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KMID : 0602820070130020045
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Korean Journal of Bronchoesophagology
2007 Volume.13 No. 2 p.45 ~ p.49
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CO₂Laser Treatment of Adult-onset Laryngeal Papillomatosis
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Oh Jang-Keun
Yoon Jun-Sik
Lee Sang-Joon
Chung Phil-Sang
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Abstract
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Background and Objective: Laryngeal Papillomatosis (LP) is the most common benign neoplasm of the larynx, but it tend to recur and it makes eradicating difficult. Meticulous CO₂laser excision has been the most effective treatment to date. This article analyzes the clinical feature and therapeutic results of 42 LP patients who were undergone CO₂laser excision.
Methods: Forty two patients with recurrent LP were treated with CO₂laser. And their medical records were reviewed retrospectively. Demographics, chief complaints at onset, initial distribution of papillomas, number of operations performed on each patient, and current results were evaluated.
Results: Male in their twenties and forties are dominant in number in patient number. Most common site was anterior one thirds (69%) of glottis area (86%). LP recurred in 17 cases (40%), and in 4 cases, the lesion extended over the original margin. Patients were undergone surgery 1.62?0.87times, 2.53?0.72 in recurred cases. Mean relapsing time was 6 momths (from 1momth to 8years). Ant. laryngeal web occurred in 2 cases (4.8%) and 1 case was combined with squamous cell carcinoma.
Conclusion: Meticulously performed CO₂laser excision can achieve significant voice and airway improvement and clinical cures. The CO₂laser through microdirect laryngoscopy allows more precise and bloodless removal of papillomas.
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KEYWORD
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Laryngealpapillomatosis, CO₂laser
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