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Diode Laser for Juvenile Recurrent Respiratory Papillomatosis: A Case Series of 13 Patients

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Abstract

Juvenile recurrent respiratory papillomatosis (JRRP) is the most common benign tumor in the larynx. It is uncommon; however, it is potentially life-threatening because it compromises the respiratory tract and required several surgeries to manage recurrences. Currently, the carbon dioxide laser is the treatment of choice. There are no studies about the role of the diode laser which is easy to use and has lower usage cost. This case series presentation reported on the therapeutic effects and recurrence rate of JRRP when using Diode laser. This is a case series presentation of 13 children, who were diagnosed with JRRP and operated for laryngeal papillomatosis with Diode laser in Otorhinolaryngology and Head and Nick Surgery Department et al. Mouwasat Hospital, Damascus, Syria between 2015 and 2022. 13 children required 56 surgeries at a rate of 1–2 surgeries/year, mean number of surgeries for each child was 4.31. That suggests that Diode laser might have a role in reducing the number of surgeries compared to a study used cold instrument and CO2 laser. The complications rate was 30.8%, which is considered a high rate compared to the other studies. In conclusion, we encourage using it when the CO2 laser device is not available. However, we suggest, reducing the power as low as possible and avoiding of two opposing raw surfaces, especially at the anterior commissure and deep excision. Further longitudinal studies are recommended to validate these results.

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Data Availability

Information from the archive of Otorhinolaryngology and Head and Nick Surgery Department in Al Mouwasat Hospital, Damascus, Syria between 2015 and 2022 were utilized. We used the diode laser(biolitec®), which has Wavelength: 980 nm, Power output:25 W (max), Pilot beam: 635 nm ± 30 nm; PWM 4 mW (max.).

Abbreviations

JRRP:

Juvenile recurrent respiratory papillomatosis

CO2 laser:

Carbon dioxide laser

KTP laser:

Potassium titanyl phosphate laser

PDL laser:

Pulsed dye laser

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Acknowledgements

We thank all patients who participated in this research.

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No funding was received to assist with preparation of this manuscript.

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Authors and Affiliations

  1. Department of Otolaryngology, Faculty of Medicine, Damascus University, Damascus, Syria

    Sara Kamil & Samer Mohsen

  2. Department of Audiology, Faculty of Health Sciences, Damascus University, Damascus, Syria

    Samer Mohsen

Authors
  1. Sara Kamil
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  2. Samer Mohsen
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Contributions

SK collected and analyzed data and wrote the paper; SM wrote the paper.

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Correspondence to Samer Mohsen.

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The authors have no competing interests to declare that are relevant to the content of this article.

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This study was a part of a master degree dissertation project in the otolaryngology that was accepted and approved by Faculty of Medicine Damascus University.It respects the ethics of medical research and the principles of Helsinki.

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Informed consent was obtained from all individual participants included in the study.

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Kamil, S., Mohsen, S. Diode Laser for Juvenile Recurrent Respiratory Papillomatosis: A Case Series of 13 Patients. Indian J Otolaryngol Head Neck Surg 76, 536–539 (2024). https://doi.org/10.1007/s12070-023-04205-2

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