radiofrequency vs cold surgery to treat oral papillomatous lesions

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.