Peri-operative management on juvenile recurrent respiratory papillomatosis
10.3760/cma.j.issn.1673-0860.2012.06.004
- VernacularTitle:幼年型复发性呼吸道乳头状瘤围手术期处理体会
- Author:
Ben-Yu NAN
1
;
Bo-Bei CHEN
;
Chu-Qin ZHANG
;
Ying-Ying CHEN
;
Jin-Jian GAO
;
Xu-Tong ZHANG
;
Han-Feng WAN
;
Yu-Yao ZHANG
;
Hai-Jia XIANG
Author Information
1. 温州医学院附属第二医院附属育英儿童医院
- Keywords:
Papilloma;
Laryngeal neoplasms;
Child;
Dyspnea;
Intraoperative period
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2012;47(6):454-457
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety of peri-operative management on children with juvenile recurrent respiratory papilloma (JORRP).Methods A retrospective analysis was conducted on preoperative assessment,anesthesia methods and options,operative procedure,and postoperative airway maintenance in 28 JORRP children aged from ten months to seven years old.A total of 148 times of surgery was performed on these 28 children.Results One hundred and nine JORRP children graded one and two- degree dyspnea underwent surgery within 24 hours and were intubated successfully in the first attempt after intravenous induction.Thirty-nine emergency operations were performed in the children graded three and four-degree dyspnea,35 of them were intubated successfully in the first attempt after inhalation induction and 4 succeeded in the second attempt.No complications occurred in 129 JORRP children postoperatively,17 children suffered from mild dyspnea and relieved after oxygen inhalation,2 children were intubated and sent to intensive care unit because of postoperative hypoxemia.All JORRP children got through the peri-operative period safely.The quality of pronunciation in 101 children improved markedly and 35 suffered from slight hoarseness on the 1st postoperative day.Three children had the tracheal tube of tracheostomy removed after receiving five,four and three operations respectively.Nineteen children were followed up for 2 -5 years.Among them,one child did not relapse 3 years after surgical management.One child suffered from laryngostenosis postoperatively. No death occurred. Conclusion Complete preoperative preparation,rational anesthesia methods,careful operative procedure and airway maintenance after surgery could increase the safety for children with recurrent respiratory papilloma.
