title: [Papillomas in otorhinolaryngology: clinics, diagnostics and treatment].
abstract: The clinical, diagnostic, and therapeutic features of 257 papillomas of the ear, nose and throat were studied. These tumors were found in a population of about 500,000 inhabitants over a 20-year period (1973-1992). The clinical manifestations of papillomas were varied and more dependent on location than on the size or number of lesions. The most frequent symptom was a foreign body sensation. Twenty-four percent of cases were asymptomatic and the diagnosis was made during a general physical examination; such diagnoses were most frequent in the pharynx. The mean duration of symptoms before visiting a physician was 10 months (longer in papilloma of the oral cavity and shorter in the pharynx). The initial clinical diagnosis was correct in 63% of cases. Lesions of the oral cavity presented most diagnostic problems and those of the pharynx the least. A clinical diagnosis of cancer was made most often in the larynx. Treatment was surgical in every case. Twenty percent required more than one operation to remove the papilloma.
authors.affiliation: Cátedra de ORL, Facultad de Medicina, Santiago de Compostela (La Coruña).
authors.forename: M
authors.initials: M
authors.lastname: López Amado
authors.forename: A
authors.initials: A
authors.lastname: Lozano Ramírez
authors.forename: T
authors.initials: T
authors.lastname: Labella Caballero
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007822:Laryngeal Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D007830:Larynx / Q000473:pathology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009055:Mouth / Q000473:pathology / Q000601:surgery; D009062:Mouth Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D010212:Papilloma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D010610:Pharyngeal Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D010614:Pharynx / Q000473:pathology / Q000601:surgery
vernacular_title: Papilomas en ORL: clínica, diagnóstico y tratamiento.