Papilloma of the Larynx and Tracheobronchial Tree in Children

Abstract

One hundred and forty cases of papilloma of the larynx and tracheobronchial tree are documented in the records of the Childrens Hospital of Los Angeles. The records of 90 patients were available and were reviewed intensively. The method of direct laryngoscopy with general anesthesia using apneic technique in most patients and intubation in some was an adequate method of treating patients with laryngeal papillomata. A general anesthetic was never used where obstruction was severe and the airway could not be controlled. The low incidence of papilloma of the tracheobronchial tree and an absence of parenchymal lung seeding in this series is attributed to the avoidance of a tracheotomy and fewer intubation anesthetics thus avoiding trauma to the trachea and bronchi. The immediate removal of the tracheotomy tube seems as alternative if the surgical procedure had been performed. In the patients in this series decannulation was accomplished in a very short period of time. The establishment of an airway seem to be a priority in the treatment of this disease and this can be accomplished by repeated endoscopic procedures rather than tracheotomy. Statistics are given, and prognosis based on the type of lesion and histopathology is documented.

Reccurent Laryngeal Papilloma

“…5 Similar with the 2 nd case, the complaint of runny nose and frequent epistaxis has suffered since 2 years before. Papilloma was diagnosed after one year later after the appearance growing mass in the left nose.…”

“…Even though various theories have been published but the results are not satisfactory yet. 5 The purpose of this paper is to report a case of laryngeal papilloma in our Departmen, Departement of Otorhinolaryngology Head and Neck, Airlangga University, Dr. Soetomo General hospital. March 17, 1994, in ENT outpatient, a young woman (RAF) 8 months old, was referred from a doctor, ORL-HNS specialist at the Dr. Soedono Hospital, Madiun city.…”

“…Likewise in the first case, growing of the papilloma was slight then pulled out the canule performed 10 months later and next 10 months showed minimal lesion. 5 In addition, there are also two patients who have been decanulation after 6 th and 10 th MLS (2 yr and 3yr 5mo). Until tracheal, papilloma growth has stopped.…”

Juvenile laryngeal papillomatosis with pulmonary parenchymal spread

“…Multiple, benign, epithelial papillomas are the most common laryngeal tumors of infancy and childhood; two-thirds of children are under four years of age at onset of symptoms [4]. There is strong evidence for a viral etiology [4,12].…”

“…There is strong evidence for a viral etiology [4,12]. The initial presentation is hoarseness or abnormal cry, progressing to include cough, dyspnea, and stridor as the papillomas spread or enlarge [2,4]. Although distal extension of papillomas into the trachea and bronchi occasionally occurs [2], lung parenchymal spread is uncommon.…”