9340 8693 E-mail: gkcsim@gmail.com

References

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1Medscape Reference: Drugs, Diseases and Procedures. Congenital malformations of the trachea. In: http://emedicine.medscape.com/article/837827-overview [28 November 2012]
2Hoffer, ME, Tom, LW, Wetmore, RF, Handler, SD, Potsic, WP. Congenital tracheal stenosis: the otolaryngologist's perspective. Arch Otolaryngol Head Neck Surg 1994;120:449–53
3Koopman, JP, Bogers, AJ, Witsenburg, M, Lequin, MH, Tibboel, D, Hoeve, LJ. Slide tracheoplasty for congenital tracheal stenosis. J Pediatr Surg 2004;39:1923
4Elliot, M, Roebuck, D, Noctor, C, McLaren, C, Hartley, B, Mok, Q et al. The management of congenital tracheal stenosis. Int J Pediatr Otorhinolaryngol 2003;67(suppl 1):S183–92
5Dodge-Khatami, A, Tsang, VT, Roebuck, DJ, Elliot, MJ. Management of congenital tracheal stenosis: a multidisciplinary approach. Images Paediatr Cardiol 2000;2:2939
6Khalid, AN, Goldenberg, D. Surgical management of upper airway stenosis. In: Flint, PW, Haughey, BH, Lund, VJ, Niparko, JK, Richardson, MA, Robbins, KT et al. , eds. Cummings Otolaryngology: Head & Neck Surgery, 5th edn.Philadelphia: Mosby Elsevier, 2010;943–52
7Cantrell, JR, Guild, H. Congenital stenosis of the trachea. Am J Surg 1964;108:297305
8Blumer, JR, Bauman, NM, Kearns, DP, Smith, RJ. Distal tracheal stenosis in neonates and infants. Otolaryngol Head Neck Surg 1992;107:583–90
9Woloszko, J, Stadler, K, Brown, I. Plasma characteristics of repetitively pulsed electrical discharges in saline solutions used for surgical procedures. IEEE Transactions on Plasma Science 2002;30:3
10Stadler, K, Woloszko, J, Brown, I, Smith, C. Repititive plasma discharges in saline solutions. Applied Physics Letters 2001;79:27
11Andres, TM, Cotton, RT, Bailey, WW, Myer, CM, Vester, SR. Tracheoplasty for congenital complete tracheal rings. Arch Otolaryngol Head Neck Surg 1994;120:1363–9
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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