Early in the course of investigation are two topical agents that may eventually be useful for managing laryngeal papillomata. Ionic contraviral therapy (ICVT, Henderson Morley, UK) is an antiviral agent with excellent efficacy in treating plantar warts. It reportedly alters the host cell to create a hostile environment rather than affecting the virus itself. Carrageenan is an extract of red algae and is used as a thickener in many foods, cosmetic products, and even vaginal gels. This agent inhibits binding of HPV to the target cells and may prove useful as a lubricant gel.
Explore This Issue
October 2006RRP Resources
No editorial comment would be complete without commenting on the accomplishments of the RRP Task Force. Headed by Craig Derkay, MD (Eastern Virginia Medical School), the RRP Task Force is credited for widespread dissemination of knowledge regarding RRP. Initiated in 1994 following a survey of members of ASPO, the ABEA, and the AAO-HNS regarding the treatment of RRP, the task force has made great strides in establishing a nationwide registry for juvenile onset RRP, in analyzing the demographics of patients with RRP, in assessing various treatment modalities and in fostering the continued research of treatment. The annual AAO-HNSF instructional course offered by Craig Derkay and Brian Wiatrak, MD (University of Alabama) is a must for physicians treating patients with RRP who wish to know the current and future trends in disease management.
Patients with RRP should be made aware of the RRP Foundation directed by Bill Stern (www.rrpf.org ). This nonprofit organization, established in 1992, serves as an outstanding information resource for patients, families, and practitioners, and promotes public awareness of this devastating disease.
In summary, the future looks promising for the management of RRP. Although a cure is not imminent, we may be on the cusp of preventing this disease with vaccine therapy. We can all hope for the day when discussions of the management of laryngeal papillomas become of historic interest only.
©2006 The Triological Society
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