Surgical Management of Recurrent Respiratory Papillomatosis
Recurrent respiratory papillomatosis (RRP) presents with papillomatous growths in the larynx and airway that require repeated surgical intervention to maintain a safe, patent airway and control disease burden.
Treatment approach
The primary strategy is endoscopic surgical ablation of laryngeal and airway papillomas. CO2 laser vaporization is established as one of the standards of care, with the microdebrider as an increasingly used alternative offering comparable results. Technique selection, operative settings, and the full management algorithm — including how sessions are sequenced — are detailed in the complete protocol …
References
DOI: 10.5005/jp-journals-10023-1008
- It is still a matter of debate that which is the best tool to use but most authors and literature supports the CO2 lasers as one of the standards of care.
- The CO2 laser vaporizes the lesions with precision, causing minimal bleeding.
- When used with a no-touch technique, it minimizes damage to the vocal cords and limits scarring.
- However, multiple sessions are required to keep the disease under control.
- There is an increasing popularity to use the microdebrider for surgical removal of RRP.
- The technique is relatively fast, safe, well-tolerated and avoids potential problems associated with the carbon dioxide laser.
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