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Case Reports
. 2024 Nov 25;16(11):e74404.
doi: 10.7759/cureus.74404. eCollection 2024 Nov.

Emergency Debulking of Recurrent Respiratory Papillomatosis: An Anesthesia Challenge

Amit Padvi  1 , Namita Padvi  2
Affiliations
Case Reports

Emergency Debulking of Recurrent Respiratory Papillomatosis: An Anesthesia Challenge

Amit Padvi et al. Cureus. .

Abstract

Recurrent respiratory papillomatosis (RRP) is a rare condition involving the recurrent growth of benign papillomas in the respiratory tract caused exclusively by human papillomavirus (HPV). We present the case of a five-year-old child who arrived at the emergency department with severe respiratory distress, hoarseness, and biphasic stridor. The patient required urgent transfer to the operating room for the emergency debridement of papillomas. Managing emergency pediatric airway obstruction poses significant anesthetic challenges and requires specialized skills and dedicated pediatric tertiary care facilities.

Keywords: airway; anaesthesia; distress; emergency; hoarsness; papilloma.

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Conflict of interest statement

Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. Epiglottis completely invaded with papillomas.
Figure 2
Figure 2. Extensive papillomas over aryepiglottic folds, ventricles, false and true vocal cords, posterior commissure.
See this image and copyright information in PMC

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