PMID: 9525512Apr 3, 1998Paper

Iatrogenic airway stenosis with recurrent respiratory papillomatosis

Archives of Otolaryngology--head & Neck Surgery
J A PerkinsM A Richardson

Abstract

To describe the presentation of, factors contributing to, and treatment of iatrogenic airway stenosis (IAS) associated with recurrent respiratory papillomatosis (RRP). Retrospective case series. Pediatric tertiary care center. The charts of patients treated for RRP in our institution from 1980 to 1995 (N=50) were reviewed. Seven patients were identified as having IAS based on endoscopic findings. Prevalence and types of IAS within our RRP patient population, methods used to treat IAS, and successful treatment of IAS. Of the 7 patients identified, 3 had isolated posterior glottic stenosis (PGS) and 1 had isolated subglottic stenosis. The other 3 had multiple areas of IAS as follows: PGS with bronchial stenosis, supraglottic stenosis with PGS, and tracheomalacia with tracheal stenosis from a suprastomal granuloma. The factors associated with IAS were extensive papilloma growth in the posterior glottis, prolonged periods of frequent laryngoscopies, and the use of nonstandard therapies, which in our series included topical podophyllum resin or photodynamic therapy. Six patients, all of whom had tracheal RRP at some point in their disease process, required tracheotomy. Five patients required laryngotracheal reconstruction. Laryngotr...Continue Reading

Citations

Jul 23, 2008·Archives of Otolaryngology--head & Neck Surgery·Todd D OttesonJoseph E Dohar
Jun 3, 2010·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·Qingliang XueJianxin Wang
Mar 6, 2007·Asian Journal of Surgery·Teruya Komatsu, Yutaka Takahashi
Sep 25, 2001·The Laryngoscope·H H Dedo, K C Yu
Jan 13, 2009·Otolaryngologic Clinics of North America·Kaalan Johnson, Craig Derkay
Oct 14, 2005·The Laryngoscope·Iouri L SoldatskiNikolai V Schepin
Jan 13, 2006·International Journal of Pediatric Otorhinolaryngology·Mark BostonRobin T Cotton
Sep 2, 2005·The Annals of Otology, Rhinology, and Laryngology·Jong-Lyel Roh
Feb 11, 2015·The Annals of Otology, Rhinology, and Laryngology·Irene A Kim, Jennifer Long
Dec 18, 2019·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Claire M LawlorSukgi S Choi

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