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Treatment of Recurrent Respiratory Papillomatosis Using Laser and Available Adjuvant Therapies

우승훈, 정필상, 이상준,
소속 상세정보
우승훈 ( Woo Seung-Hoon ) - Dankook University College of Medicine Department of Otorhinolaryngology-Head and Neck Surgery
정필상 ( Chung Phil-Sang ) - Dankook University College of Medicine Department of Otorhinolaryngology-Head and Neck Surgery
이상준 ( Lee Sang-Joon ) - Dankook University College of Medicine Department of Otorhinolaryngology-Head and Neck Surgery

Abstract


Recurrent respiratory papillomatosis (RRP) is a benign tumor that occurs in the respiratory tract, especially in the larynx. The etiology of RRP is human papillomavirus (HPV). According to the age of occurrence, RRP is divided into childhood-onset and adult-onset types. Generally, childhood-onset RRP shows a high recurrence rate and diffuse involvement in the respiratory tract. Adult-onset RRP is more localized and appears more frequently as a solitary lesion. It may be the result of sexual transmission or the proliferation of latent HPV infections. At present, the treatment of choice for RRP is CO2 laser ablation. In addition, pulse dye laser or KTP (KTiOPO: potassium-titanyl-phosphate) lasers are also used. Non-surgical adjuvant therapies can be applied in cases requiring repetitive surgery or with diffuse extensions. This review will introduce the clinical features of RRP and various treatment options including lasers.

키워드

Recurrent respiratory papillomatosis; Human papillomavirus; Laser

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