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conferenceseries
.com
Volume 7, Issue 3 (Suppl)
Otolaryngol (Sunnyvale), an open access journal
ISSN:2161-119X
Head, Neck and Plastic Surgery 2017
June 19-20, 2017
June 19-20, 2017 Philadelphia, USA
5
th
Global Summit and Expo on
Head, Neck and Plastic Surgery
Coblation surgery in early glottic cancer: Day care procedure
R Anand
Dr. Anand ENT Specialty Centre, India
I
n India the incidence of laryngeal cancer is high because of smoking and increased consumption of alcohol. In laryngeal
cancer true vocal cords are the commonest site. The treatment for early vocal cord carcinoma depends upon the staging. In
early vocal cord cancer the treatment modality will be surgery or radiotherapy, or may be combined. In early glottic cancer intra
oral surgeries like striping of vocal cord margin in very early period is acceptable. Lots of powered instruments are useful in
these surgeries like micro debrider, CO2 and diode laser and the conventional cold knife. It is a case study, 6 cases were selected
the criteria being involvement of one side vocal cord without fixation of vocal cord. All cases were followed postoperatively
for a period of 6 months to one year to assess the pain, comfort, voice quality and recurrence of the lesion. Coblation is
an innovation in ENT. It is a very useful tool for intra oral and intra laryngeal cancer excision. It has a lot of advantages
over all other methods such as trans oral route, less pain, no bleeding (ability to control over bleeding), no complication
laryngeal odema is less, tracheostomy is not required (chance of tracheostomy is less), healing is good, less hospital stay, low
risk of airway fire, complete excision is possible and risk of scarring and stenosis is less, minimally invasive and less thermal
penetration as compared to the laser advanced tip design provides easier access to the anterior commissure and removal of
sessile (flat) lesions, optimal surgeon visibility, short learning curve easy OR set up and cost effective, safer to use than the
laser and integrated suction and coagulation. Coblation technique is a recent advance in ENT and we can use it safely in early
laryngeal cancer without any complications.
Biography
R Anand is the Director and Head of ENT in Dr. Anand ENT Specialty Centre, an academic training institute in Coimbatore, India. He has graduated from Madurai
Medical College, Madurai, India. He has worked as a Resident under Dr. Mohan Kameswaran, a world renowned ENT Surgeon from Chennai, India. He is a
Member of various associations’ like European Politzer Society of Otology, World Sleep Association, Cochlear Implant Group of India, Founder Member of Indian
Academy of Otorhinolaryngology Head & Neck Surgery and Indian Association of Surgeons for Sleep Apnea. He has presented several papers in India and
international conferences and conducts Cadaver hands on workshops in regular intervals. He has also conducted Rhinology and Otology live surgery workshops.
He is the Head of Cochlear Implant Department in PSG Hospital, India.
ranandent@yahoo.comR Anand, Otolaryngol (Sunnyvale) 2017, 7:3 (Suppl)
DOI: 10.4172/2161-119X-C1-016