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October 1956

Laryngotracheobronchial Papillomatosis of Children: Report of a Case

Author Affiliations

San Juan, Puerto Rico

AMA Arch Otolaryngol. 1956;64(4):270-274. doi:10.1001/archotol.1956.03830160018004

The purpose of this paper is to record and discuss the clinicopathological course of a case of papillomatosis of the larynx in a child. The systematic use of endoscopic, roentgenographic, and pathological observations during a total of 1405 hospital days helped to clarify the pathogenesis of the different pulmonary and bronchial manifestations observed in this patient. Papillomas continue to appear in the tracheobronchial tree, but without the exuberance and persistence with which they affected the larynx 10 years ago.

In the 30's emergency admissions to the E. N. T. service of the Children's Ward of the Presbyterian Hospital in San Juan, Puerto Rico, were remarkable for the number of cases of acute infectious laryngo-tracheobronchitis. In the following decade, especially after 1945, diffuse papillomatosis of the larynx became a rather frequent cause of respiratory distress necessitating emergency treatment. The latter consisted chiefly in the assurance of an adequate airway by

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