Recurrent respiratory papillomatosis in the larynx: re-emergence of clinical disease following surgery.
The treatment and aetiology of recurrent respiratory papillomatosis remains unclear. We report a case of laryngeal papillomatosis where repeated suction diathermy and later laser treatment led to the formation of a substantial glottic web, but a clinically papilloma-free state of the upper aerodigestive system. Division of the web led to widespread recurrence of the papillomas, which eventually resolved after the larynx had healed with the reformation of a limited anterior web. The role of surgical trauma and its effect on re-emergence of papillomas is discussed.
Harries
M L
ML
Department of Paediatric Otorhinolaryngology, Hospital for Children, London, UK.
Juman
S
S
Bailey
C M
CM
D002245:Carbon Dioxide; D002648:Child; D003972:Diathermy; D005260:Female; D005500:Follow-Up Studies; D005931:Glottis / Q000473:pathology / Q000601:surgery; D006801:Humans; D007822:Laryngeal Neoplasms / Q000473:pathology* / Q000601:surgery*; D017075:Laser Coagulation; D009364:Neoplasm Recurrence, Local / Q000473:pathology*; D010212:Papilloma / Q000473:pathology* / Q000601:surgery*; D011183:Postoperative Complications; D013396:Suction
D002245:Carbon Dioxide