Throat pain with hoarseness

Chief Complaint A 47 y/o/f came with dyspnoea, throat pain with hoarseness, and Hematemesis. History She has h/o asthma and is on medication for the same for past 5 years. Examination Chest examination shows expiratory wheezing. Investigations CT shows multiple polyps in the larynx and in the upper region of the trachea. Indirect laryngoscopy was done which shows laryngeal papillomas on the vocal cords Biopsy report shows laryngotracheal papillomatosis. Treatment Advise the treatment for this patient.

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Probably bleed was from papilloma is hemoptysis As indirect laryngoscopy suggested multiple laryngeal PAPILITIS As no medicinal treatment is possible Only adv could be cauterization in steps

Thanx dr Kute Ankush
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Laryngeal papillomas.. Bleeding from papilloma can result in haemoptysis. Surgical intervention required after proper assessment and evaluation by expert.

Thanks Dr Pushkar Bhomia
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LARYNGEAL PAPILLOMAS .. ? RRP .. HPV .. NEED'S.. SURGICAL INTERVENTION.. WITH EXPERTS OPINION..

Papillomatosis should be removed surgically & sent for HPE

I don't think any medicine would be useful except cauterization or laser therapy. Take care of Reflux ...

Is this first episode. History of any surgery, and endoscopic pic needed. As per CT it's multiple pappilomas, which may be recurrence of Juvalnile Laryng pappilomas. Treatment is laser excision or debridement rather than a cold steel technique.

SUGGESTIVE. OF LARYNGO TRACHEAL PAPILLOMATOSIS NEEDS... LASER. SURGERY AND ADJUVANT. THUJA. THERAPY

JUVENILE ONSET RECURRENT RESPIRATORY PAPILLOMATOSIS Association with HPV 11 & 6 Adv: EXCISION WITH MICRODEBRIDER & sent it for HPV It has high recurrence rate

Surgery may be coagulation

Laryngeal papillomavirus.. HPV.