Surgery for adult laryngeal papillomatosis

Recurrent laryngeal papillomatosis is a viral (human papillomavirus) disease that causes the growth of epithelial verrucous lesions. Patients with laryngeal papillomatosis undergo multiple surgeries due to the tendency of the lesions to reoccur and cause recurrent voice and breathing problems. The g...

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Bibliographic Details
Published in:Operative techniques in otolaryngology--head and neck surgery 2019-12, Vol.30 (4), p.264-268
Main Authors: Primov-Fever, Adi, Madgar, Ory
Format: Article
Language:English
Subjects:
Laryngeal papillomatosis
Larynx
Laser treatment
Recurrent respiratory papillomatosis
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Summary:Recurrent laryngeal papillomatosis is a viral (human papillomavirus) disease that causes the growth of epithelial verrucous lesions. Patients with laryngeal papillomatosis undergo multiple surgeries due to the tendency of the lesions to reoccur and cause recurrent voice and breathing problems. The goal of the surgical treatment is to remove the lesions while protecting the delicate layered structure of the vocal folds in order to prevent scarring and permanent damage to the mucosa. This is a review of the currently performed operative procedures for treating recurrent adult laryngeal papillomatosis. They involve the use of cold instruments, lasers, and microdebriders. There is a trend towards preferential use of microdebriders and office-based laser procedures in compliant patients. There is no consensus on any surgical method of choice, and further investigations and long-term results of the ones in current use are warranted to provide more clear-cut guidelines for optimal management.
ISSN:1043-1810
1557-9395
DOI:10.1016/j.otot.2019.09.008