Adenoidectomy with Radiofrequency Ablation (Coblator) Technique

Contributors: Soham Roy and Steven Curry

Adenoidectomy is among the most common surgical procedures performed in children.  The two major indications are nasopharyngeal airway obstruction and recurrent or chronic infections of the nasopharynx.  This surgery is often carried out with a combined tonsillectomy which is performed for similar indications and depicted here.

Myringotomy with Tympanostomy Tube Insertion

Myringotomy with tympanostomy tube insertion is among the most common pediatric operative procedures and is indicated to provide ventilation of the middle ear.  Surgical incision in the tympanic membrane (myringotomy) is followed by tympanostomy tube insertion to prevent premature closure of the incision site.  The goal of the procedure is to reduce the frequency, duration, and severity of subsequent otitis media episodes and to prevent recurrence of middle ear effusions.

Soham Roy (University of Texas at Houston Medical School)
Thomas Mitchell (University of Texas at Houston Medical School)

Adenoidectomy with Suction Electrocautery Technique

Adenoidectomy is among the most common surgical procedures performed in children.  The two major indications are nasopharyngeal airway obstruction and recurrent or chronic infections of the nasopharynx.  This surgery is often carried out with a combined tonsillectomy which is performed for similar indications.  The technique used in this video is suction electrocautery, a recently developed technique that allows for more precision and minimal blood loss compared with more traditional techniques.

Soham Roy (University of Texas Medical School at Houston)

Thomas Mitchell (University of Texas Medical School at Houston)

Tonsillectomy with Radiofrequency Ablation (Coblator) Technique

Tonsillectomy is among the most common surgical procedures performed in children.  The two major indications are oropharyngeal airway obstruction and recurrent or chronic infections of the oropharynx.  In this video, radiofrequency ablation, or Coblation (controlled ablation), is the technique used to ablate the tonsils.  This technique uses low-temperature radiofrequency and saline to create a plasma field that dissolves tissue.  It is generally safer that high-temperature electrocautery and allows for precise removal of tissue without burning nearby structures.

Contributors:

Soham Roy (University of Texas at Houston Medical School)
Thomas Mitchell (University of Texas at Houston Medical School)
Steven Curry (University of Texas at Houston Medical School)

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