What is recurrent respiratory papillomatosis?
Recurrent respiratory papillomatosis (RRP) is a disease caused by the human papillomavirus (HPV). Another term for RRP is laryngeal papilloma. People with RRP form wart-like growths (papillomas) on their respiratory tract, particularly around the vocal cords in the voice box (larynx), and sometimes in the trachea, bronchi, and lungs. Although RRP is noncancerous, tumors can grow rapidly and require frequent surgical removal.
Who does recurrent respiratory papillomatosis affect?
RRP affects both children and adults. In children, it typically appears before age 5 and tends to be more aggressive with frequent recurrences. Adult-onset RRP usually appears after age 14 and is generally less aggressive.
What are the symptoms of recurrent respiratory papillomatosis in children?
As tumors grow, they can affect the child’s ability to speak, breathe, and swallow. Common symptoms include:
- Hoarseness or loss of voice
- Noisy or hoarse breathing (stridor)
- Fast or labored breathing
- Persistent cough
- Difficulty swallowing
Your doctor will evaluate these symptoms to differentiate RRP from conditions like asthma or allergies.
How is recurrent respiratory papillomatosis diagnosed in children?
Diagnosis includes a physical exam and referral to an ENT specialist. The ENT may use a mirror and light or a laryngoscopy to visualize the vocal cords and respiratory tract. A biopsy may be needed to confirm the presence of HPV.
What tests are done to diagnose RRP?
- Laryngoscopy: Using an endoscope, the doctor checks for tumors in the throat and larynx.
- Biopsy: Tissue is sampled under general anesthesia to test for HPV.
- Bronchoscopy: Rarely, a lung specialist may examine the trachea for diagnosis.
Can recurrent respiratory papillomatosis be cured?
There is no cure. Treatment involves repeated surgical removal of growths and medication. Surgical techniques include:
- Laser surgery: Uses light beams to shrink tumors.
- Microdebrider: Gently suctions and shaves tumors.
- Cryoablation: Freezes and destroys tumor cells.
Most procedures require general anesthesia. Multiple surgeries may be necessary depending on recurrence.
What are the complications of recurrent respiratory papillomatosis?
Severe RRP can obstruct the airway, requiring a tracheostomy. Rarely, RRP may transform into cancer over time. Monitoring and early intervention help prevent complications.
How can I prevent my child from recurrent respiratory papillomatosis?
The HPV vaccine effectively prevents RRP. The CDC recommends HPV vaccination for all children around age 11 or 12, and up to age 26 for those not vaccinated earlier.
What is the prognosis for children who have recurrent respiratory papillomatosis?
The prognosis is generally good. With regular treatment, children can maintain normal activities. Tracheostomy and cancer development are rare outcomes.
Why Choose Tender Palm Super-Speciality Hospital for Recurrent Respiratory Papillomatosis Treatment in Children in Lucknow, India?
Tender Palm Super-Speciality Hospital has the most trusted team of Pediatric ENT specialists and surgeons with advanced diagnostic equipment and child-friendly care for Pediatric Recurrent Respiratory Papillomatosis treatment in Lucknow, India. Our Pediatric ENT department follows international safety standards and has years of experience in successfully managing children's ear, nose and throat diseases.
To seek an expert consultation for Recurrent Respiratory Papillomatosis Treatment in Children in Lucknow, India:
Call us at +91-9076972161
Email at care@tenderpalm.com
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