Role of CO2 Laser & Microdebrider in the treatment of Juvenile onset recurrent respiratory papillomatosis
Objective: To compare the efficacy of two main treatment modalities of microdebrider and carbon dioxide laser excision for juvenile onset recurrent respiratory papillomatosis. Method: The retrospective study was conducted in May 2021 at the Combined Military Hospital, Kharian, Pakistan, and compr...
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| Format: | Article |
| Language: | English |
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Pakistan Medical Association
2023-06-01
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| Series: | Journal of the Pakistan Medical Association |
| Online Access: | https://ojs.jpma.org.pk/index.php/public_html/article/view/3959 |
| _version_ | 1797795246881374208 |
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| author | Muhammad Rashid Humaira Saleem Muhammad Noman Karim Atif Najam Ameer Abdullah Jawad Haneef |
| author_facet | Muhammad Rashid Humaira Saleem Muhammad Noman Karim Atif Najam Ameer Abdullah Jawad Haneef |
| author_sort | Muhammad Rashid |
| collection | DOAJ |
| description |
Objective: To compare the efficacy of two main treatment modalities of microdebrider and carbon dioxide laser excision for juvenile onset recurrent respiratory papillomatosis.
Method: The retrospective study was conducted in May 2021 at the Combined Military Hospital, Kharian, Pakistan, and comprised data from July 1, 2007, to January 31, 2020, of patients of either gender aged 2-12 years who were treated for juvenile onset recurrent respiratory papillomatosis either with microdebrider excision in group A or carbon dioxide laser excision in group B. Extent and severity of disease was documented as per the Derkay-Coltrera grading system. Data was analysed using SPSS 20.
Results: Of the 39 patients, 23(59%) were girls and 16(41%) were boys. The overall mean age at the time of procedure was 6.62±2.06 years. Group A had 22(56.4%) subjects; 15(68.2%) girls and 7(31.8%) boys, while group B had 17(43.6%) cases; 8(47%) girls and 9(53%) boys. The mean operative time for group A was 40.91±11.50 minutes and for group B it was 60.59±19.51 minutes. Postoperative breathing and oedema status was better for group A (p<0.05), while there was no significant difference regarding postoperative pain, residual disease and repeat surgeries (p>0.05).
Conclusion: Microdebrider was found to be superior to carbon dioxide laser excision in the treatment of juvenile onset recurrent respiratory papillomatosis.
Key Words: CO2 laser, Human papilloma virus, Laryngeal papillomatosis, Recurrent respiratory papillomatosis.
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| first_indexed | 2024-03-13T03:15:02Z |
| format | Article |
| id | doaj.art-7185c2ad3d354d10a66aa7483b1cefe4 |
| institution | Directory Open Access Journal |
| issn | 0030-9982 |
| language | English |
| last_indexed | 2024-03-13T03:15:02Z |
| publishDate | 2023-06-01 |
| publisher | Pakistan Medical Association |
| record_format | Article |
| series | Journal of the Pakistan Medical Association |
| spelling | doaj.art-7185c2ad3d354d10a66aa7483b1cefe42023-06-26T04:32:01ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822023-06-0173710.47391/JPMA.3959Role of CO2 Laser & Microdebrider in the treatment of Juvenile onset recurrent respiratory papillomatosisMuhammad Rashid0Humaira Saleem1Muhammad Noman Karim2Atif Najam3Ameer Abdullah4Jawad Haneef5Department of ENT, Combined Military Hospital, Kharian, PakistanDepartment of Radiology, Combined Military Hospital, Kharian, PakistanDepartment of ENT, Combined Military Hospital, Kharian, PakistanDepartment of ENT, Combined Military Hospital, Kharian, PakistanDepartment of ENT, Combined Military Hospital, Kharian, PakistanDepartment of ENT, Combined Military Hospital, Kharian, Pakistan Objective: To compare the efficacy of two main treatment modalities of microdebrider and carbon dioxide laser excision for juvenile onset recurrent respiratory papillomatosis. Method: The retrospective study was conducted in May 2021 at the Combined Military Hospital, Kharian, Pakistan, and comprised data from July 1, 2007, to January 31, 2020, of patients of either gender aged 2-12 years who were treated for juvenile onset recurrent respiratory papillomatosis either with microdebrider excision in group A or carbon dioxide laser excision in group B. Extent and severity of disease was documented as per the Derkay-Coltrera grading system. Data was analysed using SPSS 20. Results: Of the 39 patients, 23(59%) were girls and 16(41%) were boys. The overall mean age at the time of procedure was 6.62±2.06 years. Group A had 22(56.4%) subjects; 15(68.2%) girls and 7(31.8%) boys, while group B had 17(43.6%) cases; 8(47%) girls and 9(53%) boys. The mean operative time for group A was 40.91±11.50 minutes and for group B it was 60.59±19.51 minutes. Postoperative breathing and oedema status was better for group A (p<0.05), while there was no significant difference regarding postoperative pain, residual disease and repeat surgeries (p>0.05). Conclusion: Microdebrider was found to be superior to carbon dioxide laser excision in the treatment of juvenile onset recurrent respiratory papillomatosis. Key Words: CO2 laser, Human papilloma virus, Laryngeal papillomatosis, Recurrent respiratory papillomatosis. https://ojs.jpma.org.pk/index.php/public_html/article/view/3959 |
| spellingShingle | Muhammad Rashid Humaira Saleem Muhammad Noman Karim Atif Najam Ameer Abdullah Jawad Haneef Role of CO2 Laser & Microdebrider in the treatment of Juvenile onset recurrent respiratory papillomatosis Journal of the Pakistan Medical Association |
| title | Role of CO2 Laser & Microdebrider in the treatment of Juvenile onset recurrent respiratory papillomatosis |
| title_full | Role of CO2 Laser & Microdebrider in the treatment of Juvenile onset recurrent respiratory papillomatosis |
| title_fullStr | Role of CO2 Laser & Microdebrider in the treatment of Juvenile onset recurrent respiratory papillomatosis |
| title_full_unstemmed | Role of CO2 Laser & Microdebrider in the treatment of Juvenile onset recurrent respiratory papillomatosis |
| title_short | Role of CO2 Laser & Microdebrider in the treatment of Juvenile onset recurrent respiratory papillomatosis |
| title_sort | role of co2 laser microdebrider in the treatment of juvenile onset recurrent respiratory papillomatosis |
| url | https://ojs.jpma.org.pk/index.php/public_html/article/view/3959 |
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