Mount Sinai's Dept. of Otolaryngology Recurrent Respiratory Papillomas Grand Rounds 9-15
Source: ORL. Warty growths in the upper airway and may cause significant airway obstruction or voice change. The mode of infection in adults is still not known, but sexual transmission is likely.
Materials and Methods. A 3 year-old boy presented in Gomoiu Clinic, Department of Pediatrics, for high fever ENT juvenile onset recurrent respiratory papillomatosis examination reveals the existence of a tumor in the upper pole of the left palatine tonsil.
The tratement was surgical, total removal of the tumors. During anesthesia difficult intubation because of the impossibility of viewing hole glottisthe surprise was the discovery of tumor extension to the entire supraglottic floor.
After complete ablation of tumors under direct laryngoscopy, was found evidence of small, cauliflower-like tumors in the first tracheal rings.
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Histological examination of the resection specimen confirms the diagnosis of papillomatosis. The discussion is that is known that the glottis is often affected, and in this case is not; this is why the patient showed no symptoms as dysphonia and dyspnoea.
The tratement was complete resection of the tumors without tracheotomy. The anesthesiologist and surgeons skills and experience were essential to complete the surgery without complications during and after.
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