title: Use of coblation in resection of juvenile nasopharyngeal angiofibroma.
abstract: We present a series of 4 patients with juvenile nasopharyngeal angiofibroma (JNA) who underwent Coblation-assisted endoscopic resection after preoperative embolization, and discuss the use and advantages of endoscopic Coblation-assisted resection of JNA. Our limited case series suggests that Coblation may be used in the resection of JNA after embolization in a relatively safe, efficient, and effective manner. Coblation allows for decreased bleeding, less need for instrumentation, and improved visualization. There are limited published data in the literature to date on the use of Coblation in endoscopic JNA resection. We describe its use in a more extensive tumor than those previously reported. Further studies are needed to fully define the safety and utility of Coblation technology for this application.
authors.affiliation: Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin and Children's Hospital of Wisconsin, Milwaukee, Wisconsin, USA.
authors.forename: Daniel E
authors.initials: DE
authors.lastname: Cannon
authors.forename: David M
authors.initials: DM
authors.lastname: Poetker
authors.forename: Todd A
authors.initials: TA
authors.lastname: Loehrl
authors.forename: Robert H
authors.initials: RH
authors.lastname: Chun
mesh_terms: D000293:Adolescent; D000328:Adult; D018322:Angiofibroma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D017115:Catheter Ablation / Q000379:methods*; D004724:Endoscopy / Q000379:methods*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009296:Nasal Cavity / Q000473:pathology / Q000601:surgery; D009303:Nasopharyngeal Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods*; D011626:Pterygoid Muscles / Q000473:pathology; D056739:Pterygopalatine Fossa / Q000473:pathology; D011859:Radiography