It's time to solve the problem once and for all!
Use a chance get the consultation and treatment from leading ENT specialist of the Royal College of Surgeons of England (FRCS) Professor Roberto Puxeddu.
Watch the video BEFORE / AFTER the operation of prof. Roberto Puxeddu
Postoperative relapse-free period of follow-up control. Endoscopy in the mode of NBI
Watch the photos BEFORE / AFTER the operation of prof. Roberto Puxeddu
Postoperative relapse-free period of follow-up control. Endoscopy in the mode of NBI. Move the slider to see the difference.
What’s the secret?
Hands of God
Long term remission is achieved exclusively by a comprehensive approach and a quality excision of papillomatous growths.
The latest equipment
The surgery is performed under general anesthesia transorally, using a microscope and a CO2 laser.
For more than 10 years without recurrence of the disease.
The key to success is the complex approach starting from a detailed diagnosis using cutting-edge technologies to a thorough control in the postoperative period. As well as precise papillomas excision, Professor Puxeddu performs targeted injection of antiviral drugs in the mucosa of the certain regions of the larynx.
15 surgeries in anamnesis. Many patients report about dozens of surgeries in anamnesis and endless relapses. It seems that it is impossible to cope with this disease. Each time the voice is getting worse and worse, numerous scars are being formed in the larynx. It is a thing of the past.
For the moment, the understanding that papillomatosis is localized exclusively in the mucous membrane of the vocal fold, allows to excise them fully, but conservatively. It means that the surgery should be performed only in the surperficial layers without affecting the important anatomical structures of the vocal fold and not to lead to a hoarseness and scarification.
Medical advancement helps. The main thing is to keep up to date with the progress and to take all opportunities. The use of CO2 laser, narrow-spectrum endoscopy and certain antiviral medication are such opportunities to treat papillomatosis. The indispensable condition to achieve the best result is that everything must be done by a highly qualified surgeon with a wealth of experience in the treatment of laryngeal papillomatosis. It is of utmost importance.
Papillomatosis is characterized by the formation of exophytic growths that affect the mucous membrane of various parts of the larynx and the lower parts of respiratory tract.
The etiological factor is the human papillomavirus (HPV) in most cases 6 and 11 types. The latter leads to a severe acute disease. Laryngeal papillomatosis can be rarely caused by HPV 16 and 18 types, which are viruses at high risk of cancer. However, the presence of HPV in the human respiratory tract does not always cause papillomatosis. Immunodeficiency, persistent infections may be the determining factors. Coincident infection of HSV (herpes simplex virus) and EB virus (Epstein-Barr virus) are the cause of a more aggressive course of disease.
Symptomatically, laryngeal papillomatosis can be represented by hoarseness, chronic cough, bad breath, difficulty in swallowing, recurrent respiratory infections and children’s stunted growth. The presence of certain symptoms depends on the location of papillomas. The symptoms are more marked among children as they have a much faster growth compared to adults. It can lead to the situations when life-saving emergency surgery must be performed despite the benign character of the disease. Favorable prognosis happens to be if the symptoms of disease are detected in adulthood. The exception is the presence of HPV 11 type and the duration of the disease for more than 10 years.
To sum up
Laryngeal papillomatosis changes a person’s life aggressively, in many cases from early childhood. Hoarseness is the most favorable symptom, compared with impairment of breathing and dozens of operations in anamnesis. The main target of treatment is the long term remission which is achieved exclusively by a comprehensive approach and a quality excision of papillomatous growths. The surgery is performed under general anesthesia transorally, using a microscope and a CO2 laser.
ENT surgeon, Professor, Chairman, Division of Otorhinolaryngology, Department of Surgery, University of Cagliary (Italy).
More than 7,000 operations for head and neck diseases have been performed in clinics in Italy and England since 1991. Areas of specialization: neck surgeries, larynx surgery, sinonasal surgeries, intraoral, nasal pharynx and oral pharynx surgeries.
Assistant of Roberto Puxeddu in Russia
MD, Assistant of the Department of Otorhinolaryngology Sechenov First Moscow State Medical University, ENT doctor in Medical Rehabilitation Center “Barviha” Administration of the President of the Russian Federation. She interned in the clinic of Roberto Puxeddu during the whole year.
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