Partial Glossectomy Using a Coblation System—A Pilot Study

Autor: Yoshimi Sasamura, Keiichi Ichimura, Hisashi Kikuchi, Hiroshi Nishino, Noriyoshi Fukushima
Rok vydání: 2012
Předmět:
Zdroj: Practica Oto-Rhino-Laryngologica. 105:489-494
ISSN: 1884-4545
0032-6313
DOI: 10.5631/jibirin.105.489
Popis: Recently, partial glossectomy is likely to be chosen for early tongue cancer. In our hospital, we have used the CO2 laser or electrosurgery for this procedure, but post-operative pain was severe and, as a result, oral intake was hampered. So as to lessen the postoperative pain, we experimented with a coblation system in partial glossectomy for early tongue cancer and got a good healing course. We would like to report on a case together with the pathological findings. A 34-year-old woman complained of glossal pain. She had a small mass at the right side of the tongue. Biopsy revealed squamous cell carcinoma. Under the clinical diagnosis of a tongue cancer (T1 N0 M0) the patient underwent a partial glossectomy using the coblation system (Evac 70®) under general anesthesia. Postoperative pain was milder than that associated with electrosurgery. The pathological examination revealed that, in descending order, tissue damage was electrosurgery>CO2 laser>coblation system. Partial glossectomy for early tongue cancer using a coblation system seems to be a useful operation for reducing post-operative pain.
Databáze: OpenAIRE