Clinical Application of Low-Temperature Plasma Radiofrequency in the Treatment of Hemangioma in Nasal Cavity, Pharynx and Larynx.

IF 1 4区 医学 Q3 OTORHINOLARYNGOLOGY Ent-Ear Nose & Throat Journal Pub Date : 2024-07-01 Epub Date: 2021-12-10 DOI:10.1177/01455613211062443
Xiaobo Long, Zhiyong Li, Yang Liu, Hongtao Zhen
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Abstract

Objective: Hemangioma is a common benign tumor in the head and neck. The therapeutic effect by conventional treatment was not very satisfactory. The purpose of this study is to explore the surgical strategy of low-temperature plasma radiofrequency in the treatment of hemangioma located in the nasal cavity, pharynx, and larynx.

Methods: The clinical data of 29 cases with hemangioma in nasal cavity, pharynx, and larynx treated by low-temperature plasma radiofrequency ablation were retrospectively analyzed. The strategy of ablation before resection was performed for 16 cases of nasal capillary hemangioma. The other 13 cases of cavernous hemangioma in the pharynx and larynx were treated by the strategy of direct ablation.

Results: All 29 patients underwent a successful operation with minimal intraoperative bleeding and no postoperative bleeding complications. There was no nasal septum perforation, dyspnea, dysphagia, dysphonia, or other complications. The patients were followed up for more than 3 years without recurrence.

Conclusion: Low-temperature plasma radiofrequency is a practical, minimally invasive, and accurate method for treating hemangiomas in the nasal cavity, pharynx, and larynx. For capillary hemangiomas, the strategy of ablation before resection may be an effective way to reduce bleeding, and for cavernous hemangiomas, the strategy of direct ablation is a simple and efficient method.

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低温等离子射频治疗鼻腔、咽部和喉部血管瘤的临床应用。
目的:血管瘤是头颈部常见的良性肿瘤。传统治疗方法的疗效并不十分理想。本研究旨在探讨低温等离子射频治疗鼻腔、咽部和喉部血管瘤的手术策略:方法:回顾性分析29例鼻腔、咽部和喉部血管瘤患者接受低温等离子射频消融术治疗的临床资料。其中 16 例鼻腔毛细血管瘤采用了先消融再切除的策略。另外13例咽部和喉部海绵状血管瘤采用直接消融术治疗:所有 29 例患者均顺利完成手术,术中出血量极少,术后无出血并发症。没有出现鼻中隔穿孔、呼吸困难、吞咽困难、发音障碍或其他并发症。对患者进行了 3 年多的随访,无复发:低温等离子射频是治疗鼻腔、咽部和喉部血管瘤的一种实用、微创和准确的方法。对于毛细血管瘤,先消融再切除的策略可能是减少出血的有效方法;对于海绵状血管瘤,直接消融的策略是一种简单有效的方法。
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来源期刊
Ent-Ear Nose & Throat Journal
Ent-Ear Nose & Throat Journal 医学-耳鼻喉科学
CiteScore
3.20
自引率
0.00%
发文量
385
审稿时长
6-12 weeks
期刊介绍: Ear, Nose & Throat Journal provides practical, peer-reviewed original clinical articles, highlighting scientific research relevant to clinical care, and case reports that describe unusual entities or innovative approaches to treatment and case management. ENT Journal utilizes multiple channels to deliver authoritative and timely content that informs, engages, and shapes the industry now and into the future.
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