Comparative study on surgical outcome for benign vocal cord lesions by conventional method versus coblation

Muthuchitra Sundarm; Semmanaselvan Krishnaswamy; Sanjay Kumar; Shaikh Mohideen

doi:10.18203/issn.2454-5929.ijohns20210684

Authors

Muthuchitra Sundarm Department of Otorhinolaryngology, Government Kilpauk Medical College, Chennai, Tamil Nadu, India
Semmanaselvan Krishnaswamy Department of Otorhinolaryngology, Government Royapettah Hospital, Chennai, Tamil Nadu, India
Sanjay Kumar Department of Otorhinolaryngology, Government Royapettah Hospital, Chennai, Tamil Nadu, India
Shaikh Mohideen Department of Otorhinolaryngology, Government Kilpauk Medical College, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20210684

Keywords:

Coblation, Conventional microlaryngeal surgery, Voice handicap index, GRBAS score

Abstract

Background: Benign vocal cord lesions are common laryngeal pathology found in routine clinical practice.microlaryngeal surgery is useful in excision for pathology. Coblation assisted microlaryngeal surgery is a new technique for the vocal cord lesions

Methods: Current study was conducted in Government Kilpauk medical college hospital and Government Royapettah hospital from the period of 2018 to 2019 in 40 patients with benign vocal cord lesion. The objectives of current study were to assess the voice handicap Index before and after surgery, to assess the surgical benefits and ease in doing the procedure intraoperatively and to assess the postoperative recovery in conventional micro laryngeal procedure.

Results: The overall analysis shows coblation being an evolving technique has advantages over the conventional cold knife method. Blood loss and the surgery duration was less in coblation. But the assessment tools of both voice handicap index, voice analysisand GRBASscore favours conventional micro laryngeal surgery with reduced scores and improvement in performance with statistically significant values probably due to minimal tissue handling and decrease in post op scarring in conventional micro laryngeal surgery.

Conclusions: The overall voice handicap index and voice analysis showed improvement post operatively in both the groups with more favoring response to conventional method with statistically significant values. In the same away the GRBAS score also favors the conventional method. Coblation being a newer technique can be employed for surgical treatment for micro-laryngeal surgery considering its advantages and less time consumption. Stroboscopy and other acoustic analysis along with long term follow up is needed.

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Author Biographies

Muthuchitra Sundarm, Department of Otorhinolaryngology, Government Kilpauk Medical College, Chennai, Tamil Nadu, India

Department of ENT, Head of Department

Semmanaselvan Krishnaswamy, Department of Otorhinolaryngology, Government Royapettah Hospital, Chennai, Tamil Nadu, India

Department of ENT , Associate professor

References

Kleinasasser O. Microlaryngoscopy and endolaryngeal microsurgery. 3rd ed. United States: Mosby Inc.; 1991: 46-7.

Gray SD, Hammod E, Hanson DF. Benign pathological response of the larynx. Annals of otology rhinology. Laryngol. 1995;104:13-8.

Damste PH. Disorders of the voice. In: Hibbert J, Brown S, eds. Otolaryngology. 6th ed. United Kingdom: Butterworth Heinemann; 1997:5(6);14-5.

Woloszko J, Gilbrid C. Coblation Technology: plasma meditation ablation for method for high frequency otolaryngology applications. Available at: https://www.spiedigitallibrary.org/conference-proceedings-of-spie/3907/0000/Coblation-technology-plasma-mediated-ablation-for-otolaryngolog. Accessed on 20 November 2020.

Rosen CA, Lee AS, Osborne J, Zullo T, Murry T. Development and validation of voice handicap index 10: Laryngoscope. 2004;114:1549-56.

Rubin JS, Yanagisawa E. Benign vocal fold pathology through the eyes of the laryngologist. In: Rubin JS, Satalof RT, Korovin GS, eds. Diagnosis and treatment of voice disorders. 2nd ed. Boston: Thomson Delmar learning publisher; 2003:6:75-6.

Belov SV. Use of high-frequency cold plasma ablation technology for electrosurgery with minimized invasiveness. Biomed Eng. 2004;38(2): 80-5.

Sergeev VN, Belov SV. Coblation technology:a new electrosurgery. Biomed Eng. 2003;37(1):22-5

Wilson JA, Webb A, Carding PN, Steen IN, Mackenzie K, Deary IJ. Voice symptom scale and vocie handicap index, a comparison of structure and content. Clin Otolaryngol. 2004;29:169-74.

Rosen CA, Simpson CB. Management and prevention of complications related to phonomicrosurgery. In: operative techniques in laryngology. 1st ed. New York: Springer; 2008: 81-5.

Cohen SM, Kim J, Roy N, Asche C, Courey M. Prevalence and causes of dysphonia in a large treatment-seeking population. Laryngoscope. 2012; 122(2):343-8.

Siddapur GK, Siddapur KR. Comparative study of benign vocal fold lesions in a tertiary health centre. Int J Otorhinolaryngol Head Neck Surg. 2015;1(2): 65-8.

Singh R, Prinja S. A clinicopathological study of patients with organic dysphonia. IJCMR. 2016;3(9): 454-9.

Singhal P, Bhandari A, Chouhan M, Sharma MP, Sharma S. Benign tumors of the larynx: a clinical study of 50 cases. Indian J Otolaryngol Head Neck Surg. 2009;61(Suppl 1):26-30.

Vasconcelos D, Gomes AOC, Araújo CMT. Vocal Fold Polyps: Literature Review. Int Arch Otorhinolaryngol. 2019;23(1):116-24.

Satpathy SN, Dash S. Micro laryngeal surgery: 25 cases of benign lesions of larynx. Indian J Otolaryngol Head Neck Surg. 1997;49(3):276-9.

Chouhan A, Kulhari M, Amisha B, Kasliwal N. Microscopic surgery with coblation for the treatment of benign laryngeal lesions: a case report. Int J Otolaryngol Head Neck Surg. 2016;5:125-8.

Zhang Q, Delong L, Cuiping S. Coblation for laryngeal papilloma in adults diagnosis and treatment of voice disorders. 2nd ed. Boston: Thomson Delmar learning; 2003:6;76.

Sureshkumar S, Menon U. Comparison of voice handicap index scores and treatment outcomes between professional and non-professional voice users with hoarseness. Int J Phonosurg Laryngol. 2018;8(1):1-5.

Béquignon E, Bach C, Fugain C, Guilleré L, Blumen M, Chabolle F, Wagner I. Long-term results of surgical treatment of vocal fold nodules. Laryngoscope. 2013;123(8):1926-30.