Skip to main content

The Epidemiology of Recurrent Respiratory Papillomatosis

  • Chapter
  • First Online:
Recurrent Respiratory Papillomatosis
  • 389 Accesses

Abstract

Juvenile-onset recurrent respiratory papillomatosis is an exceedingly rare condition. The vast majority of primary care physicians are unlikely to encounter a patient during their entire career. This may explain the typical delay in diagnosis for many children as they are misdiagnosed as having asthma or vocal fold nodules. When diagnosed, these children are usually referred to centers with higher volumes and experience with treating RRP. This has made attempts to monitor the epidemiology of the disease feasible. It is through the study of the epidemiology that clinicians and researchers have gained much knowledge about the clinical aspects of the condition such as incidence, prevalence, clinical course, risk factors for acquisition and disease severity, and response to surgery and novel treatments. This chapter will review the disease burden at a local, national, and global level, the implications of understanding the clinical course of the disease to clinical trials, and the risk factors for acquiring the disease. The chapter will conclude with a glimpse into the future and review ongoing surveillance studies in the era of vaccination programs targeting HPV infection.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

Abbreviations

APSU:

Australian Paediatric Surveillance Unit

CDC:

Centers for Disease Control and Prevention

HLA:

Human leukocyte antigen

HPV:

Human papillomavirus

ICD:

International Classification of Diseases

JoRRP:

Juvenile-onset recurrent respiratory papillomatosis

KIR:

Killer-cell immunoglobulin-like receptors

PPV:

Positive predictive value

RRP:

Recurrent respiratory papillomatosis

References

  • Armstrong LR, Derkay CS. Reeves WC, and the RRP task force. Initial results from the national registry for juvenile-onset recurrent respiratory papillomatosis. Arch Otolaryngol Head Neck Surg. 1999;125:743–8.

    Article  CAS  PubMed  Google Scholar 

  • Armstrong LR, Preston EJD, Reichert M, Phillips DL, Nisenbaum R, Todd NW, Jacobs IN, Inglis AF, Manning SC, Reeves WC. Incidence and prevalence of recurrent respiratory papillomatosis among children in Atlanta and Seattle. Clin Infect Dis. 2000;31:107–9.

    Article  CAS  PubMed  Google Scholar 

  • Baidoo KK, Kitcher ED. Recurrent respiratory papillomatosis: the Korle-Bu experience. Ghana Med J. 2012;46(1):43–5.

    Google Scholar 

  • Bomholt A. Juvenile laryngeal papillomatosis. An epidemiological study from the Copenhagen region. Acta Otolaryngol (Stockh). 1988;105:367–71.

    Article  CAS  Google Scholar 

  • Bonagura VR, Vambutas A, DeVoti JA, Rosenthal DW, Steinberg BM, Abramson AL, et al. HLA alleles, IFN-gamma responses to HPV-11 E6, and disease severity in patients with recurrent respiratory papillomatosis. Hum Immunol. 2004;65(8):773–82.

    Article  CAS  PubMed  Google Scholar 

  • Bonagura VR, Du Z, Ashouri E, Luo L, Hatam LJ, DeVoti JA, et al. Activating killer cell immunoglobulin-like receptors 3DS1 and 2DS1 protect against developing the severe form of recurrent respiratory papillomatosis. Hum Immunol. 2010;71(2):212–9.

    Article  CAS  PubMed  Google Scholar 

  • Buchinsky FJ, Donfack J, Derkay CS, Choi SS, Conley SF, Myer CM, McClay JE, Campisi P, Wiatrak BJ, Sobol SE, Schweinfurth JM, Tsuji DH, Hu FZ, Rockette HE, Ehrlich GD, Post JC. Age of child, more than HPV type, is associated with clinical course in recurrent respiratory papillomatosis. PLoS One. 2008;3(5):e2263.

    Article  PubMed  PubMed Central  Google Scholar 

  • Campisi P, Hawkes M, Simpson K. Canadian juvenile onset recurrent respiratory Papillomatosis working group. The epidemiology of juvenile onset recurrent respiratory papillomatosis derived from a population level national database. Laryngoscope. 2010;120:1233–45.

    PubMed  Google Scholar 

  • Carvalho CM, Huot L, Charlois A, Khalfallah SA, Chapuis F, Froehlich P. Prognostic factors of recurrent respiratory papillomatosis from a registry of 72 patients. Acta Otolaryngol. 2009;129:462–70.

    Article  PubMed  Google Scholar 

  • Derkay CS. Task force on recurrent respiratory papillomatosis. A preliminary report. Arch Otolaryngol Head Neck Surg. 1995;121:1386–91.

    Article  CAS  PubMed  Google Scholar 

  • Deverell M, Zurynski YA, Elliott EJ. Chief investigators of APSU surveillance studies. Australian Paediatric surveillance unit annual report, 2013. Commun Dis Intell. 2014;38(4):E343–7.

    Google Scholar 

  • Draganov P, Todorov S, Todorov I, Karchev T, Kalvatchev Z. Identification of HPV DNA in patients with juvenile-onset recurrent respiratory papillomatosis using SYBR green real-time PCR. Int J Pediatr Otorhinolaryngol. 2006;70(3):469–73.

    Article  PubMed  Google Scholar 

  • Gabbott M, Cossart YE, Kan A, Konopka M, Chan R, Rose BR. Human papillomavirus and host variables as predictors of clinical course in patients with juvenile-onset recurrent respiratory papillomatosis. J Clin Microbiol. 1997;35(12):3098–103.

    CAS  PubMed  PubMed Central  Google Scholar 

  • Gelder CM, Williams OM, Hart KW, Wall S, Williams G, Ingrams D, et al. HLA class II polymorphisms and susceptibility to recurrent respiratory papillomatosis. J Virol. 2003;77(3):1927–39.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Gerein V, Rastorguev E, Gerein J, Draf W, Schirren J. Incidence, age at onset, and potential reasons of malignant transformation in recurrent respiratory papillomatosis patients: 20 years experience. Otolaryngol Head Neck Surg. 2005;132(3):392–4.

    Article  PubMed  Google Scholar 

  • Gerein V, Soldatski IL, Babkina N, Onufrieva EK, Barysik N, Pfister H. Children and partners of patients with recurrent respiratory papillomatosis have no evidence of the disease during long-term observation. Int J Pediatr Otorhinolaryngol. 2006;70(12):2061–6.

    Article  PubMed  Google Scholar 

  • Gregoire L, Reidy PM, Rabah R, Lancanster WD. HLA-DQ alleles in white and African American patients with juvenile-onset recurrent respiratory papillomatosis. Arch Otolaryngol Head Neck Surg. 2003;129(11):1221–4.

    Article  PubMed  Google Scholar 

  • Hartley C, Hamilton J, Birzgalis AR, Farrington WT. Recurrent respiratory papillomatosis – the Manchester experience, 1974–1992. J Laryngol Otol. 1994;108:226–9.

    Article  CAS  PubMed  Google Scholar 

  • Hawkes M, Campisi P, Zafar R, Punthakee X, Dupuis A, Forte V, Lee F-JE. Time course of juvenile onset recurrent respiratory papillomatosis caused by human papillomavirus. Pediatr Infect Dis J. 2008;27:149–54.

    Article  PubMed  Google Scholar 

  • Leung R, Hawkes M, Campisi P. Severity of juvenile onset recurrent respiratory papillomatosis is not associated with socioeconomic status in a setting of universal health care. Int J Pediatr Otorhinolaryngol. 2007;71(6):965–72.

    Article  CAS  PubMed  Google Scholar 

  • Lindeberg H, Elbrønd O. Laryngeal Papillomas: the epidemiology in a Danish subpopulation 1965–1984. Clin Otolaryngol. 1990;15:125–31.

    Google Scholar 

  • Marisco M, Mehta V, Chastek B, Liaw KL, Derkay C. Estimating the incidence and prevalence of juvenile-onset recurrent respiratory papillomatosis in publicly and privately insured claims databases in the United States. Sex Transm Dis. 2014;41(5):300–5.

    Article  Google Scholar 

  • Mgbor NC, Dahilo EA, Mgbor S. Laryngeal papillomatosis: an 11 year review of 54 cases in Enugu. Nig J Otorhinolaryngology. 2005;2(2):64–6.

    Google Scholar 

  • Niyibizi J, Rodier C, Wassef M, Trottier H. Risk factors for the development and severity of juvenile-onset recurrent respiratory papillomatosis: a systematic review. Int J Pediatr Otorhinolaryngol. 2014;78:186–97.

    Article  PubMed  Google Scholar 

  • Novakovic D, Cheng ATL, Baguley K, Walker P, Harrison H, Soma M, Malloy M, Brotherton JML. Juvenile recurrent respiratory papillomatosis: 10-year audit and Australian prevalence estimates. Laryngoscope. 2016;126:2827–32.

    Article  PubMed  Google Scholar 

  • Nwaorgu OG, Bakari AA, Onakoya PA, Ayodele KJ. Recurrent respiratory papillomatosis in Ibadan. Niger J Med. 2004;13(3):235–8.

    CAS  PubMed  Google Scholar 

  • Omland T, Akre H, VĂĄrdal M, Brøndbo K. Epidemiological aspects of recurrent respiratory papillomatosis: a population-based study. Laryngoscope. 2012;122:1595–9.

    Google Scholar 

  • Omland T, Akre H, Lie KA, Jebsen P, Sandvik L, Brøndbo K. Risk factors for aggressive recurrent respiratory papillomatosis in adults and juveniles. PLoS One. 2014;9(11):e113584.

    Google Scholar 

  • Rabah R, Lancaster WD, Thomas R, Gregoire L. Human papillomavirus-11-associated recurrent respiratory papillomatosis is more aggressive than human papillomavirus-6-associated disease. Pediatr Dev Pathol. 2001;4(1):68–72.

    Article  CAS  PubMed  Google Scholar 

  • Reeves WC, Ruparelia SS, Swanson KI, Derkay CS, Marcus A. Unger ER, for the RRP task force. National registry for juvenile-onset recurrent respiratory papillomatosis. Arch Otolaryngol Head Neck Surg. 2003;129:976–82.

    Article  PubMed  Google Scholar 

  • Rimell FL, Shoemaker DL, Pou AM, Jordan JA, Post C, Ehrlich GD. Pediatric respiratory papillomatosis: prognostic role of viral typing and cofactors. Laryngoscope. 1997;107(7):915–8.

    Article  CAS  PubMed  Google Scholar 

  • Seedat RY. The incidence and prevalence of juvenile-onset recurrent respiratory papillomatosis in the free state province of South Africa and Lesotho. Int J Pediatr Otorhinolaryngol. 2014;78:2113–5.

    Article  CAS  PubMed  Google Scholar 

  • Seedat RY, Thukane M, Jansen AC, Rossouw I, Goedhals D, Burt FJ. HPV types causing juvenile recurrent laryngeal papillomatosis in South Africa. Int J Pediatr Otorhinolaryngol. 2010;74(3):255–9.

    Article  CAS  PubMed  Google Scholar 

  • Shah KV, Stern WF, Shah FK, Bishai D, Kashima HK. Risk factors for juvenile onset recurrent respiratory papillomatosis. Pediatr Infect Dis J. 1998;17(5):372–6.

    Article  CAS  PubMed  Google Scholar 

  • Shehata BM, Otto KH, Sobol SE, Stockwell CA, Foulks C, Lancaster W, et al. E6 and E7 oncogene expression by human papillomavirus virus (HPV) and the aggressive behavior of recurrent laryngeal papillomatosis (RLP). Pediatr Dev Pathol. 2008;11(2):118–21.

    Article  CAS  PubMed  Google Scholar 

  • Silverberg MJ, Thorsen P, Lindeberg H, Ahdieh-Grant L, Shah KV. Clinical course of recurrent respiratory papillomatosis in Danish children. Arch Otolaryngol Head Neck Surg. 2004;130:711–6.

    Article  PubMed  Google Scholar 

  • Snowden RT, Thomson J, Horwitz E, Stocks RM. The predictive value of serum interleukins in recurrent respiratory papillomatosis: a preliminary study. Laryngoscope. 2001;111(3):404–8.

    Article  CAS  PubMed  Google Scholar 

  • Stern Y, Flipovich A, Cotton RT, Segal K. Immunocompetency in children with recurrent respiratory papillomatosis: prospective study. Ann Otol Rhinol Laryngol. 2007;116(3):169–71.

    Article  PubMed  Google Scholar 

  • Strong MS, Vaughan CW, Healey GB. Recurrent respiratory papillomatosis. In: Healey GB, editor. Laryngo-Tracheo problems in the pediatric patient. Springfield, IL: Charles C. Thomas; 1979. p. 88–9.

    Google Scholar 

  • Tasca RA, McCormick M, Clarke RW. British Association of Paediatric Otorhinolaryngology members experience with recurrent respiratory papillomatosis. Int J Pediatr Otorhinolaryngol. 2006;70:1183–7.

    Article  PubMed  Google Scholar 

  • Wiatrak BJ, Wiatrak DW, Broker TR, Lewis L. Recurrent respiratory papillomatosis: a longitudinal study comparing severity associated with human papilloma viral types 6 and 11 and other risk factors in a large pediatric population. Laryngoscope. 2004;114(Suppl 104):1–23.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Paolo Campisi .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this chapter

Cite this chapter

Campisi, P. (2018). The Epidemiology of Recurrent Respiratory Papillomatosis. In: Campisi, P. (eds) Recurrent Respiratory Papillomatosis. Springer, Cham. https://doi.org/10.1007/978-3-319-63823-2_2

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-63823-2_2

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-63822-5

  • Online ISBN: 978-3-319-63823-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics