Fearon B, MacRae D
J Otolaryngol. 1976 Dec;5(6):493-6.
Thirty-one cases of juvenile papillomatosis of the larynx treated in the Department of Otolaryngology at the Hospital for Sick Children are reviewed. The incidence, pathology, and etiology of laryngeal papillomata are described. Various types of treatment reported from the literature are discussed. Favorable results have been attained by careful frequent endoscopic removal of papilloma lesions using forceps, the cryoprobe, or the carbon dioxide laser. With the use of the operating microscope, the tumor population is reduced and this may allow the circulating antibodies to be more effective on the residual tissue. Tracheotomy is avoided unless near obstruction is present. Decannulization is not advisable until the danger of obstruction from regrowth of the tumor is passed.
回顾了在病童医院耳鼻喉科治疗的31例喉部青少年乳头状瘤病病例。描述了喉乳头状瘤的发病率、病理学和病因。讨论了文献中报道的各种治疗方法。通过使用镊子、冷冻探头或二氧化碳激光仔细频繁地在内窥镜下切除乳头状瘤病变，已取得了良好的效果。使用手术显微镜可减少肿瘤数量，这可能使循环抗体对残留组织更有效。除非存在近乎梗阻的情况，否则应避免气管切开术。在肿瘤复发导致梗阻的危险过去之前，不建议拔管。
