“Coblation ®” stands for “Controlled ablation“, which is a process of reducing the size of something.
Coblation ®technology combines low-temperature radio frequency energy with saline to create a plasma field. This plasma field is contained at the tip of the device and dissolves tissues molecule by molecule, resulting in a precise dissection of targeted tissue. The process generates significantly lower temperatures on the contact tissue, therefore minimizing damage to the surrounding healthy tissue.
Coblation® tonsillectomy is a safe and effective alternative to traditional tonsillectomy. Tonsillectomy with steel forceps (traditional) consumes more time than Coblation® tonsillectomy does. The reduction of intraoperative blood loss and operation time in Coblation® tonsillectomy is obvious. Studies show a significant difference in post-operative morbidity and complications between patients undergoing Coblation® tonsillectomy and those undergoing traditional technique.
It results in less blood loss and tissue damage, reduced post-surgical pain and no significant morbidities such as postoperative hemorrhage. It minimizes the post-operative recovery period, thus ensuring earlier return to normal activity without increasing post-operative complications.
Coblation® is a kind of radiofrequency surgery. The technique involves passing radiofrequency energy through a conductive medium (such as isotonic sodium chloride) and producing a plasma field. When current from the radiofrequency probe passes through saline medium, it breaks it into sodium and chloride ions. These highly energized ions form a plasma field strong enough to break organic molecular bonds within soft tissue, causing dissolution. This reaction is achieved at temperatures between 60℃ and 70℃ (compared to 400℃ to 600℃ in electrosurgery). The presence of cool, irrigating isotonic saline helps limit the amount of heat delivered to the surrounding structures [1,2]. Coblation® is operated in low temperatures, so it is proposed that tonsillectomy with Coblation® causes less post-operative pain and allows accelerated healing of the tonsillar fossae compared with other methods involving heat-driven processes.
Coblation ® technology is widely used in the field of otolaryngology for performing:
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