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Laser Ablation of Recurrent Laryngeal Papillomas in Children
Author(s) -
Andrews Scarlett E.
Publication year - 1995
Publication title -
aorn journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.222
H-Index - 43
eISSN - 1878-0369
pISSN - 0001-2092
DOI - 10.1016/s0001-2092(06)63743-5
Subject(s) - epiglottis , papilloma , medicine , airway , ablation , recurrent respiratory papillomatosis , etiology , papillomatosis , laryngeal neoplasm , laser surgery , surgery , larynx , dermatology , pathology , laser , physics , optics
Papillomas are the most common laryngeal tumors in childhood, and their etiology is thought to be viral. Papillomatosis (ie, widespread, multiple papillomas) may involve a child's airway from the epiglottis to the bronchi. Hoarseness is an early sign of juvenile laryngeal papillomas (JLP), and airway obstruction is a later, life‐threatening sign. The recurrence and spread of JLP is common. An otorhinolaryngologist may perform a tracheostomy on a child with JLP; however, this procedure is avoided if possible, because a tracheostomy predisposes the trachea to papilloma seeding. Laser ablation of papillomas through the use of rigid endoscopic equipment and a carbon dioxide laser is the mainstay of therapy. AORN J 61 (March 1995) 532–544.