International Journal of Medical and Health Research


International Journal of Medical and Health Research


International Journal of Medical and Health Research
International Journal of Medical and Health Research
Vol. 5, Issue 6 (2019)

Recurrent respiratory papillomatosis: Management challenges in a tertiary health institution


Daniel Aliyu, Stephen Yikawe

Background: Human papilloma virus types 6 and 11 have been implicated as the cause of Recurrent Respiratory Papillomatosis, which is the most common benign laryngeal neoplasm amongst children. Objective: To report therapeutic dilemma and its implication among children in developing country. Methodology: Clinical records of 28 patients who were prospectively recruited at the department of otorhinolaryngology of the Usmanu Danfodiyo University Teaching Hospital, Sokoto and followed up over a 12 years (2006-2017) were analyzed. They all had Endoscopic surgical extirpation of the lesion under general anaesthesia and histology of the specimen confirmed the diagnosis. Results: A total of 28 cases were analyzed, 20 (71.4%) males and 8 (28.6%) females with an M: F ratio of 2.5:1. Age range is between 2 – 15 years with mean age of 6.8years. The highest incidence was 53.6% in patients within the age group of 1-5 years. Hoarseness was the commonest presenting feature 28(100%) followed by upper airway obstruction in 20(71.4%) necessitating emergency tracheostomy. All the patients had rigid endoscopic surgical excision of the lesion with no adjuvant therapy. In 23(82.1%) of patients, Vocal cords were the commonest site of the lesion. Conclusion: There is a rise in the incidence of tracheostomy for recurrent respiratory papillomatosis in our region due to late presentation and this constitute a therapeutic dilemma. Surgery is still the mainstay of treatment to maintain adequate airway.
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