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[Clinical study on the treatment of juvenile recurrent laryngeal papilloma]
Fei Zhou1, Youzhong Li, Guilin Song
1Department of Otorhinolaryngology, Changsha Third Hospital, Changsha, 410011, China.
Objective:
To study and evaluate the feasibility and effect of the treatment for juvenile recurrent laryngeal papilloma by nasal endoscopy electric suction cutting and laser surgery.
Method:
The clinical data of 26 cases with juvenile recurrent laryngeal papilloma from 2002-2007 years were retrospectively analyzed. Six cases were treated by electric suction cutting under nasal endoscopy, 20 cases were treated by electric suction cutting under nasal endoscopy and synergizing laser, and postoperative wound with sodium hyaluronate gel treatment.
Result:
The juvenile recurrent laryngeal papilloma were only operated by electric suction cutting with nasal endoscopy, laryngeal papilloma relapsed with fibrolaryngoscope examination at 4 weeks after operation, and were operated again during 2 to 3 months. The juvenile recurrent laryngeal papilloma were treated by electric suction cutting synergies laser treatment with the help of nasal endoscopy, and they were also treated repeatedly with laser at 2 or 3 weeks after operation. Sixteen cases cured perfectly with no reappearance after an 3 to 8 years follow up, and the other 4 cases showed the prolongation of recurrence interval.
Conclusion:
Electric suction synergy laser treatment could effectively reduce the recurrence of the laryngeal papilloma, and it also needs laser treatment several times after operation to improve the treatment effect. The sodium hyaluronate gel is adopted on the wound of vocal cords, it can avoid the vocal cords scar and adhesion, and improve the quality of pronunciation. Some patients can be cured by this treatment method, and it should be advocated in the clinical work.