Recurrent respiratory papillomatosis in children: coblation versus microdebrider.

IF 0.8 4区医学 Q3 OTORHINOLARYNGOLOGY

Journal of Laryngology and Otology Pub Date : 2025-06-16 DOI:10.1017/S0022215125102545

G McNally, R Mason, N Bateman

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引用次数: 0

Abstract

Objectives: Recurrent respiratory papillomatosis is a benign disease caused by human papillomavirus that often requires frequent surgical intervention. In the UK, microdebridement is the most common technique compared to 3.3 per cent of procedures performed with coblation. This is the first study to compare the efficacy and safety profile of microdebriders versus coblation in children.

Methods: Demographic data and surgical outcomes were collected retrospectively for all children with recurrent respiratory papillomatosis over an eight-year period.

Results: Seventeen children with recurrent respiratory papillomatosis underwent a total of three hundred operations, including 182 coblation (60.7 per cent) and 113 microdebrider procedures (37.7 per cent). The complication rate was 3.8 per cent for coblation and 7.1 per cent for microdebridement (p = 0.22). There was no significant difference in the time interval between coblation and microdebrider procedures (p = 0.21).

Conclusion: In children with recurrent respiratory papillomatosis, this study demonstrated a comparable efficacy and safety profile for surgical intervention with coblation versus the currently favoured microdebrider technique.

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儿童复发性呼吸道乳头状瘤病：消融与微型除颤器。

目的：复发性呼吸道乳头状瘤病是一种由人乳头状瘤病毒引起的良性疾病，通常需要频繁的手术干预。在英国，微清创是最常见的技术，相比之下，只有3.3%的手术采用了清创术。这是第一个比较儿童微除颤器与消融的有效性和安全性的研究。方法：回顾性收集所有复发性呼吸道乳头状瘤病患儿8年以上的人口学资料和手术结果。结果：17例复发性呼吸道乳头状瘤病患儿共进行了300次手术，其中消融182例（60.7%），微除颤器113例（37.7%）。消融组的并发症发生率为3.8%，微清创组为7.1% （p = 0.22）。消融和微型除颤器手术的时间间隔无显著差异（p = 0.21）。结论：在复发性呼吸道乳头状瘤病的儿童中，本研究表明，与目前流行的微除颤器技术相比，手术干预与消融具有相当的疗效和安全性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.