PMID: 22569615May 10, 2012Paper

Laryngeal sequelae of recurrent respiratory papillomatosis surgery in children

Revista da Associação Médica Brasileira
Juliana Sato HermannShirley S N Pignatari

Abstract

To evaluate laryngeal sequelae from surgical treatment of recurrent respiratory papillomatosis in children, as well as associated risk factors. Case-control study. Medical record data analysis of 50 children with recurrent respiratory papillomatosis, divided into two groups: with and without laryngeal sequelae. The group of patients with laryngeal sequelae was compared to those without sequelae in regard to the onset of disease, age at first surgery, number and frequency of surgeries, disease stage, and type of surgery (CO2 laser, cold forceps). 23 patients (46%) sustained laryngeal sequelae. The most frequent sequela was anterior commissure synechia (17 patients [34%]), followed by glottic stenosis (six patients [12%]). There was no statistically significant difference between groups with and without laryngeal sequelae regarding the disease onset (p = 0.93), age at first surgery (p = 0.68), number of surgeries (p = 0.22), annual frequency of surgery (p = 0.93), presence of papilloma in anterior (p = 0.430) or posterior commissure (p = 0.39), and type of surgery (p = 0.27). The Derkay anatomical score (a staging system that assesses the extent of the disease in the aerodigestive tract) was significantly higher in the laryngeal ...Continue Reading

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Citations

Oct 15, 2013·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Magdalena Chirilă, Sorana D Bolboacă
Feb 10, 2016·International Journal of Pediatric Otorhinolaryngology·Maayan GruberMurali Mahadevan
Oct 22, 2013·Brazilian Journal of Otorhinolaryngology·Melissa Ameloti Gomes AvelinoRaquel Oliveira Gomes

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