Human Papillomavirus Exposure Risk and Vaccination Awareness Among Laryngeal Surgeons: A Worldwide Survey Study

To explore both the awareness of the risk of human papillomavirus (HPV) transmission during recurrent respiratory papillomatosis (RRP) surgeries and the knowledge of HPV vaccination as a preventive measure among laryngeal surgeons.

A 22-question cross-sectional survey distributed electronically to members of the European Laryngology Society (ELS) and the Union of the European Phoniatricians (UEP) between May 2024 and July 2024.

A total of 158 responses were included, representing an estimated response rate of 21.2% (158/745). (This response rate represents an estimate, given the difficulty in determining the true number of surgeons actively managing RRP, potential overlapping memberships, and the inclusion of allied health professionals within the two societies). The majority of respondents (120; 75.9%) were based in Europe. Notably, over half (84; 53.2%) expressed concern regarding the risk of HPV transmission during RRP procedures. Despite the concern, the adoption of safety protocols, including personal protective equipment and smoke evacuation devices, appeared inconsistent among laryngeal surgeons. Additionally, the majority (104, 65.8%) were not vaccinated against HPV, although 76.0% (79) of those unvaccinated would consider vaccination in the future. The primary reasons cited for not intending to receive the HPV vaccine included time constraints, lack of awareness or perceived efficacy, concerns about vaccine safety, and personal cost. In particular, only a minority (9, 5.7%) indicated that their employer offered financial assistance.

This survey highlights significant heterogeneity in risk perception, awareness, and preventive practices regarding occupational HPV exposure among laryngeal surgeons. These findings underscore the need for clearer guidelines, wider educational initiatives to improve adherence to safety protocols, and further research on HPV exposure risks in otorhinolaryngology, with the goal of safeguarding healthcare workers from occupational risks associated with RRP surgery.