title: Coblation-assisted management of pediatric airway stenosis.
abstract: OBJECTIVE
  The treatment of pediatric airway stenosis represents a major challenge for the otolaryngologist. The aim of this study is to evaluate the use of bipolar radiofrequency plasma ablation (Coblation) in the treatment of pediatric airway stenosis.
  
  
  METHODS
  Retrospective case series. Tertiary care pediatric academic medical center.
  
  
  METHODS
  The medical records of 6 pediatric patients at Cohen Children's Medical Center from July 2009 to December 2015 were reviewed. All cases involved the use of radiofrequency plasma ablation to address airway stenosis. Patient presentation, surgical intervention(s), post-operative course and complications were analyzed.
  
  
  RESULTS
  All 6 cases involved pediatric airway stenosis, including glottic stenosis (2), bilateral vocal fold immobility (2), and intratracheal lesions (2). Coblation was used to perform a range of different procedures, including removal of scar/granulation tissue, partial arytenoidectomy, and posterior cordectomy. All patients experienced good results without major complications, perioperative, or post-operative sequellae.
  
  
  CONCLUSIONS
  The results of this study suggest that radiofrequency plasma ablation may be an effective endoscopic tool for the treatment of pediatric airway stenosis. Further study and more patients are required as this technique becomes increasingly applied.
authors.affiliation: Albert Einstein College of Medicine, Department of Otorhinolaryngology-Head & Neck Surgery, 430 Lakeville Road, New Hyde Park, NY, 11042, USA. Electronic address: JFastenb@montefiore.org.
authors.forename: Judd H
authors.initials: JH
authors.lastname: Fastenberg
authors.affiliation: Children's Memorial Hermann Hospital, University of Texas Medical School at Houston, Department of Otorhinolaryngology-Head & Neck Surgery, 6400 Fannin St. Ste 2700, Houston, TX, 77030, USA. Electronic address: Soham.Roy@uth.tmc.edu.
authors.forename: Soham
authors.initials: S
authors.lastname: Roy
authors.affiliation: Albert Einstein College of Medicine, Department of Otorhinolaryngology-Head & Neck Surgery, 430 Lakeville Road, New Hyde Park, NY, 11042, USA; Steven and Alexandra Cohen Children's Medical Center, Hofstra Northwell School of Medicine, Department of Otorhinolaryngology & Communicative Disorders, 430 Lakeville Road, New Hyde Park, NY, 11042, USA. Electronic address: LSmith8@northwell.edu.
authors.forename: Lee P
authors.initials: LP
authors.lastname: Smith
mesh_terms: D000046:Academic Medical Centers; D000293:Adolescent; D001193:Arytenoid Cartilage / Q000601:surgery; D017115:Catheter Ablation / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D002921:Cicatrix / Q000601:surgery*; D003251:Constriction, Pathologic / Q000601:surgery; D004106:Dilatation; D019468:Disease Management; D004724:Endoscopy; D005260:Female; D005931:Glottis / Q000601:surgery*; D006097:Granulation Tissue / Q000601:surgery*; D006099:Granuloma / Q000601:surgery*; D006801:Humans; D007223:Infant; D058753:Laryngoplasty / Q000379:methods*; D007829:Laryngostenosis / Q000601:surgery*; D007830:Larynx; D008297:Male; D011183:Postoperative Complications; D012189:Retrospective Studies; D014133:Tracheal Diseases / Q000601:surgery*; D014139:Tracheostomy; D014826:Vocal Cord Paralysis / Q000601:surgery
keywords: Coblation; Glottic stenosis; Pediatric airway stenosis