Office-Based vs Traditional Operating Room Management of Recurrent Respiratory Papillomatosis

Tatar, Emel Çadallı; Kupfer, Robbi A.; Barry, Jonnae Y.; Allen, Clint; Meratı, Albert L.

doi:10.1001/jamaoto.2016.2724

Cited by 13 publications

(12 citation statements)

References 10 publications

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“…As has been observed with other office‐based laryngology procedures, procedure completion rate was high. This was despite several patients either having a diagnosis of generalized anxiety disorder or self‐reporting anxiety related to procedures.…”

Section: Discussionsupporting

confidence: 74%

Serial office‐based steroid injections for treatment of idiopathic subglottic stenosis

2017

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Section: Discussionsupporting

confidence: 74%

Serial office‐based steroid injections for treatment of idiopathic subglottic stenosis

2017

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“…This is similar to what Tatar et al found, as RRP patients who underwent an operating room procedure had higher Derkay scores. 3 Another complicating factor of our study is that some patient responses did not match the corresponding objective data. For example, patients self-reported that the frequency with which they underwent each type of procedure was similar.…”

Section: Discussionmentioning

confidence: 94%

In-Office vs. Operating Room Procedures for Recurrent Respiratory Papillomatosis

Miller

Gardner

2017

Ear Nose Throat J

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We conducted a study to analyze hospital and patient costs, outcomes, and patient satisfaction among adults undergoing in-office and operating room procedures for the treatment of recurrent respiratory papillomatosis. Our final study population was made up of 17 patients—1 man and 16 women, aged 30 to 86 years (mean: 62). The mean number of in-office laser procedures per patient was 4.2, and the mean interval between procedures was 5.4 months (although 10 patients underwent only 1 office procedure); the mean number of operating room procedures was 13.5, and the mean interval between procedures was 14.3 months. An equal number of patients reported complications or adverse events with the two types of procedures—5 each. The difference in cost between the office procedure (mean: $3,413.00) and the operating room procedure (mean: $12,382.59) was almost $9,000, but these savings were offset by the fact that the office procedures needed to be performed three times as often. Patients reported slightly more anxiety and discomfort during the office procedures and, overall, they appeared to prefer the operating room procedure. We conclude that office procedures are significantly more cost-effective than operating room procedures, but their use may be limited by patient tolerance and the increased frequency of the procedure.

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“…In the present study, the mean Derkay score for ALP was 8.26. The mean found for this group in the literature was 10.8 for patients operated on in an outpatient clinic, and 13.9 for patients operated on in a surgical center, where the choice of treatment in a surgical center was determined by the extent of the disease . In ALP, there is a directly proportional relationship between the Derkay score and the quality of life score related to voice (VHI‐10); that is to say, the higher the Derkay score, the more aggressive is the disease, and the higher the VHI‐10 score, the worse is the quality of life related to voice .…”

Section: Discussionmentioning

confidence: 96%

“…The mean found for this group in the literature was 10.8 for patients operated on in an outpatient clinic, and 13.9 for patients operated on in a surgical center, where the choice of treatment in a surgical center was determined by the extent of the disease. 24 In ALP, there is a directly proportional relationship between the Derkay score and the quality of life score related to voice (VHI-10); that is to say, the higher the Derkay score, the more aggressive is the disease, and the higher the VHI-10 score, the worse is the quality of life related to voice. 25 The present study did not evaluate VHI-10; however, a change in voice was observed in all the juvenile patients in the most aggressive cases, and in all the adult patients, due to the significant involvement of the vocal cords.…”

Section: Discussionmentioning

confidence: 99%

Histopathological features of juvenile‐onset laryngeal papillomatosis related to severity

Achkar

Duarte

Carlos³

et al. 2019

Head & Neck

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Background Laryngeal papillomatosis (LP) is a disease that presents in both juvenile (JLP) and adult patients (ALP). This study correlated papillomatosis characteristics with the Derkay score. Methods Retrospective data and biopsies of 36 patients with JLP and 56 with ALP were collected and separated into groups according to their scores. Results The mean of the Derkay score, in the JLP group was 10.97 and in Group ALP was 8.26. The JLP group presented a more aggressive result than in the adult group (P = .02). In the JLP group, the respiratory difficulty (P = .01) and tracheostomy were correlated to a higher Derkay score (P < .05). Microscopically, the JLP samples presented a higher incidence of atypical mitosis and mitosis above the basal cells layer of the epithelium (P < .05) and these characteristics were correlated with a higher Derkay index (P = .03). Conclusion Findings suggest that ALP and JLP can present different clinical courses and histopathological features. There was a higher degree of LP severity in JLP.

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Office-Based vs Traditional Operating Room Management of Recurrent Respiratory Papillomatosis

Abstract: There were no sex or age differences between patients with RRP treated in the office compared with those treated in the OR. Patients with earlier age at diagnosis of RRP and greater disease severity were more likely to be managed in the OR.

Cited by 13 publications

References 10 publications

Serial office‐based steroid injections for treatment of idiopathic subglottic stenosis

Serial office‐based steroid injections for treatment of idiopathic subglottic stenosis

In-Office vs. Operating Room Procedures for Recurrent Respiratory Papillomatosis

Histopathological features of juvenile‐onset laryngeal papillomatosis related to severity

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