Papilloma in the Throat: Post-Surgery Care and Concerns - Otolaryngology

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Laryngeal papillomatosis


Hello Doctor, last week I discovered a lump on my left tonsil and underwent surgery for its removal.
The biopsy results indicated a papilloma, and the cytological examination showed no abnormalities.

1.
It is now the 9th day post-surgery, and I have been taking Curam twice daily.
However, today the sensation of throat pain feels different from before, and my voice has become hoarse.
Should I schedule a follow-up appointment?
2.
Since I have a papilloma, should I receive the cervical cancer vaccine for prevention? Thank you for taking the time to respond amidst your busy schedule!

Kiki, 30~39 year old female. Ask Date: 2020/04/30

Dr. Zheng Jueyi reply Otolaryngology


Hello: Generally, hoarseness is less common after surgery.
If it persists without improvement, you may return for an earlier follow-up appointment for further evaluation by your physician.
Additionally, papillomas are associated with the human papillomavirus, and it is indeed advisable to consider vaccination to prevent infection.
Wishing you safety and health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2020/04/30

More Info


Understanding papilloma in the throat, particularly after surgical removal, involves addressing both post-operative care and potential concerns regarding recurrence and related health issues.
Firstly, it’s important to understand what a papilloma is. Papillomas are benign tumors that can occur in various parts of the body, including the throat. They are often caused by human papillomavirus (HPV) infection. While they are non-cancerous, their presence can lead to discomfort and, in some cases, complications if they obstruct airways or cause other issues.

Regarding your specific concerns:
1. Post-Surgery Symptoms: It’s not uncommon to experience changes in your throat after surgery, including pain, altered voice, or discomfort. The fact that you are experiencing throat pain and a change in your voice nine days post-surgery could be due to several factors, including inflammation, healing tissue, or irritation from the surgical procedure itself. It is crucial to monitor these symptoms. If the pain worsens, or if you experience difficulty breathing, swallowing, or any other concerning symptoms, you should definitely return to your healthcare provider for a follow-up. They may want to examine the surgical site to ensure proper healing and rule out any complications, such as infection or scarring.

2. HPV Vaccination: Regarding the HPV vaccine, it is generally recommended for individuals to receive the vaccine to protect against various strains of HPV that can lead to different types of cancers, including cervical cancer. While the vaccine is primarily aimed at preventing cervical cancer, it also protects against other HPV-related conditions, including some that can affect the throat. If you have been diagnosed with a papilloma, discussing the HPV vaccine with your healthcare provider is a good idea. They can provide personalized advice based on your medical history and the specifics of your case.
In terms of post-operative care, here are some general recommendations:
- Follow-Up Appointments: Ensure you attend all scheduled follow-up appointments. These are crucial for monitoring your recovery and addressing any complications early.


- Medication Adherence: Continue taking any prescribed medications, such as curam (an antibiotic), as directed. This helps prevent infection and aids in the healing process.

- Diet and Hydration: Maintain a soft diet to avoid irritating your throat. Staying hydrated is also essential for healing.

- Voice Rest: If your voice has changed, it may be beneficial to rest your voice as much as possible. Avoid whispering or straining your voice, as this can exacerbate irritation.

- Watch for Signs of Infection: Be vigilant for signs of infection, such as increased redness, swelling, discharge, or fever. If you notice any of these symptoms, contact your healthcare provider immediately.

- Avoid Irritants: Stay away from smoke, strong odors, and other irritants that can aggravate your throat.

In conclusion, while some discomfort and changes in voice are expected after the removal of a papilloma, it is essential to keep an open line of communication with your healthcare provider. They can provide guidance tailored to your specific situation and help ensure a smooth recovery. Additionally, considering the HPV vaccine could be a proactive step in managing your overall health and reducing the risk of future HPV-related issues.

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