确定在诊断青少年复发性呼吸道乳头状瘤病(JORRP)时语音与气道症状的表现是否与治疗和结果相关。
原始报告,回顾性审查。
对1997年至2017年期间在任何时间接受单一三级儿童医院治疗的所有JORRP患者进行了20年的回顾性回顾。
在20年的研究期间,54名患者被诊断为JORRP。其中,女性32人,男性22人。非洲裔美国儿童占患者的大多数(65%),19%的人认为是高加索人,9%的西班牙裔,7%是亚洲人。最初到耳鼻喉科诊所就诊的儿童中有15人(87%的声音嘶哑),12送到急诊科(92%有气道问题),11到语音诊所,其余12人在医院或诊所和护理机构外转移。声音症状,即声音嘶哑,是31例(57%)的症状,气道症状,即呼吸窘迫或喘鸣在17人中占主导地位(32%),6例(11%)患者的症状不详。出现气道症状的儿童在就诊时年龄较小(中位数为2.1岁,范围0.38-8.77年)比那些出现声音症状的人(中位数6.7年,范围0.98-15.13年),在调整了年龄后,第一年接受了更多的手术来控制疾病。
与那些有声音抱怨的患者相比,出现气道症状的患者表现得更年轻,第一年的手术次数增加。
4喉镜,131:1670-1675,2021年。
Determine if the presentation of voice versus airway symptoms at the time of diagnosis of juvenile recurrent respiratory papillomatosis (JORRP) correlates with treatment and outcomes.
Original report, Retrospective review.
Twenty year retrospective review of all patients with JORRP presenting at any time in treatment to a single tertiary children\'s hospital between 1997 and 2017.
Fifty-four patients presented with a diagnosis of JORRP during the 20 year study period. Of these, 32 were female and 22 were male. African American children made up the majority of the patients (65%), with 19% identifying as Caucasian, 9% Hispanic, and 7% Asian. Fifteen of the children presented initially to the ENT clinic (87% with hoarseness), 12 to the emergency department (92% with airway concerns), 11 to the voice clinic, and the remaining 12 at outside hospitals or clinics and care were transferred. Voice symptoms, namely hoarseness, was the presenting symptom in 31 (57%), airway symptoms, namely respiratory distress or stridor was predominate in 17 (32%), and the presenting symptom was unknown in six cases (11%). Children presenting with airway symptoms were younger at presentation (median 2.1 years, range 0.38-8.77 years) than those presenting with voice symptoms (median 6.7 years, range 0.98-15.13 years), and after adjusting for age underwent a greater number of surgeries in the first year to control disease.
Patients who present with airway symptoms present younger and have an increased number of surgeries in the first year compared to those presenting with voice complaints.
4 Laryngoscope, 131:1670-1675, 2021.