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Juvenile laryngeal papillomatosis: report of 8 cases from Mali

The recurrent respiratory papillomatosis is a benign lesion induced by virus. The condition is manifest clinically with progressive huski-ness of the voice. The larynx is the site most often affected. Lesions are frequently multi-ple and often recur even after radical treat-ment.

OBJECTIVE: To report our experience about 8 cases.

MATERIAL AND METHODS: Seven cases of juvenile laryngeal papillomato-sis encountered in our unit during the period from February 2013 to November 2014. They were seen in the age-range of 2 years - 7 years. The indirect laryngoscopy for some children and direct laryngoscopy have allowed to lo-calize the neoplasm. Pathological findings revealed a histological confirmation of the nature of the tumor. The removal of the tumor in all cases was made un-der laryngoscopy suspension. The indication of tracheotomy depended on the severity of dysp-noea and clinical evolution. Pathological find-ings revealed a histological confirmation of the nature of the tumor. The removal of the tumor in all cases was made under laryngoscopy sus-pension. The indication of tracheotomy depend-ed on the severity of dyspnoea and clinical evo-lution.

RESULTS: We found in mean age 6 years and the male predominance, 6 cases (75%). The common clinical features were dysphonia and dyspnoea. Drtbalu’s Otolaryngology online The affection was mainly concerned the larynx (100%), especially the glottic region in 75%. The patients were treated by using to excision with cupped forceps. The courses of ablation were an average of four for our patients. Tracheostomy was performed 5 times in 3 patients, 2 times in the same patient (38%).

CONCLUSION: Laryngeal papillomatosis is a condition not to be overlooked in children in our unit. This is an emergency because very often patients are seen at the stage of laryngeal stenosis which imposes a tracheotomy.

Author(s): Sacko HB, Sanogo H , Fane S , Bagayogo HD, Bouare M