Laryngeal sequelae of recurrent respiratory papillomatosis surgery in children
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://repositorio.unifesp.br/handle/11600/7053 http://dx.doi.org/10.1590/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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Hermann, Juliana Sato [UNIFESP]Pontes, Paulo [UNIFESP]Weckx, Luc Louis Maurice [UNIFESP]Fujita, Reginaldo Raimundo [UNIFESP]Avelino, Melissa Ameloti Gomes [UNIFESP]Pignatari, Shirley Shizue Nagata [UNIFESP]Universidade Federal de São Paulo (UNIFESP)2015-06-14T13:43:41Z2015-06-14T13:43:41Z2012-04-01HERMANN, Juliana Sato et al . Laryngeal sequelae of recurrent respiratory papillomatosis surgery in children. Rev. Assoc. Med. Bras., São Paulo , v. 58, n. 2, p. 204-208, abr. 20120104-4230http://repositorio.unifesp.br/handle/11600/7053http://dx.doi.org/10.1590/S0104-42302012000200016S0104-42302012000200016.pdfS0104-4230201200020001610.1590/S0104-42302012000200016WOS:000302926900018OBJECTIVE: 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.Universidade Federal de São Paulo (UNIFESP) Department of Otorhinolaryngology and Head and Neck SurgeryUniversidade Federal de São Paulo (UNIFESP) Department of Otorhinolaryngology and Head and Neck Surgery Internal Clinic of the Pediatric Otorhinolaryngology DisciplineUNIFESPUNIFESP Pediatric Otorhinolaryngology DisciplineUNIFESP, Department of Otorhinolaryngology and Head and Neck SurgeryUNIFESP, Department of Otorhinolaryngology and Head and Neck Surgery Internal Clinic of the Pediatric Otorhinolaryngology DisciplineUNIFESP, Pediatric Otorhinolaryngology DisciplineSciELO204-208engAssociação Médica BrasileiraRevista da Associação Médica BrasileiraPapillomapostoperative complicationsdysphonialasertherapypapillomavirus infectionsLaryngeal sequelae of recurrent respiratory papillomatosis surgery in childreninfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESPORIGINALS0104-42302012000200016.pdfapplication/pdf225716${dspace.ui.url}/bitstream/11600/7053/1/S0104-42302012000200016.pdf8ffa46e81554aee3849c6626e0adfacdMD51open accessTEXTS0104-42302012000200016.pdf.txtS0104-42302012000200016.pdf.txtExtracted texttext/plain24689${dspace.ui.url}/bitstream/11600/7053/21/S0104-42302012000200016.pdf.txt80bf33646746c5d1fb0b5f8ef40dd8dcMD521open accessTHUMBNAILS0104-42302012000200016.pdf.jpgS0104-42302012000200016.pdf.jpgIM Thumbnailimage/jpeg5452${dspace.ui.url}/bitstream/11600/7053/23/S0104-42302012000200016.pdf.jpg754c7a41d72bd0c2aaca3279b8d7d639MD523open access11600/70532023-06-05 19:33:25.537open accessoai:repositorio.unifesp.br:11600/7053Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652023-06-05T22:33:25Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.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 [UNIFESP] 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 [UNIFESP] |
author_facet |
Hermann, Juliana Sato [UNIFESP] Pontes, Paulo [UNIFESP] Weckx, Luc Louis Maurice [UNIFESP] Fujita, Reginaldo Raimundo [UNIFESP] Avelino, Melissa Ameloti Gomes [UNIFESP] Pignatari, Shirley Shizue Nagata [UNIFESP] |
author_role |
author |
author2 |
Pontes, Paulo [UNIFESP] Weckx, Luc Louis Maurice [UNIFESP] Fujita, Reginaldo Raimundo [UNIFESP] Avelino, Melissa Ameloti Gomes [UNIFESP] Pignatari, Shirley Shizue Nagata [UNIFESP] |
author2_role |
author author author author author |
dc.contributor.institution.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) |
dc.contributor.author.fl_str_mv |
Hermann, Juliana Sato [UNIFESP] Pontes, Paulo [UNIFESP] Weckx, Luc Louis Maurice [UNIFESP] Fujita, Reginaldo Raimundo [UNIFESP] Avelino, Melissa Ameloti Gomes [UNIFESP] Pignatari, Shirley Shizue Nagata [UNIFESP] |
dc.subject.eng.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.issued.fl_str_mv |
2012-04-01 |
dc.date.accessioned.fl_str_mv |
2015-06-14T13:43:41Z |
dc.date.available.fl_str_mv |
2015-06-14T13:43:41Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
HERMANN, Juliana Sato et al . Laryngeal sequelae of recurrent respiratory papillomatosis surgery in children. Rev. Assoc. Med. Bras., São Paulo , v. 58, n. 2, p. 204-208, abr. 2012 |
dc.identifier.uri.fl_str_mv |
http://repositorio.unifesp.br/handle/11600/7053 http://dx.doi.org/10.1590/S0104-42302012000200016 |
dc.identifier.issn.none.fl_str_mv |
0104-4230 |
dc.identifier.file.none.fl_str_mv |
S0104-42302012000200016.pdf |
dc.identifier.scielo.none.fl_str_mv |
S0104-42302012000200016 |
dc.identifier.doi.none.fl_str_mv |
10.1590/S0104-42302012000200016 |
dc.identifier.wos.none.fl_str_mv |
WOS:000302926900018 |
identifier_str_mv |
HERMANN, Juliana Sato et al . Laryngeal sequelae of recurrent respiratory papillomatosis surgery in children. Rev. Assoc. Med. Bras., São Paulo , v. 58, n. 2, p. 204-208, abr. 2012 0104-4230 S0104-42302012000200016.pdf S0104-42302012000200016 10.1590/S0104-42302012000200016 WOS:000302926900018 |
url |
http://repositorio.unifesp.br/handle/11600/7053 http://dx.doi.org/10.1590/S0104-42302012000200016 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartof.none.fl_str_mv |
Revista da Associação Médica Brasileira |
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info:eu-repo/semantics/openAccess |
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openAccess |
dc.format.none.fl_str_mv |
204-208 |
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Associação Médica Brasileira |
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Associação Médica Brasileira |
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UNIFESP |
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Repositório Institucional da UNIFESP |
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