Clinical Analysis of Microdebrider Removal of Recurrent Respiratory Papilloma: A Report of 33 Cases  

作　　者：Wenbin Lei Zhenzhong Su Weiping Wen Liping Chai Aiyun Jiang Jian Li 

机构地区：[1]ENT Department of No. 1 Hospital,Zhongshan University, Guangzhou 510080. China.

出　　处：《Chinese Journal of Clinical Oncology》2006年第3期185-190,共6页中国肿瘤临床（英文版）

基　　金：This work was supported by the grantform Guangdong Natural ScienceFoundation for Doctor's Scientific Prim-ing Program (No. 5300781).

摘　　要：OBJECTIVE To investigate the advantages of applying microdebrider re- moval of juvenile-onset recurrent respiratory papillary epithelioma (JO- RRP), using an endoscopy-assisted prop-up laryngoscope. METHODS The degree of severity of the neoplasms was divided into 3 scores (i.e. 1 point for a slight degree, 2 points for a moderate and 3 points for a severe degree). The involvement of 22 respiratory and diges- tive sub-areas was evaluated and the total accumulative scoring and the scores for the lesions in the vocal area were calculated and sub - grouped. All the papillary epitheliomas were excised using a laryngeal micro-debrider or the micro laryngeal forceps under endoscopy-assist- ed suspension laryngoscopy. The differences between applications of the two modes of treatment for the cases of the groups with same scoring were compared as follows: the operation time, interval of operation, recent vocal quality after operation, postoperative scarring and incision of the trachea, as well as the distribution of tumors in a re-operation. RESULTS The 142 operative procedures were performed in 33 pediatric patients, with application of a laryngeal microdebrider in 14 cases and ex- cision in 19. Compared to the excision group (EG), the laryngeal mi- crodebrider group (MDG) displayed many superior features, such as a short operation time, long interval between operations, obvious improve- ment in vocal quality soon after operation, and a low frequency of subse- quent tumors. There was a significant difference between these modes of the operation. A postoperative incision of the trachea was required in 2 cases of EG, whereas no post-operation was needed in the MDG. CONCLUSION There are many advantages in using laryngeal micro-de- brider removal of JO -RRP. The procedure is simple and convenient, having a distinct operating field, precise incision, minor wounds, fewer complications and better vocal quality soon after operation, as well as quicker rehabilitation and longer intervals between operations, etc.OBJECTIVE To investigate the advantages of applying microdebrider removal of juvenile-onset recurrent respiratory papillary epithelioma （JORRP）, using an endoscopy-assisted prop-up laryngoscope. METHODS The degree of severity of the neoplasms was divided into 3 scores （i.e. 1 point for a slight degree, 2 points for a moderate and 3 points for a severe degree）. The involvement of 22 respiratory and digestive sub-areas was evaluated and the total accumulative scoring and the scores for the lesions in the vocal area were calculated and subgrouped. All the papillary epitheliomas were excised using a laryngeal micro-debrider or the micro laryngeal forceps under endoscopy-assisted suspension laryngoscopy. The differences between applications of the two modes of treatment for the cases of the groups with same scoring were compared as follows： the operation time, interval of operation, recent vocal quality after operation, postoperative scarring and incision of the trachea, as well as the distribution of tumors in a re-operation. RESULTS The 142 operative procedures were performed in 33 pediatric patients, with application of a laryngeal microdebrider in 14 cases and excision in 19. Compared to the excision group （EG）, the laryngeal microdebrider group （MDG） displayed many superior features, such as a short operation time, long interval between operations, obvious improvement in vocal quality soon after operation, and a low frequency of subsequent tumors. There was a significant difference between these modes of the operation. A postoperative incision of the trachea was required in 2 cases of EG, whereas no post-operation was needed in the MDG. CONCLUSION There are many advantages in using laryngeal micro-debrider removal of JO-RRP. The procedure is simple and convenient, having a distinct operating field, precise incision, minor wounds, fewer complications and better vocal quality soon after operation, as well as quicker rehabilitation and longer intervals between operations, etc.

关 键 词：recurrent respiratory papillary epithelioma endoscope laryngeal microdebrider treatment. 

分 类 号：R739.65[医药卫生—肿瘤]