Recurrent Respiratory Papillomatosis

Recurrent Respiratory Papillomatosis (RRP) is a viral infection caused by Human Papilloma Virus infection. The infection is often acquired whilst in-utero. RRP most commonly presents between the ages 0-5 years. Symptoms include hoarseness, voice change, noisy breathing (stridor) and in severe cases respiratory distress.

Treatment involves maintaining an adequate airway by intermittent surgical removal of the papillomata. This is best achieved by microlaryngeal surgery using a microdebrider or laser. In severe cases a tracheostomy may be required to give the child a safe airway. In severe cases adjuvant treatments may be considered with special drugs. For the majority of children the disease activity will decrease and eventually cease over time as the child grows older.

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