Techniques for Radiofrequency Ablation of Head and Neck Tumors

Randall P. Owen, Carl E. Silver, Thanjavur S. Ravikumar, Allan L. Brook, Jacqueline A. Bello, Dwayne Breining

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Objectives: To describe the various techniques that have been developed for application of radiofrequency ablation in the palliative treatment of recurrent and advanced head and neck malignant tumors. Design: Case series with a follow-up of 3 to 18 months. Setting: Faculty practice, research protocol, tertiary care academic medical center. Patients: Fifteen treatments were administered over a 3-year period to 12 patients with advanced and/or recurrent tumors. Eleven tumors were squamous cell carcinomas of the oral cavity, oropharynx, and maxillary sinus, and 1 tumor was a medullary thyroid carcinoma. Three of the 12 patients were treated on 2 separate occasions. Patients were selected as a referred sample and sent specifically for treatment with radiofrequency ablation because they were not candidates for the standard curative options of radiation or surgery. No patient refused enrollment, nor were any patients withdrawn because of adverse events. Intervention: Radiofrequency ablation is a method of localized hyperthermia resulting in tissue necrosis. Ninety to 150 W of energy is applied, achieving intratumoral temperatures of 60 to 110°C for 5 to 15 minutes per ablation. Techniques have been developed to apply radiofrequency ablation under direct vision, endoscopically, percutaneously, and with ultrasound and computed tomographic guidance. Results: The radiofrequency ablation probe was accurately placed and treatment administered on 15 occasions. No perioperative deaths occurred. One patient suffered a stroke. Subjective patient improvement was reported with regard to pain (n = 9), appearance (n = 3), and function (n=4).

Original languageEnglish (US)
Pages (from-to)52-56
Number of pages5
JournalArchives of Otolaryngology - Head and Neck Surgery
Volume130
Issue number1
DOIs
StatePublished - Jan 2004

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Ablation Techniques
Neck
Head
Neoplasms
Oropharynx
Maxillary Sinus
Tertiary Healthcare
Palliative Care
Mouth
Squamous Cell Carcinoma
Fever
Necrosis
Therapeutics
Stroke
Radiation
Pain
Temperature

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Techniques for Radiofrequency Ablation of Head and Neck Tumors. / Owen, Randall P.; Silver, Carl E.; Ravikumar, Thanjavur S.; Brook, Allan L.; Bello, Jacqueline A.; Breining, Dwayne.

In: Archives of Otolaryngology - Head and Neck Surgery, Vol. 130, No. 1, 01.2004, p. 52-56.

Research output: Contribution to journalArticle

Owen, Randall P. ; Silver, Carl E. ; Ravikumar, Thanjavur S. ; Brook, Allan L. ; Bello, Jacqueline A. ; Breining, Dwayne. / Techniques for Radiofrequency Ablation of Head and Neck Tumors. In: Archives of Otolaryngology - Head and Neck Surgery. 2004 ; Vol. 130, No. 1. pp. 52-56.
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