title: [Long-term observation in juvenile papillomas of the larynx after surgical removal and ultra-sound treatment (author's transl)].
abstract: The paper cover 17 juveniles suffering from papillomas of the larynx. They were treated mainly surgically and with ultrasound. In most cases repeated interventions were necessary over an extended period of time. Because of the -- frequently considerable -- extension of the papillomas, a double spoon was used to remove larger tissue parts before the ultrasound treatment. In six children a tracheotomy was inevitable, in four of those children it was necessary to preserve it over several years. In the course of the treatment a lengthening of the intervals was generally noted. Related to an observation period of up to 10 years, out of 16 patients 13 were in the end permanently without any relapse, the remaining can be expected to be cured definitely because of the significant improvement of the local evidence. No malignant improvement of the local evidence. No malignant degeneration has been observed so far. All the methods of treatment used to date, including ultrasound and cryoscopic probes, are not entirely satisfactory, at least they do not constitute any causal therapy.
mesh_terms: D000328:Adult; D002648:Child; D005500:Follow-Up Studies; D006801:Humans; D007822:Laryngeal Neoplasms / Q000503:physiopathology* / Q000601:surgery / Q000628:therapy; D010212:Papilloma / Q000503:physiopathology* / Q000601:surgery / Q000628:therapy; D014140:Tracheotomy; D014464:Ultrasonic Therapy
vernacular_title: Langzeitbeobachtung bei juvenilen Kehlkopfpapillomen nach chirurgischer Abtragung und Ultraschallbehandlung