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Adult recurrent multiple laryngeal papilloma: laser management and socioeconomic effects
Abstract:
Results of laser treatment of 15 adults with multiple recurrent laryngeal papilloma are reviewed. The pathology in all cases was benign and typical of juvenile recurrent papilloma. The laser is a precise tool in their therapy but is not curative. In 8 patients where complete remission has been achieved, the mean number of laser treatments was 5.3. The social and economic effects of papilloma and their treatment are discussed, from the standpoint of multiple hospitalization, threatened loss of employment, lack of promotion caused by poor voice, and handicap at home.
Insights
Laser treatment precisely targets recurrent laryngeal papilloma but isn't curative. Complete remission was achieved in 8 patients after an average of 5.3 laser treatments, highlighting significant social and economic impacts.
Area of Science:
- Otolaryngology
- Laser Surgery
- Pathology
Background:
- Recurrent laryngeal papilloma (RLP) presents a significant therapeutic challenge.
- Juvenile-onset RLP, though benign, can cause severe morbidity.
- Previous treatments have limitations in efficacy and recurrence rates.
Purpose of the Study:
- To review the efficacy of laser treatment for multiple recurrent laryngeal papilloma in adults.
- To assess the outcomes and recurrence patterns following laser therapy.
- To discuss the broader social and economic implications of RLP and its management.
Main Methods:
- Retrospective review of 15 adult patients with RLP treated with laser.
- Analysis of treatment frequency, remission rates, and recurrence.
- Evaluation of patient-reported social and economic impacts.
Main Results:
- Laser therapy demonstrated precision in treating RLP.
- Complete remission was achieved in 8 patients (53.3%).
- The mean number of laser treatments for remission was 5.3, indicating a need for multiple sessions.
Conclusions:
- Laser treatment is a valuable tool for managing recurrent laryngeal papilloma but is not a definitive cure.
- The chronic nature of RLP necessitates repeated interventions, impacting patients' quality of life.
- The social and economic burdens associated with RLP and its treatment are substantial and warrant consideration.