RECURRENT RESPIRATORY PAPILLOMA CASE QUESTIONS

Q. WHY DOES TRACHEAL PAPILLOMA INCREASE EXPLOSIVELY AFTER TRACHEOSTOMY?

• After tracheostomy, there is a disruption of the tracheal mucosa blanket which has a protective role causing the explosive increase of the papilloma.

Q. HOW MANY PERCENTAGE OF PATIENT WITH RRP DEVELOP BRONCHIAL INVOLVEMENT?

• 2 % of all affected patient will eventually develop bronchial involvement.
• RRP is usually multiple on the onset whereas single on quiescent stage.

Q. WHAT ARE THE CHANCES OF REMISSION OF RRP ACCORDANCE TO AGE?

• Chances of remission is greatest if the disease is present between the age of 6-10 years.
• Chances of remission in patent :

1. <16 years= 46%
2. >16 years = 26%

Q. WHAT ARE THE CHANCES OF REMISSION OF RRP ACCORDANCE TO SITE?

1. Larynx: 48%
2. Tracheobrinchial tree: 27 %
3. Lungs: 0-3%
4. Extralaryngeal spread: 1%

Q. WHY IS RADIOTHERAPY CONTRAINDICATED IN RRP?

• Radiotherapy is contraindicated in RRP because of the risk of malignant change of RRP into the squamous cell carcinoma.
• Surgical extirpation is the better option.