Readers Forum:laryngeal papilloma

D/L of 45 years male who is non smoker.
Biopsy from the lesion suggest it to Squamous papilloma.
Comment on further management.

The diagnosis is laryngeal papilloma and the treatment is excision (MLS). One can use either LASER or cold instrument for excision. Also larger part of papilloma can be removed by a laryngeal microdebridder and the final touch can be done by LASER. Dr Ravi Meher
MS(ENT), DNB(ENT), MNAMS
Associate Professor(ENT)
Maulana Azad Medical College and associated Lok Nayak Hospital, New Delhi

ravimeher@gmail.com

*dr skmenon said...
laser excision is treatment of choice

*rajisampath nalamati
laser excision biopsy and follow up

*Admiral [Dr] V K Singh
mucosal changes ,do a total excision & Send for histopath study at a good centre.

* Dr Shashidhar

WE NEED TO GET CECT/ CONTRAST MRI OF LARYNX TO LOOK FOR PARAGLOTTIC, CARTILLAGE AND GLOTTIC INVOLVEMENT. LASER OR COLD KNIFE EXCISION IS A MATTER OF CHOICE AND FEASIBILITY EACH HAVING THEIR MERITS. THE IMPORTANT POINT IS SQ CELL CA USUALLY PRESENTS LIKE THIS AND BIOSPY FROM NONE REPRESENTATIVE PLACE MAY SHOW SQ PAPILLOMA. NEVERTHELESS HE NEEDS LONG TIME CLOSE FOLLOW UP FOR RISK OF MALIGNANCY