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  • Title: [The relationship between tracheotomy and intra-tracheal papilloma progression in children].
    Author: Chen X, Liu D.
    Journal: Zhonghua Er Bi Yan Hou Ke Za Zhi; 2000 Oct; 35(5):384-6. PubMed ID: 12768745.
    Abstract:
    OBJECTIVE: To clarify the relationship between tracheotomy and intra-tracheal papilloma progression and introduce the experience of managing dyspnea in the hospital. METHODS: Children who were treated in ENT department of Tongren Hospital between 1992 and 1997 were reviewed in this essay. There were totally sixty-two children (thirty-two boys and thirty girls) with laryngeal papilloma and recurrent respiratory papillomatosis enroled in the series. RESULTS: Among 33 non-tracheotomied children the intra-tracheal lesions were found in only 2 cases (6.1%). There were 17 (80.9%) cases presented intra-tracheal lesions in 21 tracheotomied cases, and it showed great statistical difference (chi 2 = 27.4, P < 0.005). There were no difference of onset age, sex and the first sites of papilloma lesions between the non-tracheotomied and tracheotomied groups(P > 0.05). CONCLUSION: We found papilloma has a week potential to progress into trachea. Tracheotomy is the most important factor of intra-tracheal papilloma progression in many cases. The tracheotomy can be avoided.
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