[Laryngeal papillomatosis: value of early diagnosis, apropos of 7 cases diagnosed at the University Hospital Center in Brazzaville, Congo].
Laryngeal papillomatosis is a benign tumor process that occurs most commonly in children but can also affect adults. The purpose of this report is to describe a series of 7 cases treated at the Otorhinolaryngology Department of the University Hospital Center in Brazzaville, Congo. Special focus is placed on particularities and pitfalls of management. There were 4 girls and 3 boys with a mean age of 8.4 years (range, 7 to 10 years). The mean duration between the onset of symptoms and diagnosis was 3.4 years (range, 1 to 5 years). The initial symptom was choking in 3 cases, hoarseness in 2, and combined choking and hoarseness in 2. Tracheotomy was required in 3 cases. Instrumental debulking was performed in all cases. Two patients died due to obstruction of the cannula. Outcome was favorable in the remaining 5 cases. Our experience highlights the need for early diagnosis for optimal therapeutic outcome. In this regard information campaigns are necessary to educate doctors and parents.
Service d'ORL et de Chirurgie Cervico-faciale, CHU de Brazzaville, BP 13356, Congo, Brazzaville. ondzotto@voila.fr
G
G
Ondzotto
J
J
Galiba
B
B
Kouassi
F
F
Ehouo
D000402:Airway Obstruction; D002648:Child; D003223:Congo; D017809:Fatal Outcome; D005260:Female; D006685:Hoarseness; D006801:Humans; D007822:Laryngeal Neoplasms / Q000175:diagnosis* / Q000601:surgery; D008297:Male; D010212:Papilloma / Q000175:diagnosis* / Q000601:surgery; D014140:Tracheotomy