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 :
- <16 years= 46%
- >16 years = 26%
Q. WHAT ARE THE CHANCES OF REMISSION OF RRP ACCORDANCE TO SITE?
- Larynx: 48%
- Tracheobrinchial tree: 27 %
- Lungs: 0-3%
- 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.
