International Pediatric Otolaryngology Group (IPOG): Juvenile-onset recurrent respiratory papillomatosis consensus recommendations

Claire Lawlor; Karthik Balakrishnan; Sergio Bottero; An Boudewyns; Paolo Campisi; John Carter; Alan Cheng; Alejandro Cocciaglia; Alessandro DeAlarcon; Craig Derkay; Pierre Fayoux; Catherine Hart; Christopher Hartnick; Nicolas LeBoulanger; Eric Moreddu; Harlan Muntz; Richard Nicollas; Shazia Peer; Seth Pransky; Reza Rahbar; John Russell; Michael Rutter; Riaz Seedat; Douglas Sidell; Richard Smith; Marlene Soma; Julie Strychowsky; Dana Thompson; Jean-Michel Triglia; Marilena Trozzi; Michelle Wyatt; George Zalzal; Karen B Zur; Roger Nuss

doi:10.1016/j.ijporl.2019.109697

International Pediatric Otolaryngology Group (IPOG): Juvenile-onset recurrent respiratory papillomatosis consensus recommendations

Int J Pediatr Otorhinolaryngol. 2020 Jan:128:109697. doi: 10.1016/j.ijporl.2019.109697. Epub 2019 Sep 28.

Authors

Claire Lawlor¹, Karthik Balakrishnan², Sergio Bottero³, An Boudewyns⁴, Paolo Campisi⁵, John Carter⁶, Alan Cheng⁷, Alejandro Cocciaglia⁸, Alessandro DeAlarcon⁹, Craig Derkay¹⁰, Pierre Fayoux¹¹, Catherine Hart⁹, Christopher Hartnick¹², Nicolas LeBoulanger¹³, Eric Moreddu¹⁴, Harlan Muntz¹⁵, Richard Nicollas¹⁴, Shazia Peer¹⁶, Seth Pransky¹⁷, Reza Rahbar¹⁸, John Russell¹⁹, Michael Rutter⁹, Riaz Seedat²⁰, Douglas Sidell²¹, Richard Smith²², Marlene Soma²³, Julie Strychowsky²⁴, Dana Thompson²⁵, Jean-Michel Triglia¹⁴, Marilena Trozzi³, Michelle Wyatt²⁶, George Zalzal²⁷, Karen B Zur²⁸, Roger Nuss¹⁸

Affiliations

¹ Department of Otolaryngology, Children's National Health System, Washington, DC, United States. Electronic address: clairemlawlor@gmail.com.
² Department of Otorhinolaryngology, Mayo Clinic, Rochester, MN, United States.
³ Department Pediatric Surgery, Bambino Gesù Pediatric Hospital, Rome, Italy.
⁴ Department of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital, Edegem, Belgium.
⁵ Department of Otolaryngology-Head and Neck Surgery, Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.
⁶ Department of Otolaryngology, Ochsner Health System, New Orleans, LA, United States.
⁷ Department of Pediatric Otolaryngology, The Sydney Children's Hospital Network-Westmead Campus, The University of Sydney, Sydney, NSW, Australia.
⁸ Servicio de Endoscopía Respiratoria, Hospital de Pediatría Juan P. Garrahan, Ciudad Autónoma de Buenos Aires, Argentina.
⁹ Division of Pediatric Otolaryngology-Head & Neck Surgery, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, OH, United States.
¹⁰ Department of Otolaryngology - Head and Neck Surgery, Eastern Virginia Medical School, Sentara Norfolk General Hospital, Norfolk, VA, United States.
¹¹ Department of Pediatric Otolaryngology-Head Neck Surgery, Jeanne de Flandre Hospital-CHU Lille, Lille, France.
¹² Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Boston, MA, United States.
¹³ Department of Otorhinolaryngology, Hôpital Universitaire Necker-Enfants Malades, Paris, France.
¹⁴ Department of Pediatric Otolaryngology Head and Neck Surgery, La Timone Children's Hospital (Aix-Marseille University), Marseille, France.
¹⁵ Division of Otolaryngology - Head and Neck Surgery, University of Utah School of Medicine, Salt Lake City, UT, United States.
¹⁶ Department of Otorhinolaryngology, Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa.
¹⁷ Pediatric Specialty Partners, San Diego, CA, United States.
¹⁸ Department of Otolaryngology & Communication Enhancement, Boston Children's Hospital, Boston, MA, United States.
¹⁹ Department of Otorhinolaryngology, Our Lady's Children's Hospital Crumlin, Dublin, Ireland.
²⁰ Department of Otorhinolaryngology, Universitas Academic Hospital, Bloemfontein, South Africa.
²¹ Department of Otolaryngology-Head and Neck Surgery, Stanford University, Palo Alto, CA, United States.
²² Department of Otolaryngology -Head and Neck Surgery, Carver College of Medicine, University of Iowa Health Care, Iowa City, IA, United States.
²³ Department of Paediatric Otolaryngology, Sydney Children's Hospital, Randwick, NSW, Australia.
²⁴ Department of Otolaryngology-Head and Neck Surgery, Children's Hospital at London Health Sciences Centre, Western University, London, ON, Canada.
²⁵ Division of Otolaryngology-Head and Neck Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, And Northwestern Feinberg School of Medicine, Chicago, IL, United States.
²⁶ Great Ormond Street Hospital for Children, London, United Kingdom.
²⁷ Department of Otolaryngology, Children's National Health System, Washington, DC, United States.
²⁸ Division of Otolaryngology, Children's Hospital of Philadelphia, Philadelphia, PA, United States.

PMID: 31698245
DOI: 10.1016/j.ijporl.2019.109697

Abstract

Objectives: To develop consensus recommendations for the evaluation and management of juvenile-onset recurrent respiratory papillomatosis (JORRP) in pediatric patients.

Methods: Expert opinion by the members of the International Pediatric Otolaryngology Group (IPOG). The mission of the IPOG is to develop expertise-based consensus recommendations for the management of pediatric otolaryngologic disorders with the goal of improving patient care. The consensus recommendations herein represent the first publication by the group.

Results: Consensus recommendations including diagnostic considerations, surgical management, systemic adjuvant therapies, postoperative management, surveillance, and voice evaluation. These recommendations are based on the collective opinion of the IPOG members and are targeted for otolaryngologists, primary care providers, pulmonologists, infectious disease specialists, and any other health care providers that manage patients with JORRP.

Conclusions: Pediatric JORRP consensus recommendations are aimed at improving care and outcomes in this patient population.

Publication types

Practice Guideline

MeSH terms

Chemotherapy, Adjuvant
Child
Consensus
Humans
Papillomavirus Infections / diagnosis*
Papillomavirus Infections / therapy*
Population Surveillance*
Postoperative Care
Referral and Consultation
Respiratory Tract Infections / diagnosis*
Respiratory Tract Infections / therapy*

Supplementary concepts

Recurrent respiratory papillomatosis