Adenoidectomy with Radiofrequency Ablation (Coblator) Technique

Video Type: CVideo
  • 2-5 min videos of a particular surgery or technique. These again show major events in the surgery
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Author: Thomas Mitchell
Published:
Specialties: Otolaryngology, Pediatric Otolaryngology
Schools: University of Texas at Houston Medical School
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Basic Info

Contributors: Soham Roy and Steven Curry

Adenoidectomy is among the most common surgical procedures performed in children.  The two major indications are nasopharyngeal airway obstruction and recurrent or chronic infections of the nasopharynx.  This surgery is often carried out with a combined tonsillectomy which is performed for similar indications and depicted here.

Advanced

Procedure

Adenoidectomy with Radiofrequency Ablation (Coblator) Technique: A Crowe-Davis mouth gag is placed to provide adequate visualization of the oral cavity. A red rubber catheter is passed from the nose through the nasopharynx and back out through the mouth to provide anterior retraction of the soft palate. A dental mirror is placed in the oropharynx to enable adequate visualization of the nasopharynx. Radiofrequency ablation (Coblation) is used to remove the adenoid tissue. Hemostasis is achieved and the nasopharynx should be irrigated. Prior to cessation of anesthesia, an orogastric tube should be used to suction fluid from the stomach.

Indications

Obstruction from adenoid hypertrophy or chronic/recurrent adenoiditis

Contraindications

Active local infection, certain hematologic disorders, certain pharyngeal anatomical abnormalities

Instrumentation

Setup

Not Available

Preoperative Workup

Not Available

Anatomy and Landmarks

Not Available

Advantages/Disadvantages

Not Available

Complications/Risks

Pain, bleeding, infection, nasopharyngeal stenosis, velopharyngeal insufficiency

Disclosure of Conflicts

Not Available

Acknowledgements

Not Available

References

Not Available

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