Diagnostic challenges of laryngeal papillomatosis and its implications among children in developing country.
OBJECTIVE
To create an awareness of laryngeal papillomatosis in children and the implications of its mismanagement among the general practitioner and paediatricians, and to offer suggestions on its diagnostic techniques.


METHODS
Medical records of children with histologically confirmed laryngeal papillomatosis managed at the Otorhinolaryngology department of University College Hospital Ibadan Nigeria through 1993-2007 were reviewed for essential clinical data.


RESULTS
There were 38 paediatric patients, 23 (60.53%) males and 15 (39.47%) females, with laryngeal papillomatosis. Only 2 (5.26%) of these patients were correctly diagnosed by the referring clinicians. Diagnosis was delayed for 5 weeks to 3 months. About 90% of these patients had emergency tracheostomy and 92% had surgical excision for 2 sections or less.


CONCLUSIONS
Laryngeal papillomatosis misdiagnosis and mismanagement were common in our environment due to clinicians not being conversant with the disease entity. It should therefore be considered an important differential diagnosis in children with laryngeal symptoms to improve its clinical outcome. Otorhinolaryngologists should always be involved early without delay in the management.
Fasunla
Ayotunde James
AJ
Department of Otorhinolaryngology, University College Hospital, Queen Elizabeth Road, PMB 5116, Ibadan, Oyo State, Nigeria. ayofasunla@yahoo.com
Lasisi
Olawale Akeem
OA
D000402:Airway Obstruction / Q000209:etiology / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D003906:Developing Countries; D003937:Diagnosis, Differential; D005260:Female; D006785:Hospitals, University; D006801:Humans; D007223:Infant; D007822:Laryngeal Neoplasms / Q000175:diagnosis* / Q000601:surgery; D007828:Laryngoscopy; D008297:Male; D009549:Nigeria; D010212:Papilloma / Q000175:diagnosis* / Q000601:surgery; D012189:Retrospective Studies; D014139:Tracheostomy