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Laryngeal papillomatosis with subsequent development of papillomata in the paranasal sinuses – is it seeding by intubation?

Published online by Cambridge University Press:  29 June 2007

W. Colquhoun-Flannery*
Affiliation:
Department of Otolaryngology, Southampton General Hospital, Tremona Road, Southampton
J. A. S. Carruth
Affiliation:
Department of Otolaryngology, Southampton General Hospital, Tremona Road, Southampton
A. D. Cheesman
Affiliation:
Department of Otolaryngology, The Charing Cross Hospital, Fulham Palace Road, London W6 8RE
*
Address for correspondence: Mr W. Colquhoun-Flannery, F.R.C.S., Department of ENT Surgery, Southampton General Hospital, Tremona Road, Southampton

Abstract

Concern has been expressed regarding the seeding of viral DNA, in laryngeal papillomatosis, to other sites in the respiratory tract during treatment. Controversy exists regarding the concept of seeding by the laser plume. However, instrumentation and anaesthetic intubation are also strongly implicated in seeding DNA to the proximal respiratory tract. No cases of recurrent laryngeal papillomatosis and subsequent papilloma in the paranasal sinuses have been reported.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1995

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