Laryngeal Papillomatosis recurrence after surgical treatment
DOI:
https://doi.org/10.34631/sporl.573Keywords:
Papilloma, Laryngeal Diseases, Neoplasms, Papillomaviridae, Surgery, Chemotherapy, AdjuvantAbstract
Aims: To analyze a case series of laryngeal papillomatosis (LP) at Hospital Garcia de Orta. To review the surgical and adjuvant treatment currently in use.
Methods: Retrospective study of LP cases diagnosed between 2009 and 2014. Epidemiological, clinical and therapeutic parameters analysis.
Results: There were 17 cases of LP, predominantly male (88,2%) with a mean age of 60,6±9,2 years. Addictions of 82% on tobacco and 47% on ethanol were found. Most frequent preoperative symptom was dysphonia in 88% of cases. Recurrence rate was 43,8%, with first recurrence mean time of 13 months, being the laryngeal microsurgery with cold removal the initial approach of choice (75%). In 3 cases there was evolution to squamous-cell carcinoma.
Conclusions: LP has a recurrent behaviour. Surgical treatment remains the gold standard in management of this disease, with a new trend toward microdebridor. It is crucial to increase time between relapses considering the adjuvant therapeutic currently available.
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