Iranian Journal of Otorhinolaryngology

Iranian Journal of Otorhinolaryngology

Radiofrequency VS Cold Surgery to Treat Oral Papillomatous Lesions

Document Type : Original

Authors
Bruno Galletti 1
Francesco Gazia 1
Cosimo Galletti 1
Francesco Freni 1
Cosimo Galletti 2
Rocco Bruno 1
Federico Sireci 3
Francesco Galletti 1
1 Department of Otorhinolaryngology, A.O.U.P. Paolo Giaccone, Via del Vespro, 129, 90127 Messina, Italy.
2 Department of Dentistry, University of Barcelona, Barcelona, Spain.
3 Department of Otorhinolaryngology, A.O.U.P. Paolo Giaccone, Via del Vespro, 129, 90127 Palermo, Italy.
10.22038/ijorl.2020.38177.2256
Abstract
Introduction:
The aim of this study is to analyse different surgery (radio frequency and cold instrumentation) of oral benign papillomatous lesions.
 
Materials and Methods:
A retrospective study was carried out in our section of Otorhinolaryngology from 2014 to 2018. 112 patients with oral benign papillomatous lesions were enrolled and divided into 2 groups. Group A of 62 patients treated with excision of lesions using radio frequency using a bipolar coagulation electrode (CelonLabENT). Group B of 50 patients treated with excision of the lesion using traditional cold instruments (scalpel and surgical forceps). All patients were evaluated for intraoperative bleeding, discomfort and recurrence rate.
 
Results:
112 patients (of which 37 males and 75 females) with mean age 32.9 ranged from 10 to 61 years. The HPV types associated with oral benign papillomatous lesions were HPV 6 (17%), 11 (23,3%), 13 (10,7%), 32 (34%), 2 (10%) and 57 (5%). There are no statistically significant differents among patients operated with radio frequency (Group A) and cold instrumentation (Group B) regarding intraoperative bleeding (P= 0.08), recurrence rate after 1 year from surgery (P=1), intraoperative discomfort (P=0.7) and postoperative discomfort (P=0.6).
 
Conclusion:
Radiofrequencies and surgery with scalpel and surgical forceps are equal valid methods for the treatment of benign papillomatous.
Keywords
Benign Neoplasms
Human Papilloma Virus
Oral Cavity
Radio Frequency Ablation
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Iranian Journal of Otorhinolaryngology
Volume 33, Issue 2
March and April 2021
Pages 87-91