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Complications of treatment of recurrent laryngeal papillomatosis with the carbon dioxide laser in children

Published online by Cambridge University Press:  29 June 2007

Ezzat M. Saleh
Ezzat M. Saleh*
Affiliation:
Department of Ear, Nose and Throat, Assuit Medical School.
*
Ezzat M. Saleh, M.D., Department of Ear, Nose and Throat, Assuit Medical School, Assuit University, Assuit, Egypt, 71516.
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Abstract

A retrospective study of the complications of treatment with the carbon dioxide (CO2) laser of 17 patients diagnosed to be suffering from recurrent laryngeal papillomatosis is presented. No immediate complications occurred except one case of laryngospasm and failure to intubate during anaesthesia leading to hypoxic encephalopathy. Three patients were completely free from disease and complications. Another patient was free from laryngeal lesions but developed a papilloma in the right tonsillar pillar. Five other patients showed one or more multiple sites of involvement in addition to the larynx. Laryngeal scarring developed in ten patients. Six patients (35.29 percent) developed scarring as anterior glottic webs while in two scarring (11.7 percent) occurred as posterior glottic webs. One developed scarring in the supraglottic region. The remaining one had scarring in both the glottic and supraglottic regions. One patient developed tracheal scarring necessitating laryngo-tracheal separation. Two patients were psychologically disturbed during treatment requiring psychiatric consultation and therapy.

Keywords

Laryngeal neoplasmsLaser surgerycomplications
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 8 , August 1992 , pp. 715 - 718
Copyright
Copyright © JLO (1984) Limited 1992

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References

Abramson, A. L., Waner, M., Brandson, J. (1988) The clinical treatment of laryngeal papillomas with hematoporphyrin therapy. Archives of Otolaryngology—Head and Neck Surgery, 114: 795–800.CrossRefGoogle ScholarPubMed
Abramson, A. L., Dilorenzo, P. T., Steinberg, B. M. (1990) Is papilloma virus detectable in the plume of laser treated laryngeal papilloma? Archives of Otolaryngology—Head and Neck Surgery, 116: 604–607.CrossRefGoogle ScholarPubMed
Abramson, A. L., Shikowitz, M. J., Mulloly, V. M., Steinberg, B. M., Amelia, C. A., Rothstein, H. R. (1992) Clinical effects of photodynamic therapy on recurrent laryngeal papillomatosis. Archives of Otolaryngology—Head and Neck Surgery, 118: 25–29.CrossRefGoogle Scholar
Björk, H., Weber, C. (1956) Papilloma of the larynx. Acta Otolaryngologica, 46: 499–516.CrossRefGoogle ScholarPubMed
Cohen, R. S., Geller, K. A., Seltzer, S., Thompson, J. W. (1980) Papilloma of the larynx and tracheobronchial tree in children. A retrospective study. Annals of Otology, Rhinology and Laryngology, 89: 497–503.CrossRefGoogle ScholarPubMed
Cole, R. R., Myer, C. M. III, Cotton, R. T. (1989) Tracheostomy in children with recurrent respiratory papillomatosis. Head and Neck, May/June: 226–230.CrossRefGoogle ScholarPubMed
Crockett, M. D., McCabe, F. B., Shive, J. C. (1987) Complications of laser surgery for recurrent respiratory papillomatosis. Annals of Otology, Rhinology and Laryngology, 96: 639–644.CrossRefGoogle ScholarPubMed
Crockett, M. D., Reynolds, N. B. (1990) Laryngeal laser surgery. Otolaryngology Clinics of North America, 23(1): 49–66.CrossRefGoogle ScholarPubMed
Dunkin, E., Durcavage, J. A., Toohill, J. R., Tien, M. T, Caya, G. J. (1986) Wound healing of true vocal cord squamous epithelium after CO2 laser ablation and cup forceps stripping. Otolaryngology— Head and Neck Surgery, 95: 273–277.Google Scholar
Elo, J., Mate, Z. (1988) Combined therapy with isoprinosine and CO2 laser microsurgery for the treatment of laryngeal papillomatosis. Archives of Otorhinolaryngology, 244: 342–345.CrossRefGoogle ScholarPubMed
Fried, M. P. (1991) Laser in Clinical Otolaryngology: current uses and future applications. Ear, Nose and Throat Journal, 70: 843–847.Google ScholarPubMed
Irwin, C., Pincott, R. J., Bailey, C. M, Evans, J. N. G. (1986) Juvenile laryngeal papillomatosis. Journal of Laryngology and Otology, 100: 435–445.CrossRefGoogle ScholarPubMed
Ito, Y. (1960) A tumour producing factor extracted by phenol from papillomatous tissue of cottontail rabbits. Virology, 12: 596–601.CrossRefGoogle ScholarPubMed
Ito, Y., Evans, C. A. (1961) Induction of tumours in domestic rabbits with nucleic acid preparations from partially purified shape papilloma virus and from extracts of the papillomas of domestic and cottontail rabbits. Journal of Experimental Medicine, 114: 485–500.CrossRefGoogle Scholar
Kashima, H. G., Kessis, T., Mounts, P., Shah, K. (1991) Polymerase chain reaction identification of human papilloma virus DNA in CO2 laser plume from recurrent respiratory papillomatosis. Otolaryngology—Head and Neck Surgery, 104(2): 191–195.CrossRefGoogle Scholar
Leonard, R. J., Gallia, L. J., Charpied, G., Kelly, A. (1988) Effects of stripping and laser excision on vocal fold mucosa in cats. Annals of Otology, Rhinology and Laryngology, 97: 159–163.CrossRefGoogle ScholarPubMed
Majoros, M., Parkhill, M. E., Kenneth, D. D. (1964) Papilloma of the larynx in children. A clinicopathologic study. American Journal of Surgery, 108: 470–475.CrossRefGoogle ScholarPubMed
Ossof, R. H., Wekhoven, J. A., Dere, H. (1991) Soft tissues complications of laser surgery for recurrent laryngeal papillomatosis. Larynoscope, 101: 1162–1166.CrossRefGoogle Scholar
Perrick, D., Wray, B. B., Leffell, S. M., Harman, D. J., Porubsky, S. E. (1990) Evaluation of immunocompetency in juvenile laryngeal papillomatosis. Annals of Allergy, 65: 69–72.Google ScholarPubMed
Pransky, M. S., Seid, B. A. (1990) Tumors of the larynx, trachea and Bronchi. In Pediatric Otolaryngology 2nd edition. (Bluestone, C. D., Stool, S. E.), W. B. Saunders, Philadelphia, p. 1215–1225.Google Scholar
Reppucci, A. D., Dilorenzo, P. T., Abramson, A. L., Steinberg, B. M. (1991) In vitro modulation of human laryngeal papilloma cell differentiation by retinoic acid. Otolaryngology—Head and Neck Surgery, 105: 4, 528–532.CrossRefGoogle ScholarPubMed
Robbins, T., Woodson, E. G. (1984) Current concepts in the management of laryngeal papillomatosis. Head and Neck Surgery, April/May: 861–866.CrossRefGoogle ScholarPubMed
Singleton, T. G., Adkins, Y. W (1972) Cyrosurgical treatment of juvenile laryngeal papillomatosis: an eight-year experience. Annals of Otology, Rhinology and Laryngology, 81: 784–789.CrossRefGoogle Scholar
Strong, T. M., Vaughan, W. C, Healy, B. G., Coperband, R. S., Clemente, P. C. (1976) Recurrent respiratory papillomatosis. Management with the CO2 laser. Annals of Otology, Rhinology and Laryngology, 85: 508–516.CrossRefGoogle ScholarPubMed
Strong, T. M. (1987) Recurrent respiratory papillomatosis. In Scott-Brown's Otolaryngology 5th edn. vol. 6 Chapter 31, Paediatric Otolaryngology (Stell, P. M., Kerr, A. G., eds.) Butterworth Scientific Ltd: London, p. 466–470.Google Scholar
Wetmore, S. J., Key, J. M., Swen, J. Y. (1985) Complications of laser surgery for laryngeal papillomatosis. Laryngoscope, 95 (7 pt. 1): 798–801.CrossRefGoogle ScholarPubMed