Vocal Cord Polyp Removal Laryngeal via Coblation Wand скачать в хорошем качестве

Vocal Cord Polyp Removal Laryngeal via Coblation Wand

Vocal Cord Polyp Removal via Coblation Wand (Laryngeal Surgery) – Detailed Overview ✅ What is it? Vocal cord polyp removal via coblation is a minimally invasive surgical procedure performed to excise polyps from the vocal cords using coblation technology, which utilizes **low-temperature plasma energy to ablate (dissolve) soft tissue with minimal damage to surrounding healthy structures. --- 🧠 Indications: Benign vocal cord lesions (e.g., *polyps*, cysts) Hoarseness or voice changes lasting 2 weeks Airway obstruction (in rare cases) Vocal fatigue or discomfort during speech --- 🔧 Surgical Technique (Step-by-Step): 1. Anesthesia: General anesthesia is administered. Endotracheal intubation done with care to avoid vocal cord trauma. 2. Exposure: A laryngoscope is inserted to visualize the larynx and vocal cords under an operating microscope. 3. Visualization: A micro-laryngeal setup is used for magnified and precise view of the vocal folds. 4. Coblation Wand Use: A coblation wand (e.g., EVac Xtra HP, Reflex Ultra) is inserted. The wand delivers controlled plasma energy (40–70°C) to precisely dissolve the polyp. Simultaneous suction removes debris and ensures a clear field. Adjacent healthy tissue is preserved due to the low thermal spread. 5. Polyp Removal: The polyp is carefully dissected and removed completely. Hemostasis is maintained with minimal thermal injury. 6. Completion: Site is examined for bleeding or residual lesion. Instruments withdrawn and the patient extubated. --- ⏱️ Duration: Surgery time: 30–60 minutes Usually Daycare procedure (discharge same day) --- 💡 Advantages of Coblation: Minimal damage to healthy vocal tissue Less postoperative pain and scarring Faster healing and voice recovery Lower risk of thermal injury than laser or cautery --- 🛌 Post-Operative Care: Voice rest for 5–7 days minimum Analgesics and anti-inflammatory meds Steroids (if swelling present) Steam inhalation Follow-up with speech therapy Avoid smoking, shouting, whispering --- 🔄 Recovery: Voice quality improves over 2–4 weeks Full recovery: ~4–6 weeks (depends on extent and vocal use) --- ⚠️ Complications (Rare): Vocal cord scarring Recurrence of polyp (if vocal strain continues) Temporary hoarseness Granuloma formation