Tracheotomy as a predictor of remission and demise for juvenile-onset recurrent respiratory papillomatosis

Autor:	Zijie Niu, Yang Xiao, Lijing Ma, Xiaoli Qu, Yuge Wang, Sihan Zhou, Jun Wang
Rok vydání:	2021
Předmět:	Male Papillomavirus Infections Infant General Medicine Prognosis Otorhinolaryngology Predictive Value of Tests Child Preschool Humans Female Tracheotomy Respiratory Tract Infections Follow-Up Studies Retrospective Studies
Zdroj:	Acta Oto-Laryngologica. 142:84-88
ISSN:	1651-2251 0001-6489
DOI:	10.1080/00016489.2021.2014070
Popis:	The pros and cons of tracheotomy, as a classic treatment of juvenile-onset recurrent respiratory papillomatosis (JORRP), have gradually been recognized, but the exact impact of tracheotomy on remission and demise is not clear.To investigate the predicting influence of tracheotomy on prognosis for JORRP.Three hundred forty two patients with JORRP treated in Beijing Tongren Hospital were retrospectively reviewed. The clinical characteristics and prognosis parameters were compared in the group of tracheotomy and non-tracheotomy.The rate of tracheotomy was 24.6% (84/342). Among these patients, 68 (81.0%) developed the tracheal papillomatosis. The onset age of RRP occurred earlier in tracheostomized group, and patients performed tracheotomy needed a greater number of surgeries and developed distal spread more easily (The age at diagnosis, the surgical frequency and the medical level of hospital are important factors affecting the occurrence of tracheotomy. Patients who had undergone tracheotomy are prone to possess the low remission rate and high mortality.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::033682d581ad7f7a6b52279b813374db https://doi.org/10.1080/00016489.2021.2014070 Zobrazit plný text záznamu