Laryngeal sequelae of recurrent respiratory papillomatosis surgery in children
Rev. Assoc. Med. Bras. (1992)
;
58(2): 204-208, mar.-abr. 2012. ilus, tab
Article
Dans Anglais
| LILACS
| ID: lil-625058
ABSTRACT
OBJECTIVE:
To evaluate laryngeal sequelae from surgical treatment of recurrent respiratory papillomatosis in children, as well as associated risk factors.METHODS:
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).RESULTS:
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 sequelae group (p = 0.04).CONCLUSION:
Laryngeal sequelae are a frequent complication of recurrent respiratory papillomatosis surgical treatment in children, particularly anterior commissure synechiae and glottic stenosis. Advanced stages are associated with increased risk of laryngeal sequelae after surgery.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Complications postopératoires
/
Infections de l'appareil respiratoire
/
Laryngosténose
/
Infections à papillomavirus
/
Larynx
Type d'étude:
Etude d'étiologie
/
Étude observationnelle
/
Facteurs de risque
Limites du sujet:
Adolescent
/
Enfant
/
Enfant d'âge préscolaire
/
Femelle
/
Humains
/
Bébé
/
Nouveau-né
langue:
Anglais
Texte intégral:
Rev. Assoc. Med. Bras. (1992)
Année:
2012
Type:
Article
Pays d'affiliation:
Brésil
Institution/Pays d'affiliation:
UNIFESP/BR
/
Universidade Federal de São Paulo/BR
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