FORMÁNEK, Martin, Pavel KOMÍNEK, Debora JANČATOVÁ, Lucia STANÍKOVÁ, Radoslava TOMANOVÁ, Jana VACULOVÁ, Milan URÍK, Ivo ŠLAPÁK and Karol ZELENÍK. Laryngopharyngeal Reflux Is a Potential Risk Factor for Juvenile-Onset Recurrent Respiratory Papillomatosis. Biomed Research International. New York: Hindawi Publishing Corporation, 2019, vol. 2019, No 1463896, p. 1-5. ISSN 2314-6133. Available from: https://dx.doi.org/10.1155/2019/1463896.
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Basic information
Original name Laryngopharyngeal Reflux Is a Potential Risk Factor for Juvenile-Onset Recurrent Respiratory Papillomatosis
Authors FORMÁNEK, Martin (203 Czech Republic, guarantor), Pavel KOMÍNEK (203 Czech Republic), Debora JANČATOVÁ (203 Czech Republic), Lucia STANÍKOVÁ (203 Czech Republic), Radoslava TOMANOVÁ (203 Czech Republic), Jana VACULOVÁ (203 Czech Republic), Milan URÍK (703 Slovakia, belonging to the institution), Ivo ŠLAPÁK (203 Czech Republic, belonging to the institution) and Karol ZELENÍK (203 Czech Republic).
Edition Biomed Research International, New York, Hindawi Publishing Corporation, 2019, 2314-6133.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30206 Otorhinolaryngology
Country of publisher United Kingdom of Great Britain and Northern Ireland
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 2.276
RIV identification code RIV/00216224:14110/19:00109468
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1155/2019/1463896
UT WoS 000459656800001
Keywords in English laryngopharyngeal reflux; juvenile-onset recurrent respiratory papillomatosis
Tags 14110319, rivok
Tags International impact, Reviewed
Changed by Changed by: Soňa Böhmová, učo 232884. Changed: 16/4/2019 12:51.
Abstract
Introduction. Human papillomavirus (HPV) causes juvenile-onset recurrent respiratory papillomatosis (JORRP). Although HPV is common in children, the prevalence of JORRP is low. It is likely that other factors contribute to the pathogenesis of JORRP, during either activation or reactivation of a latent HPV infection. There is evidence that laryngopharyngeal reflux (LPR) might be such a risk factor for adult-onset recurrent respiratory papillomatosis. This study investigated if LPR might also be a risk factor for JORRP. Materials and Methods. Children with JORRP of the larynx that required microlaryngoscopy at a tertiary referral hospital were included in this prospective case-series study from November 2015 to November 2017. Using immunohistochemistry, HPV infection and pepsin associated with LPR were diagnosed from laryngeal biopsies. Results. Eleven children (aged 4-14 years) were analyzed. No patient had a history of immunodeficiency or tobacco smoke exposure. All patients underwent at least three previous surgeries due to JORRP and had been vaccinated against HPV in the past. Five children were treated using antivirotics and immunomodulators. The only known maternal risk factor was that three mothers were primiparous. All 11 samples were infected with HPV (type 6 or 11). Pathologic LPR was diagnosed in 5/11 children (45.5%). Conclusion. LPR may be a risk factor for JORRP, contributing to its development by activating or reactivating a latent HPV infection. Results are in accordance with those from our previous study in adults.
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