AN APPROBATION FOR COBLATION IN KASHIMA PROCEDURE

The most common cause of BVFI is iatrogenic or surgical (44%) [1]. Among surgical procedures, Thyroid surgery is the most common culprit. The management of BVFP is a delicate equilibrium between airway, voice and swallowing. This article discusses our experience in treating BVFP by Posterior Cordotomy - Kashima’s procedure by Coblation Technology, which restores sufficient glottic space, at the same time preserving the phonatory and sphincteric functions of the larynx. As Coblation causes minimal tissue injury, our patients could be decannulated on the third postoperative day as opposed to traditional teaching. All of them were successfully decannulated from tracheostomy with an adequate airway & exercise tolerance, a near normal voice and no aspiration.