To the Editor.—The treatment of juvenile laryngeal papillomas has changed over the years from use of podophylline, manual removal and cautery of the base of the papillomas, ultrasound, cryosurgery, use of magnesium and alkylating agents,1 topically administered fluorouracil and tretinoin, and use of vaccines to, more recently, surgery using the carbon dioxide laser2 and therapy with interferon.3
Presented are three case reports where slow diathermy has been used with no recurrence noted over an 18-month follow-up period.
Report of Cases.—Three girls, 6, 8, and 9 years of age, were referred from outlying hospitals. Microlaryngoscopy under general anesthesia revealed multiple papillomas (average, 10) distributed over the true vocal cords and the anterior commissure and supraglottis, some sessile and some pedunculated. One child had papillomas on the lateral and posterior pharyngeal walls. Careful, individual, manual removal of these papillomas was performed. Histopathologic findings confirmed the diagnosis of
RAMAN R. Slow-Intensity Diathermy for Juvenile Laryngeal Papillomas. Arch Otolaryngol Head Neck Surg. 1989;115(6):749. doi:10.1001/archotol.1989.01860300103027
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