Laryngeal Papillomatosis

Author(s):  
Elizabeth Prentice

The incidence of recurrent juvenile laryngeal papilloma caused by human papilloma virus has been rising (Dalmeida et al., 1996). A child with this potentially life-threatening condition requires surgical resection to avoid respiratory obstruction; this surgery may need to be repeated regularly for many years. Laser therapy to the airway provides specific challenges to the anesthesiologist. In particular, the risks of a shared compromised airway as well as the hazards of the laser itself must be appreciated by all medical personnel. The key to success is thorough preoperative assessment, good continuous communication with surgical and nursing staff, preparation for the management of critical incidents, and familiarity with the surgical and anesthetic equipment.

2006 ◽  
Vol preprint (2007) ◽  
pp. 1
Author(s):  
Bahig Shehata ◽  
Kristen Otto ◽  
Steven Sobol ◽  
Christina Stockwell ◽  
Cora Foulks ◽  
...  

1980 ◽  
Vol 89 (5) ◽  
pp. 467-471 ◽  
Author(s):  
Cedric A. Quick ◽  
R. A. Krzyzek ◽  
Susan L. Watts ◽  
A. J. Faras

In a survey of 49 papilloma patients accurate maternal condyloma history was obtained in 31 instances and of these, 21 were positive for the presence of condyloma during pregnancy or parturition. Molecular virological studies indicate that positive hybridization could be demonstrated to human papilloma virus 2 in both laryngeal papilloma and condyloma by the Southern blot technique. Immunoperoxidase staining illustrated the presence of virus-related particles only near the surface of the mucous membrane papilloma, which is in contrast to the definite staining of the stratum granulosum and stratum corneum of verrucae. Collectively this provides convincing evidence for an etiological relationship between condyloma acuminata and some laryngeal papillomata. The highly contagious nature of human papilloma virus infection is discussed and the possibility of cesarian section in the presence of active condyloma must be considered.


1991 ◽  
Vol 84 (8) ◽  
pp. 1097-1103
Author(s):  
Rinya Sugita ◽  
Tohru Ogiwara ◽  
Katsuhiko Fukamoto ◽  
Kouki Nakaigawa ◽  
Kazuhisa Ishi

2020 ◽  
Vol 100 (1) ◽  
pp. 19-25
Author(s):  
Sarina K. Mueller ◽  
Maximilian Traxdorf ◽  
Konstantinos Mantsopoulos ◽  
Antoniu-Oreste Gostian ◽  
Matti Sievert ◽  
...  

Introduction: During the COVID-19 pandemic, worldwide over 600,000 human beings died due to the cause of the disease. In order to deescalate the transmission rate and to avoid crush loading the countries medical health systems social distancing, face masks, and lockdowns have been considered essential by the majority of governments. Whereas some countries have highly reduced or completely stopped otorhinolaryngological procedures, other countries have continued selected surgeries. The objective of this study was to analyze procedures and outcomes of continuing semielective and emergency surgeries during the COVID-19 pandemic. Methods: Retrospective analysis of n = 750 patients who received semi-elective or emergency surgery between March 26 and June 16, 2020, in the Otolaryngology Department of the Friedrich-Alexander-University of Erlangen-Nürnberg. All patients were screened for COVID symptoms and swabbed for SARS-CoV-2 prior to surgery. Results: Of the n = 750 patients, n = 699 patients received semielective surgery and n = 51 emergency surgery. For 27 patients, the swab result could not be awaited due to a life-threatening condition. In these cases, surgery was performed in full protective equipment. No patient was tested positive during or after the surgery (follow-up 45 to 127 days). No member of the medical personnel showed symptoms or was tested positive after contact with patients. Due to the continuation of surgeries, patients’ lives were saved and improvement of long-term quality-of-life and outcomes is anticipated. Conclusions: Continuing selected otorhinolaryngological surgeries is crucial for patients’ health, survival, and long-time quality of life, yet, the protection of the medical personnel has to be granted.


1982 ◽  
Vol 44 (1) ◽  
pp. 393-400 ◽  
Author(s):  
L Gissmann ◽  
V Diehl ◽  
H J Schultz-Coulon ◽  
H zur Hausen

2020 ◽  
Author(s):  
Ahmed Elghoudi ◽  
Klithem Al Dhaheri ◽  
Hassib Narchi

Abstract Background: Anaphylaxis is a life-threatening condition. As accidental exposure to the offending allergens usually happens in the community, in absence of medical personnel, adrenaline auto-injector (AAI), carried by parents, remains the first and only drug of choice. As studies have shown that AAI is commonly underused by parents, this study was undertaken to elucidate the causes of its underutilization in our community.Methods: A cohort of parents attending the paediatric allergy clinic at Al Ain hospital, in the United Arab Emirates (UAE), completed a questionnaire survey aimed to assess their understanding and knowledge of their child’s allergy management, including their aptitude with the use the AAI, as well as their competence and comfort to provide this treatment in an emergency. Results: A total of 47 parents, 83% of whom were Emirati, including 66% of mothers, participated in the study. Food allergy was the main indication for AAI prescription, with tree nuts 62%) and peanuts (38%) being the main culprits. The majority (94%) of parents were trained by a doctor on using the AAI, with most (79%) demonstrating a good knowledge of indications for administering the AAI. Although all parents expressed satisfaction with the training that they had received, they still admitted to a remaining lack of confidence with using an AAI. Conclusions: The continuous education and training of parents on how to use an AAI, still requires supplementary psychological support to overcome their fear and anxiety with using the device in an urgent situation. More research is needed to explore the reasons behind their fear and anxiety to plan effective interventions.


1994 ◽  
Vol 108 (2) ◽  
pp. 164-165 ◽  
Author(s):  
Maria-Benedicte Franzmann ◽  
Christian Buchwald ◽  
Per Larsen ◽  
Viggo Balle

AbstractA case of adult onset laryngeal papillomas with tracheal and bronchial involvement present at onset is presented. The presence of human papilloma virus (HPV) DNA type 6/11 is demonstrated by in situ hybridization.


KYAMC Journal ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. 36-39
Author(s):  
Kamrul Rasel Khan ◽  
Md Rashid Ali ◽  
Shamim Adom ◽  
Debashish Paul ◽  
Chaity Chakravarty

Vomiting and aspiration usually occurs in those patients who are to be operated under general anesthesia in full stomach. It may occur in empty stomach also. It is an extreme emergency and needs urgent management. When it occurs, it worries an anesthetist as well as surgeon also. Immediate management should be started. As early as possible the patient should be turned in to lateral side with trendelenburg position. The pharynx and esophagus should be sucked as quickly as possible. All the resuscitator equipments should be ready at hand. Preoperative assessment and clinical examination is very important. Particularly history must be taken whether the patient had taken any food or not for the last six hours. Treatment should be adequate and prompt to avoid any disaster. If necessary the patient should be shifted to ICU for quick recovery. Here we present a case of 22 years old young man who developed vomiting and aspiration during tonsillectomy operation in North Bengal Medical College on 30th may, 2015.KYAMC Journal Vol. 8, No.-2, Jan 2018, Page 36-39


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