Treat Smart –
The CELON Method

The CELON method is a highly efficient solution for minimally invasive and impedance-controlled tissue ablation. It is extremely user-friendly as its innovative bipolar technique enables safe, gentle, and fast energy transmission into the tissue. In addition, the CELON method requires only a short training session and can generally be performed on an outpatient basis.


ENT specialists can use the CELON method to treat a variety of indications.

Smart Instrument Design for Ergonomic Treatment

The CELON method’s user-friendliness derives from its smart bipolar instrument design. The specially hardened applicator tips enable easier mucosal entry into the tissue, and, because the current only flows between the applicator tip poles, coagulation accuracy is very high.

Smart Mode Selection for Procedure-Oriented Treatment

The CELON system has various impedance-controlled modes that can be combined with different ergonomic CELON applicators for procedure-oriented treatments. It has dedicated cutting modes that can be combined with CelonProCut accessories, and has a full range of monopolar and bipolar standard modes.

Smart Tissue Monitoring for Safe and Efficient Procedures

Safety and efficiency in ENT surgery demand full control. Therefore, the CELON method features audible and visible impedance feedback.
This feedback controls the full coagulation process and power output. Acoustic feedback informs the surgeon of the treatment status at all times. As the degree of coagulation increases, resistance in the tissue changes. When the defined impedance threshold is reached, coagulation automatically stops and an acoustic signal is emitted. Overdosing is therefore avoided.

"An excellent innovation incorporating various functions in one device with the possibility of storing standard settings for the individual surgeon. It also allows objective documentation of duration and intensity of Radiofrequency energy delivered."


Mr. Bhik Kotecha M.Phil., FRCS
Consultant Otolaryngologist, Royal National Throat, Nose and Ear Hospital (RNTNEH), London

Smart User Interface Saves Personalized Settings and Time

The device features a quick memory function that enables surgeons to save their individual settings and procedures, and to recall them as needed in a plug-and-play manner. The touch screen menu is also clearly structured – during CELON procedures, the intensity and duration of delivered energy is displayed, which enables procedures to be intuitively controlled and analyzed.

"I’ve been successfully using the CELON RFITT method for more than 15 years. What impresses me the most is the level of accuracy and user-friendliness which is mainly achieved by means of ergonomical probes. This proven technology allows me to treat my patients in a quick and tissue-sparing manner."


Dr. med. Fahri Yildiz
ENT Surgeon and Specialist of Professional Voice Disorders, Private Practice of ENT, Istanbul


SMART AND PROVEN CELON PROCEDURES

Volume Reduction of Hypertrophic Turbinates 6,7,11

Due to the design of the CelonProBreath applicator, submucosal thermal lesions are created along the entire length of the turbinate, keeping the ciliated epithelium and mucous membranes intact. A visible reduction in volume as a result of scarring and the body’s resorption of the coagulated tissue can be expected after three weeks.

Treatment of Habitual Snoring 1,2,4,8,10,13

Stiffening of Soft Palate

The bipolar RFITT CelonProSleep plus applicator is used to puncture the soft palate muscle at precise positions, and in so doing, coagulates its submucosal tissue.

A tightening of the palatine tissue can be expected within approximately four weeks. As a result, the vibration of the soft palate is reduced, largely eliminating the main cause of habitual snoring. Usually, only one to two treatment sessions are needed.


Shortening of Uvula/Webbing

Additionally the CelonProCut accessories can be used efficiently to reduce the uvula and the soft palate mucous membrane in selective cases of habitual snoring.

In this procedure the uvula is held by forceps, which also serve as a return electrode.

The fine cutting electrode ensures fast and precise cutting. The palatine muscle remains largely intact, while the risk of tissue bleeding at the palatine arch and the enlarged uvula is low. As a result, the breathing passage is significantly expanded.

Volume Reduction of the Tongue Base 2,3,4,10,14

The bipolar RFITT CelonProSleep plus applicator is used to treat enlargement or slackening of the muscles of the tongue, leading to a volume reduction and stiffening.

The tongue base will be stabilized and the respiratory tract is opened.

The coagulation causes a local denaturation of the treated tissue area, leaving tissue and organ surfaces intact, which in turn leads to reduced postoperative pain and risk of

infection. A visible reduction in volume accompanied by a tightening of the tissue can be expected within four to six weeks. Usually only two treatment sessions are needed.

Volume Reduction of Hypertrophic Tonsils 9,12

The bipolar RFITT CelonProSleep plus applicator is used to preserve the function of the palatine tonsils in cases of tonsil hyperplasia where complete removal of the tonsils is not necessary. The lymphatic tissue within the tonsils is precisely coagulated, involving only minimal risk of bleeding and minimal pain. Absorption of the coagulated tissue over the next three to four weeks leads to a volume reduction of up to 40 percent.

The procedure can be repeated six weeks later if required.

Partial Removal of Hypertrophic Tonsils 9,12

The bipolar CelonProCut system can be used to preserve the function of the palatine tonsils in cases of tonsil hypertrophy where an efficient and gentle partial removal of the tonsils is needed. The tonsils are grasped with forceps, which also serve as a return electrode. The incision with the cutting electrode ensures fast and precise cutting with only a minor risk of intraoperative bleeding. The current remains confined to the tissue area being treated; a neutral electrode is not required. Complete healing can be expected within approximately three weeks.

Beyond the Proven CELON Procedures

In addition standard electrosurgical procedures in ENT, for example, treatment of epistaxis, can be performed with the CELON ELITE power control unit. ENT specialists may be able to use compatible standard hand instruments that are already available in their office or hospital.

"Probes are a particular feature in radiofrequency surgery. Olympus is at the forefront when it comes to the handling and functionality of interstitial probes. The very sharp and extremely thin, semiflexible CelonProBreath probes are ideal for procedures on the nasal turbinate under local anesthetic. The ProBreath probe only requires a single puncture, and offers maximum comfort."


PD Dr. Klaus Stelter
HNO Zentrum Mangfall-Inn


Experience the minimally invasive CELON method

Are you interested in a safe, gentle and efficient solution for various outpatient ENT procedures? Request a live demonstration of the CELON system and an Olympus consultant will contact you.

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References

  1. 1.Combined radiofrequency assisted uvulopalatoplasty in the treatment of snoring. Baisch A et al. Eur Arch Otorhinolaryngol. 2009 Jan;266(1):125-30.
  2. 2.Controlled trial of combined radiofrequency-assisted uvulopalatoplasty in the treatment of snoring and mild to moderate OSAS (pilot study). Balsevičius T et al. Sleep Breath. 2013 May;17(2):695-703.
  3. 3.GlideScope video laryngoscope-assisted tongue base radiofrequency for the treatment of obstructive sleep apnea: pilot study. Civelek S et al. J Otolaryngol Head Neck Surg. 2010 Aug;39(4):329-34.
  4. 4.Bipolar radiofrequency induced thermotherapy of the tongue base: Its complications, acceptance and effectiveness under local anesthesia. Herder C et al. Eur Arch Otorhinolaryngol. 2006 Nov;263(11):1031-40.
  5. 5.Radiofrequency induced thermotherapy: an alternative palliative treatment modality in head and neck cancer. Liukko T et al. Eur Arch Otorhinolaryngol. 2006 Jun;263(6):532-6.
  6. 6.Radiofrequency volumetric tissue reduction for treatment of turbinate hypertrophy in children. O’Connor-Reina C et al. Int J Pediatr Otorhinolaryngol. 2007 Apr;71(4):597-601.
  7. 7.Clinical effect of bipolar radiofrequency thermotherapy on allergic rhinitis Oyake D et al. Nihon Jibiinkoka Gakkai Kaiho. 2009 May;112(5):422-8.
  8. 8.Selected surgical managements in snoring and obstructive sleep apnea patients. Olszewska E et al. Med Sci Monit. 2012 Jan;18(1):CR13-18.
  9. 9.Treatment of hypertrophic palatine tonsils using bipolar radiofrequency-induced thermotherapy (RFITT). Pfaar O et al. Acta Otolaryngol. 2007 Nov;127(11):1176-81.
  10. 10.Combined bipolar radiofrequency surgery of the tongue base and uvulopalatopharyngoplasty for obstructive sleep apnea. Plzak J et al. Arch Med Sci. 2013 Dec 30;9(6):1097-101.
  11. 11.Bipolar radiofrequency-induced thermotherapy of turbinate hypertrophy: pilot study and 20 months’ follow-up. Seeger J et al. Laryngoscope. 2003 Jan;113(1):130-5.
  12. 12.Double-blind, randomised, controlled study of post-operative pain in children undergoing radiofrequency tonsillotomy versus laser tonsillotomy. Stelter K et al. J Laryngol Otol. 2010 Aug;124(8):880-5.
  13. 13.Celon radiofrequency thermo-ablative palatoplasty for snoring - a pilot study. Tatla T et al. J Laryngol Otol. 2003 Oct;117(10):801-6.
  14. 14.UPPP combined with radiofrequency thermotherapy of the tongue base for the treatment of obstructive sleep apnea syndrome. van den Broek E et al. Eur Arch Otorhinolaryngol. 2008 Nov;265(11):1361-5.

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