Laser ablation of recurrent laryngeal papillomas in children

AORN J. 1995 Mar;61(3):532-40, 543-4. doi: 10.1016/s0001-2092(06)63743-5.

Abstract

Papillomas are the most common laryngeal tumors in childhood, and their etiology is thought to be viral. Papillomatosis (ie, widespread, multiple papillomas) may involve a child's airway from the epiglottis to the bronchi. Hoarseness is an early sign of juvenile laryngeal papillomas (JLP), and airway obstruction is a later, life-threatening sign. The recurrence and spread of JLP is common. An otorhinolaryngologist may perform a tracheostomy on a child with JLP; however, this procedure is avoided if possible, because a tracheostomy predisposes the trachea to papilloma seeding. Laser ablation of papillomas through the use of rigid endoscopic equipment and a carbon dioxide laser is the mainstay of therapy.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Humans
  • Laryngeal Neoplasms / epidemiology
  • Laryngeal Neoplasms / nursing
  • Laryngeal Neoplasms / pathology
  • Laryngeal Neoplasms / surgery*
  • Laser Therapy / instrumentation
  • Laser Therapy / nursing*
  • Male
  • Neoplasm Recurrence, Local / nursing
  • Neoplasm Recurrence, Local / surgery*
  • Operating Room Nursing / methods*
  • Papilloma / epidemiology
  • Papilloma / nursing
  • Papilloma / pathology
  • Papilloma / surgery*