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Current Trends in the Management of Recurrent Respiratory Papillomatosis

Anubhav Shrivastava, Anusree Prasanna, Raghu Nandhan, Kiran Natarajan and Mohan Kameswaran

Recurrent respiratory papillomatosis (RRP) has prevailed as an enigma to Otolaryngologists worldwide from time immemorial. It has been a nemesis to manage with no clear drug of choice or surgical procedure devised till date. RRP is characterized by human papilloma virus (HPV) induced exophyticpapillomas in respiratory mucosa,  extending along the airway anywhere from supraglottis onto the terminal bronchioles. This condition occurs more commonly in children, sometimes of juvenile onset and in adults to a lesser extent.Although it is benign, its virulent spread and aggressive recurrence deem it to be confronted like a malignant process