title: Coblation resection of paediatric laryngeal papilloma.
abstract: OBJECTIVE
  To demonstrate the successful treatment of laryngeal papillomatosis in a 32-month-old girl, using coblation (radio-frequency ablation) resection.
  
  
  METHODS
  A 32-month-old girl was referred to the ENT out-patients clinic due to a hoarse cry and a very croaky voice since birth. Under general anaesthesia, fibre-optic airway endoscopy revealed a large papillomatous lesion involving the anterior glottis, which was reported as a laryngeal papilloma on histological analysis. This was later excised using an Evac 70Xtra wand. The patient made an uneventful post-operative recovery, and there were no signs of recurrence on repeated airway endoscopies at three and 18 months.
  
  
  CONCLUSIONS
  Coblation (radio-frequency ablation) is a promising surgical technique for the treatment of paediatric laryngeal papillomatosis. The main advantages of this technique include limited damage to underlying tissues and a bloodless field.
authors.affiliation: Department of ENT, University Hospital Lewisham NHS Trust, London, UK.
authors.forename: A
authors.initials: A
authors.lastname: Rachmanidou
authors.forename: P C
authors.initials: PC
authors.lastname: Modayil
mesh_terms: D001706:Biopsy; D017115:Catheter Ablation / Q000295:instrumentation / Q000379:methods*; D002675:Child, Preschool; D004200:Diseases in Twins; D005260:Female; D005336:Fiber Optic Technology; D006685:Hoarseness / Q000209:etiology; D006801:Humans; D007822:Laryngeal Neoplasms / Q000473:pathology / Q000601:surgery*; D007828:Laryngoscopy; D010212:Papilloma / Q000473:pathology / Q000601:surgery*