Laryngeal papillomatosis with human papillomavirus DNA contracted by a laser surgeon

Hallmo, Petter; Næss, Oddvar

doi:10.1007/bf01463570

Cited by 214 publications

(124 citation statements)

References 21 publications

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“…This case involved a surgeon who contracted laryngeal papillomatosis after treating anogenital condyloma with a laser. Human papillomvirus (HPV) types 6 and 11, the same types seen in anogenital papillomatosis, were found on this individual's larynx, and there was no other possible way his larynx could have come into contact with the virus [44]. The rarity of documented cases illustrates the difficulty in showing outcome effects.…”

Section: Transmission Of Infectionmentioning

confidence: 96%

Surgical smoke: a review of the literature

2003

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Surgical smoke is omnipresent in the day-to-day life of the surgeon and other medical personnel who work in the operating room. In addition, patients are also exposed, especially and uniquely so in laparoscopic cases where smoke is created and trapped in a closed and absorptive space. Surgical smoke has typically been produced by electrocautery but is now ever more present in a new form with the burgeoning use of the laser and the harmonic scalpel. Several cases of transmission of human papillomavirus (HPV) from patient to treating professional via laser smoke have alerted us to the reality that surgical smoke in certain situations is far form benign. However, surgeons rarely take measures to protect themselves, their co-coworkers and patients from surgical smoke. Should we and, if so, how do we differentiate between different types of smoke and should we move toward increasing our efforts to protect ourselves, our co-workers, and patients from it? This article attempts to sort through the available data and draw some reasonable conclusions regarding surgical smoke. In general, surgical smoke is a biohazard and cannot be ignored. At a minimum, surgical smoke is a toxin similar to cigarette smoke. However, other dangers exist. This is especially true in specific circumstances such as when tissue infected with dangerous viruses is aerosolized by lasers. In addition, smoke generated by the harmonic scalpel, being a relatively cold vapor similar to laser smoke, should be further investigated for its potential ill effects and until then, looked upon with reasonable caution. Although not a high-priority in most surgical cases, surgeons should support efforts to minimize OR personnel, patients, and their own exposure to surgical smoke.

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Section: Transmission Of Infectionmentioning

confidence: 96%

Surgical smoke: a review of the literature

2003

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“…Fortunately, most HPV lesions, particularly those of genital origin, contain fewer particles than those studied in the bovine fibropapilloma model, 41 and the direct inoculation of the laser plume in our study onto the animals may not equal routine clinical exposure. However, there is already a report 42 of a surgeon, who treats anogenital condylomas with the Nd: YAG laser, developing laryngeal papillomatosis containing HPV DNA types 6 and 11.…”

Section: 1mentioning

confidence: 99%

Viral Disease Transmitted by Laser-Generated Plume (Aerosol)

Garden¹

2002

Arch Dermatol

193

158

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“…The authors found that through inoculation, these animals developed tumors that were proven biochemically and histologically to be infected with the same virus type as was present in the laser plume. Although direct inoculation with bovine papillomavirus laser plume may not compare with clinical exposure during procedures, a review of the literature identified two reports of health care providers developing laryngeal papillomatosis as a result of laser and electrodessication of HPV-related anogenital condyloma with CO 2 and neodymium:yttrium-aluminumgarnet lasers 28,29 in addition to the earlier study by Gloster and Roenigk 5 discussed above.…”

Section: Infectionmentioning

confidence: 94%