Endoscopic diagnosis and resection of pharyngeal papillomas

Abstract

Objective To evaluate the diagnostic and therapeutic effect of endoscopy on pharyngeal papillomas. Methods Data of patients with pharyngeal papillomas diagnosed and treated by endoscopy between March 2009 and December 2014 were analyzed retrospectively, including dissection, treatment and follow-up results. Results The rate of endoscopic diagnosis of pharyngeal papillomas was 0.9%(65/6 927). Endoscopic biopsy forceps resection was performed successfully in 54 patients. Other patients(n=11) were treated by endoscopic snare resection. There was hemorrhage of different degrees after resection. Argon hemostasis was used in 6 patients for errhysis after resection. Supportive treatment was not given and no severe hemorrhage or death was seen. A total of 41 patients were followed up and endoscopic examination was performed 2 months later. Pharyngeal papillomas were found again at the same site in two patients and endoscopic biopsy forceps resection was performed. Pharyngeal papillomas were not found in these two patients in the next endoscopic examination. Conclusion Endoscopy is a safe and effective diagnosis and treatment method for pharyngeal papillomas. Key words: Endoscopy; Therapeutic endoscopy; Papilloma; Pharynx