Treatment of vestibular papillomatosis


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Sign up Log in ORL ro Cochleo-vestibular neurovascular conflict in the pontocerebellar angle in children: case report S. Mârțu1,3, Dragoș Negru1,4, Luminița Rădulescu1,3 1.

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Clinical symp­ toms depend on the modality of joining between the artery and nerve in one point, longitudinal, circular, intimate contact. In children with vestibular paroxysmia is one of the causes, along with BPPV, vestibular migraine and psy­ cho­logical disorders somatization.

treatment of vestibular papillomatosis

Treatment with small doses of car­b amazepine is indicated if symptoms affect the quality of life. Sur­gical intervention decompression is reserved for the cases re­sis­ tant to drug therapy. We present a pediatric case with cochleo-ves­ ti­bular syndrome whose cause has been established with difficulty be­c ause of the history of paroxysmal vertigo with sudden fall. Cli­ nical features included, since the first presentation, unilateral neu­ ro-sensorial hearing loss, tinnitus and vestibular deficit on the same side.

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Hearing loss has been fluctuating over the surveillance pe­riod, and the vestibular anemie de la hemoroizi treatment of vestibular papillomatosis rotator vertigo, in­s ta­bility and sudden fall.

The diagnosis needed both auditory and vesti­bular protocol, as the complementary examinations pediatric, oph­thal­mologic and imaging study. The evolution under treatment of vestibular papillomatosis treatment is favorable, by thinning frequency of crises and relieving the intensity of those. CNV can be a cause of paroxysmal cochleovestibular manifestations in childhood, and for this reason MRI study of the pontocerebellar angle and of the internal auditory canal must be done for the con­ fir­mation of the positive diagnosis, but also to exclude other causes acoustic neuroma, multiple sclerosis.

Există numeroase studii în literatura de specialitate re­ fe­ritoare la legătura dintre insuficiența respiratorie nazală și dez­vol­ta­ rea aparatului dento-maxilar. Fluxul aerian nazal este important pen­ tru creșterea laterală a maxilarului superior și scăderea înălțimii bol­tei palatine.

În această lucrare se analizează influența obstructivă na­za­lă din adenoidita cronică hipertrofică asupra dezvoltării aparatului den­ to-maxilar.

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Material şi metodă. Am efectuat un studiu comparativ în­tre două loturi de pacienţi: un lot de pacienţi cu adenoidită cronică şi sindrom de compresie de maxilar care au fost operaţi practicân­du-se adenoidectomie şi un lot de pacienţi la care această intervenţie nu a fost efectuată.

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Ambele loturi de pacienţi au fost tratate ortodontic. Au fost detectate diferenţe semnificative statistic între cele două grupuri de pacienţi privind dezvoltarea maxilarului superior şi durata medie a tra­ tamentului ortodontic.

Persistența obstrucţiei nazale în­târ­zie recuperarea funcţională a pacienţilor cu sindrom de compresie de maxilar care efectuează tratament ortodontic.

Evaluarea ORL prin exa­men clinic, endoscopic, rinomanometric este necesară la aceşti pacienţi. Tra­tamentul chirurgical al adenoiditei cronice hipertrofice restabileşte res­piraţia nazală şi diminuează durata tratamentului ortodontic, fa­vo­rizând dezvoltarea aparatului dento-maxilar.

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Recurrent Respiratory Papillomatosis RRP is the most com­mon benign neoplasm of the larynx among children caused by HPV sub­types 6 and 11, and the second most frequent cause of chro­ nic child­hood hoarseness treatment of vestibular papillomatosis vocal nodules. Juvenile-onset RRP is thought to be acquired during delivery, but there are other factors.

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The cost-be­nefit analysis seems to favor the approach of mandatory vaccination, es­pecially if you combine it with other late childhood vaccines. HPV Research Group of Euro­ pean Laryngological Society is working to es­ta­blish anti-HPV 6 and anti-HPV 11 antibody levels in a cohort of actively trea­ted RRP patients with the idea that if some of the these patients have low levels despite their infection, they might benefit from therapeutic ad­mi­nis­tration.

We are going to begin a surveillance study to see if we can influ­ence the incidence and prevalence of this disease over time, and we have planned a double-blind, crossover, therapeutic trial in a co­hort of es­ta­blished RRP patients.

Keywords: recurrent respiratory papillomatosis, HPV, treatment of vestibular papillomatosis