Cancura W
Laryngol Rhinol Otol (Stuttg). 1977 Feb;56(2):133-7.
The paper cover 17 juveniles suffering from papillomas of the larynx. They were treated mainly surgically and with ultrasound. In most cases repeated interventions were necessary over an extended period of time. Because of the -- frequently considerable -- extension of the papillomas, a double spoon was used to remove larger tissue parts before the ultrasound treatment. In six children a tracheotomy was inevitable, in four of those children it was necessary to preserve it over several years. In the course of the treatment a lengthening of the intervals was generally noted. Related to an observation period of up to 10 years, out of 16 patients 13 were in the end permanently without any relapse, the remaining can be expected to be cured definitely because of the significant improvement of the local evidence. No malignant improvement of the local evidence. No malignant degeneration has been observed so far. All the methods of treatment used to date, including ultrasound and cryoscopic probes, are not entirely satisfactory, at least they do not constitute any causal therapy.
该论文涵盖了17名患有喉乳头状瘤的青少年。他们主要接受了手术和超声治疗。在大多数情况下，需要在较长时间内进行反复干预。由于乳头状瘤——通常相当大——的扩展，在超声治疗前使用双匙去除较大的组织部分。在6名儿童中，气管切开术是不可避免的，其中4名儿童需要保留数年。在治疗过程中，通常注意到间隔时间延长。在长达10年的观察期内，16名患者中有13名最终永久无任何复发，其余患者由于局部症状的显著改善有望最终治愈。局部症状无恶性进展。迄今为止未观察到恶性退变。迄今为止使用的所有治疗方法，包括超声和冷冻探头，都不完全令人满意，至少它们不构成任何病因治疗。
