Abstract
Besides cold-steel and laser instruments, the use of radiofrequency (RF) devices in transoral microsurgery is getting increasing popularity mainly due to its minimal thermal effect on the collateral soft tissue. Authors summarize their surgical technique, results, and experience gained with RF applied during laryngeal interventions at the Department of Otorhinolaryngology, Head and Neck Surgery at Medical School, University of Pécs. Transoral microsurgery using radiofrequency was carried out in 23 cases in total between 1 January 2011 and 1 March 2013. Fourteen histopathologically different benign lesions and 9 malignant planocellular carcinomas of the larynx were removed using different Micro-Larynx RF Probes powered by Surgitron Dual 4.0 MHz Frequency RF (Ellman International, Oceanside, NY, USA) device. No major bleeding event occurred during or after the procedures and neither laryngeal oedema nor significant postoperative pain was recorded. Authors also reviewed the international literature in this topic while detailing some of their most interesting cases.
Highlights
Besides traditional cold-steel and CO2 laser instruments, interventions using radiofrequency (RF) devices are becoming more popular in transoral microsurgery [1]
In the present paper authors provide details and analyse experiences gained with radiofrequency transoral microsurgical procedures performed at the Department of Otorhinolaryngology, Head and Neck Surgery at the Medical School, University of Pecs
Two important requirements should be fulfilled for surgeons during transoral microsurgical interventions: (i) a precise surgical incision with satisfying special controllability, (ii) effective bleeding-control with the least possible tissue damage
Summary
Besides traditional cold-steel and CO2 laser instruments, interventions using radiofrequency (RF) devices are becoming more popular in transoral microsurgery [1]. There are several reasons in the background of their becoming more and more widespread. Radiofrequency devices produce less collateral heat, less adjacent tissue damage and scarring. This method provides the benefits of the effects of laser in bleeding control [2]. In the present paper authors provide details and analyse experiences gained with radiofrequency transoral microsurgical procedures performed at the Department of Otorhinolaryngology, Head and Neck Surgery at the Medical School, University of Pecs
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