APC in der HNO

Indications

  • Nose: Epistaxis, hyperplasia of the nasal turbinates, hemostasis during turbinectomy, Osler’s disease
  • Oral cavity: Leukoplakia, hemangiomas, granulomas, papillomas/fibromas, precancerosis
  • Larynx: Granulomas, laryngeal papillomatosis
  • Trachea: Granulomas after laser surgery, papillomatosis, subglottal stenoses

Advantages of ERBE equipment

  • Rapid, effective coagulation, even of larger areas
  • Penetration depth can be controlled well
  • Homogenous coagulation possible
  • Non-contact procedure
  • Minimal vaporization and carbonization
  • Good postoperative healing
  • Procedure is easy to carry out and does not require extensive safety measures

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Operation steps
Hemostasis and tissue devitalization in the nasal cavity and epiph arynx

Hemostasis and tissue devitalization in the nasal cavity and epiph arynx

APC makes it possible to carry out effective, immediate shrinkage of a hyperplastic nasal turbinate. The ergonomic shape of the applicator means that there is no difficulty in reaching the back part of the turbinate. The procedure is safe, has few complications and can be carried out repeatedly.

APC applications in the oral cavity

APC applications in the oral cavity

Superficial lesions in the oral cavity, e.g. leukoplakia, can be safely devitalized with APC with a controllable tissue effect. Surface coagulation is homogenous and no carbonization will occur if the procedure is carried out properly. In contrast to contact coagulation procedures no sticking of the probe tip occurs during non-contact APC procedures.

Hemostasis and tissue devitalization in the larynx and trachea

Hemostasis and tissue devitalization in the larynx and trachea

The homogenous penetration depth during APC procedures is limited to the superficial cellular layer of the mucosa. The risk of perforation or trauma to adjacent structures is distinctly reduced compared to laser therapy procedures. Healthy tissue and pathological tissue can be clearly differentiated.

Microsurgical interventions in the soft palate

Microsurgical interventions in the soft palate

For reduction of the soft palate a needle electrode is used for precise resection with minimal blood loss or parauvular incisions. The supporting APC application results in an immediate shrinkage of tissue and a tautening of the soft palate. Few complications occur in the postoperative recovery period with APC.