Epidemiological, Clinical and Therapeutic Aspects of Laryngeal Papillomatosis in Mali

Objectives: To study the epidemiological and clinical aspects and to identify our therapeutic difficulties. Material and Methods: this is a quantitative retrospective study covering a 9-year period from January 2009 to March 2017. Patient on patients seen outpatient dyspnea and dysphonia or referred to the University Hospital of Gabriel Toure in Bamako. Results: The hospital prevalence was 0.05%. The age group of 7 to 12 years represents 37.5% of cases. The average age of patients has increased from 11.71 years to 1 year to 36 years. The sex ratio was 1.5. The disease spent 28 months at 28.1%. The main signs found were dysphonia, dyspnea and touch, which were 90.6%, 6.3% and 3.1% respectively. Laryngoscopy in suspension detected 68.8% of lesions in the glottic cleft. The subglottic stage in 4 cases, Susglottic in 6 cases. Peeling with the forceps has been performed in all our patients. Conclusion: laryngeal papillomatosis remains a problem in our context. Dysphonia and dyspnea are the main signs of discovery of this condition. Diagnostic delay due to ignorance by some practitioners and geographical distance. This delay in diagnosis is responsible for the aggravation of the symptoms that may justify the indication of a certain tracheotomy. Peeling with a forceps during direct laryngoscopy is the only therapeutic alternative in our context.