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Chapter-30 Progressive Hoarseness and Persistent Stridor

BOOK TITLE: Symptom Oriented Otolaryngology—Head & Neck Surgery: Otology and Pediatrics (Volume 3)

Author
1. Jean-Louis Françoise
ISBN
9789385891854
DOI
10.5005/jp/books/12951_31
Edition
1/e
Publishing Year
2017
Pages
9
Author Affiliations
1. Waikato District Health Board, Hamilton, New Zealand
Chapter keywords
Progressive hoarseness, persistent stridor, recurrent respiratory papillomatosis, RRP, larynx, debulking, adjuvant therapy

Abstract

This chapter focuses on progressive hoarseness and persistent stridor. A child with progressive stridor and persistent hoarseness with no signs of toxicity is likely to have recurrent respiratory papillomatosis (RRP). It is the presence of wart-like proliferations of keratinized squamous cells, containing the human papilloma virus (HPV), in the aerodigestive tract, and most frequently, the larynx. RRP in childhood is called juvenile onset RRP (JORRP) and in adulthood it is called adult onset RRP (AORRP). A child with a hoarse voice always needs to have a careful history taken to exclude RRP. Concerning features are voice, breathing effort, breathing sound, nonspecific symptoms and birth history. This chapter aims to present a brief discussion on epidemiology, pathophysiology, presentation, investigations, management and prognosis of RRP.

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