Safety of different surgical modalities for recurrent respiratory papillomatosis resection: A systematic review and meta‐analysis

Liu, SiWei; Wang, Jiaqi; Shao, Jun

doi:10.1111/coa.14023

Cited by 2 publications

(1 citation statement)

References 43 publications

(91 reference statements)

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“…The newer technique utilising microdebriders overcomes many of these disadvantages as they have shorter operative time, there is no risk of airway fire, and the learning curve for microdebriders is small. 7,15,16 In the current study, 24(61.50%) of the cases were repeat procedures.…”

Section: Discussionmentioning

confidence: 53%

Role of CO2 Laser & Microdebrider in the treatment of Juvenile onset recurrent respiratory papillomatosis

Muhammad Rashid,

Humaira Saleem,

Muhammad Noman Karim

et al. 2023

J Pak Med Assoc

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Objective: To compare the efficacy of two main treatment modalities of microdebrider and carbon dioxide laser excision for juvenile onset recurrent respiratory papillomatosis. Method: The retrospective study was conducted in May 2021 at the Combined Military Hospital, Kharian, Pakistan, and comprised data from July 1, 2007, to January 31, 2020, of patients of either gender aged 2-12 years who were treated for juvenile onset recurrent respiratory papillomatosis either with microdebrider excision in group A or carbon dioxide laser excision in group B. Extent and severity of disease was documented as per the Derkay-Coltrera grading system. Data was analysed using SPSS 20. Results: Of the 39 patients, 23(59%) were girls and 16(41%) were boys. The overall mean age at the time of procedure was 6.62±2.06 years. Group A had 22(56.4%) subjects; 15(68.2%) girls and 7(31.8%) boys, while group B had 17(43.6%) cases; 8(47%) girls and 9(53%) boys. The mean operative time for group A was 40.91±11.50 minutes and for group B it was 60.59±19.51 minutes. Postoperative breathing and oedema status was better for group A (p<0.05), while there was no significant difference regarding postoperative pain, residual disease and repeat surgeries (p>0.05). Conclusion: Microdebrider was found to be superior to carbon dioxide laser excision in the treatment of juvenile onset recurrent respiratory papillomatosis. Key Words: CO2 laser, Human papilloma virus, Laryngeal papillomatosis, Recurrent respiratory papillomatosis.

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Section: Discussionmentioning

confidence: 53%

Role of CO2 Laser & Microdebrider in the treatment of Juvenile onset recurrent respiratory papillomatosis

Muhammad Rashid,

Humaira Saleem,

Muhammad Noman Karim

et al. 2023

J Pak Med Assoc

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Cicatricial complications of respiratory papillomatosis surgical treatment at the department of Saint Petersburg State Pediatric Medical University clinical hospital in 2019–2021

Dmitrenko,

Pavlov,

Verezgov

et al. 2023

Pediatr (SPb)

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BACKGROUND: Respiratory papillomatosis requires combined treatment, adjuvant therapy and surgical treatment. Scarring complications often occur after surgical treatment. AIM: To determine the frequency of cicatricial complications of surgical treatment of respiratory papillomatosis in children. MATERIALS AND METHODS: A retrospective analysis of the medical histories of 49 children who received surgical treatment at the clinic of the Saint Petersburg State Pediatric Medical University for 3 years (from 2019 to 2021) was carried out. The data obtained were compared with the data of a meta-analysis conducted in 2022. RESULTS: In the otolaryngological department of Saint Petersburg State Medical University from 2019 to 2021, 49 children aged 1 to 17 years — 25 boys and 24 girls — received surgical treatment. Primary papillomatosis was detected in 9 patients. The first surgical intervention was at the age of 2 years in 12 children (24.5%). Combined treatment was used: endolaryngeal removal of laryngeal papillomas with microsurgical instruments and administration of interferon alpha-2b in the postoperative period. Of the 49 patients, scarring was detected in 16 (32.6%). However, 29 patients were operated only at the Saint Petersburg State Medical University clinic — the percentage of cicatricial complications among them was 20.6%. 20 patients turned to the Saint Petersburg State Medical University clinic after treatment in other institutions — the percentage of cicatricial complications among them was 50%. Of all 49 children examined, scarring occurred in the vocal region in 10 children (62.5%), in the larynx — in 2 children (12.5%), in both departments in 4 children (25%). Scarring changes were not detected in the sub-vocal part of the larynx. The number of operations per year for each child ranged from 1 to 7, and for 3 years (from 2019 to 2021), the number of operations reached 20. CONCLUSIONS: Scarring complications after surgical treatment of respiratory papillomatosis are quite common. It was revealed that the first surgical treatment is more often in the first 3 years of life. The choice of surgical technique affects the frequency of cicatricial complications, however, it is extremely difficult to avoid cicatricial complications as long as there is a need for surgical treatment.

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Safety of different surgical modalities for recurrent respiratory papillomatosis resection: A systematic review and meta‐analysis

Cited by 2 publications

References 43 publications

Role of CO2 Laser & Microdebrider in the treatment of Juvenile onset recurrent respiratory papillomatosis

Role of CO2 Laser & Microdebrider in the treatment of Juvenile onset recurrent respiratory papillomatosis

Cicatricial complications of respiratory papillomatosis surgical treatment at the department of Saint Petersburg State Pediatric Medical University clinical hospital in 2019–2021

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