| Autor: |
G. Castellana, J. Silvestri, Anesthesia, Resuscitation, Intensive Care and Pain Management, Università Politecnica delle Marche, Ancona, Italy., E. Pisello, A, Buonamico, L. Brugiaferri, S. Sorrenti, A. Pennacchi, C. Piangatelli, D. Galante |
| Jazyk: |
angličtina |
| Rok vydání: |
2023 |
| Předmět: |
|
| Zdroj: |
Pediatric Anesthesia and Critical Care Journal (PACCJ), Vol 11, Iss 2, Pp 120-123 (2023) |
| Druh dokumentu: |
article |
| ISSN: |
2281-8421 |
| DOI: |
10.14587/paccj.2023.17 |
| Popis: |
Juvenile-Onset recurrent respiratory papillomatosis (JO- RRP) is the most frequent benign neoplasm in children with tendency to recur. Human Papilloma Virus (HPV) types 6 and 11 are involved in its etiology. Maternal transmission during the passage through the birth canal is the most frequent modality of infection. Clinical mani- festations of JO-RRP may include dysphonia, dysphagia, hoarseness, cough and, in the most severe cases, respira- tory distress. We report a case of a 3-year-old infant with a history of hoarseness and persistent dysphonia. Laryn- goscopy showed diffuse papillomatous warts involving the glottic space and the false vocal cords. An accurate preoperative anesthesiological evaluation was provided. Surgical intervention in microlaryngos- copy was performed under general anaesthesia. Removal of the papillomatous warty growths in micro- laryngoscopy was achieved, with significant improve- ment of the glottic space. No intraoperative or postoper- ative complications occurred, the patient resumed per os feeding on the same day and was discharged the second postoperative day. At the follow up visit at 1-month, im- portant improvement of the voice quality was evident; laryngoscopy showed the absence of pathology; a strict follow up was planned in order to detect any recurrences. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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