Intralesional Cidofovir application in recurrent laryngeal papillomatosis.

Intralesional Cidofovir application in recurrent laryngeal papillomatosis. Research Abstract Details 

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Intralesional Cidofovir application in recurrent laryngeal papillomatosis. Abstract Text:

Annett Pudszuhn,Cornelia Welzel,Marc Bloching,Kerstin Neumann,Annett Pudszuhn,Cornelia Welzel,Marc Bloching,Kerstin Neumann,

Recurrent laryngeal papillomatosis is a benign disease of the larynx often leading to organic and functional restrictions. The therapeutic treatment of choice in larynx-obstructing papillomatosis is at present surgical laser ablation. The effectiveness of adjuvant intralesional injection of the virustaticum Cidofovir has been investigated recently in a variety of therapeutic models. The present case study deals with the treatment of recurrent laryngeal papillomatosis by means of surgical laser ablation of the laryngeal papillomas with adjuvant local injection of the virustaticum Cidofovir (dose of 5 mg/1 ml). Within the period from October 2001 to August 2004, ten patients aged between 5- and 70 years were treated with intralesional injections of Cidofovir. Papillomatosis was confirmed histologically in all cases, and the virus types were defined in part. Each of the patients underwent clinical-phoniatric examinations and was photographed for documentation. After 2-7 treatments with surgical laser papilloma ablation and intralesional Cidofovir injections, all patients showed a definite papilloma reduction, while in six cases complete remission was achieved. During the follow-up period of 8-30 months, not a single recurrence of the laryngeal papillomatosis occurred. In the majority of patients, a clear improvement in the voice was achieved. There were no local or systemic side effects caused by the virustaticum. Intralesional injection of Cidofovir is an adjuvant, but not a curative therapeutic option in recurrent laryngeal papillomatosis. Remission of previously frequently recurrent laryngeal papillomas can be achieved, but recurrence after longer treatment-free intervals is also possible.

Intralesional Cidofovir application in recurrent laryngeal papillomatosis. Publishing Authors By Initials

A Pudszuhn,C Welzel,M Bloching,K Neumann,A Pudszuhn,C Welzel,M Bloching,K Neumann,

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Intralesional Cidofovir application in recurrent laryngeal papillomatosis. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: European archives of oto-rhino-laryngology : offic

VOLUME: 264

Page Numbers: 63-70

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ISSN: 0937-4477

DAY: 13

MONTH: 10

YEAR: 2006

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LANGUAGE: eng

NlmUniqueID: 9002937

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AFFILIATION: ENT Department, Head and Neck Surgery, Martin Luther University Halle-Wittenberg, Magdeburger Str. 12, 06097, Halle/Saale, Germany. kerstin.neumann@medizin.uni-halle.de

Country: Germany

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MEDLINETA: Eur Arch Otorhinolaryngol

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