Laryngeal papillomatosis with airway obstruction in an infant

Acta Anaesthesiologica Scandinavica
P G Mikkelsen

Abstract

Laryngeal papillomatosis in infants and children is a benign condition, but the location and a marked tendency for recurrence makes the disease both dangerous and troublesome. This case report deals with a little girl who had suffered hoarseness and wheezing since she was born. The diagnosis of laryngeal papillomatosis was made when she was 17 months old. By that time, the tumour had reached a size that necessitated a tracheotomy to secure the airway. The symptoms and differential diagnoses are discussed, and it is stressed that chronic hoarseness and wheezing sounds in infants and children should make a doctor suspect laryngeal papillomatosis. Laser treatment and anaesthetic management of small children with a compromised airway are discussed. As tracheal intubations and tracheotomy increase the risk of the disease spreading to the trachea and bronchi, an example is given of treating laryngeal papillomatosis with potassium titanyl phosphate (KTP) laser, using a laryngeal mask as an airway to avoid tracheal intubation. Whether this procedure can reduce the need to perform a tracheotomy in some of these small patients remains to be seen.

References

Apr 1, 1990·Clinical Otolaryngology and Allied Sciences·H Lindeberg, O Elbrønd
Nov 1, 1987·The Annals of Otology, Rhinology, and Laryngology·D M CrockettC J Shive
Dec 1, 1995·Archives of Otolaryngology--head & Neck Surgery·C S Derkay
Mar 1, 1996·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·F L RimellR H Maisel
Jan 1, 1996·International Journal of Pediatric Otorhinolaryngology·J JakubíkováA Bátorová
May 1, 1997·American Journal of Obstetrics and Gynecology·M H PuranenS M Syrjänen
Jun 18, 1999·Reviews in Medical Virology·J DillnerJ Schiller
Dec 23, 1999·Pediatric Emergency Care·C B ReeberJ P Bent
Jan 19, 2000·Otolaryngologic Clinics of North America·G E GreenR J Smith
Jul 25, 2000·International Journal of Pediatric Otorhinolaryngology·J D SunT E Carey

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Citations

Oct 5, 2006·Current Opinion in Anaesthesiology·Ansgar M Brambrink, Roland R Meyer
Aug 27, 2009·European Journal of Anaesthesiology·Chul Ho ChangSang Beom Nam
Sep 20, 2015·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·C AuréganG Chéron
Apr 2, 2004·Pediatrics International : Official Journal of the Japan Pediatric Society·Bodo NiggemannAndreas Machotta
Apr 14, 2010·International Journal of Paediatric Dentistry·Suher Baker, Lia Parico

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