Laryngeal sequelae of recurrent respiratory papillomatosis surgery in children

Detalhes bibliográficos
Autor(a) principal: Hermann,Juliana Sato
Data de Publicação: 2012
Outros Autores: Pontes,Paulo, Weckx,Luc Louis Maurice, Fujita,Reginaldo, Avelino,Melissa, Pignatari,Shirley Shizue Nagata
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista da Associação Médica Brasileira (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302012000200016
Resumo: 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.
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spelling Laryngeal sequelae of recurrent respiratory papillomatosis surgery in childrenPapillomapostoperative complicationsdysphonialasertherapypapillomavirus infectionsOBJECTIVE: 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.Associação Médica Brasileira2012-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302012000200016Revista da Associação Médica Brasileira v.58 n.2 2012reponame:Revista da Associação Médica Brasileira (Online)instname:Associação Médica Brasileira (AMB)instacron:AMB10.1590/S0104-42302012000200016info:eu-repo/semantics/openAccessHermann,Juliana SatoPontes,PauloWeckx,Luc Louis MauriceFujita,ReginaldoAvelino,MelissaPignatari,Shirley Shizue Nagataeng2012-05-04T00:00:00Zoai:scielo:S0104-42302012000200016Revistahttps://ramb.amb.org.br/ultimas-edicoes/#https://old.scielo.br/oai/scielo-oai.php||ramb@amb.org.br1806-92820104-4230opendoar:2012-05-04T00:00Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB)false
dc.title.none.fl_str_mv Laryngeal sequelae of recurrent respiratory papillomatosis surgery in children
title Laryngeal sequelae of recurrent respiratory papillomatosis surgery in children
spellingShingle Laryngeal sequelae of recurrent respiratory papillomatosis surgery in children
Hermann,Juliana Sato
Papilloma
postoperative complications
dysphonia
laser
therapy
papillomavirus infections
title_short Laryngeal sequelae of recurrent respiratory papillomatosis surgery in children
title_full Laryngeal sequelae of recurrent respiratory papillomatosis surgery in children
title_fullStr Laryngeal sequelae of recurrent respiratory papillomatosis surgery in children
title_full_unstemmed Laryngeal sequelae of recurrent respiratory papillomatosis surgery in children
title_sort Laryngeal sequelae of recurrent respiratory papillomatosis surgery in children
author Hermann,Juliana Sato
author_facet Hermann,Juliana Sato
Pontes,Paulo
Weckx,Luc Louis Maurice
Fujita,Reginaldo
Avelino,Melissa
Pignatari,Shirley Shizue Nagata
author_role author
author2 Pontes,Paulo
Weckx,Luc Louis Maurice
Fujita,Reginaldo
Avelino,Melissa
Pignatari,Shirley Shizue Nagata
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Hermann,Juliana Sato
Pontes,Paulo
Weckx,Luc Louis Maurice
Fujita,Reginaldo
Avelino,Melissa
Pignatari,Shirley Shizue Nagata
dc.subject.por.fl_str_mv Papilloma
postoperative complications
dysphonia
laser
therapy
papillomavirus infections
topic Papilloma
postoperative complications
dysphonia
laser
therapy
papillomavirus infections
description 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.
publishDate 2012
dc.date.none.fl_str_mv 2012-04-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0104-42302012000200016
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dc.publisher.none.fl_str_mv Associação Médica Brasileira
publisher.none.fl_str_mv Associação Médica Brasileira
dc.source.none.fl_str_mv Revista da Associação Médica Brasileira v.58 n.2 2012
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reponame_str Revista da Associação Médica Brasileira (Online)
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repository.name.fl_str_mv Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB)
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