A Voice From the Clinic: New Techniques for the Treatment of Recurrent Respiratory Papilloma Maintaining functional voice quality has long been a challenge in the patient with recurrent respiratory papilloma. These benign lesions lead to a frustrating cycle of voice and airway degradation, surgery, tissue healing, and return of hoarseness. Surgical removal of papilloma is not a benign process. Although development of microsurgical ... Article
Article  |   December 01, 2000
A Voice From the Clinic: New Techniques for the Treatment of Recurrent Respiratory Papilloma
Author Affiliations & Notes
  • Robin A. Samlan
    The Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins School of Medicine Baltimore, MD
  • Paul W. Flint
    The Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins School of Medicine Baltimore, MD
  • Celia Bassich-Zeren
    Department of Communication Sciences and Disorders, Towson University Towson, MD
Article Information
Articles
Article   |   December 01, 2000
A Voice From the Clinic: New Techniques for the Treatment of Recurrent Respiratory Papilloma
SIG 3 Perspectives on Voice and Voice Disorders, December 2000, Vol. 10, 4-5. doi:10.1044/vvd10.2.4
SIG 3 Perspectives on Voice and Voice Disorders, December 2000, Vol. 10, 4-5. doi:10.1044/vvd10.2.4
Maintaining functional voice quality has long been a challenge in the patient with recurrent respiratory papilloma. These benign lesions lead to a frustrating cycle of voice and airway degradation, surgery, tissue healing, and return of hoarseness. Surgical removal of papilloma is not a benign process. Although development of microsurgical techniques and subsequent use of the CO2 and KTP lasers in phonosurgery have helped the head and neck surgeon minimize vocal fold damage during surgery, formation of anterior glottic webs and vocal fold scarring and stiffness still occur. Less traumatic surgical and medical methods are needed to treat papilloma. Recent promising treatments include indole-3-carbinol, cidofovir, pho-todynamic therapy, and powered surgical instruments.
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