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Benign squamous laryngeal papillomatosis is a difficult condition to treat due to its recurrence. Repeated surgery leads to fibrosis, web formation and poor quality of voice. Use of homeopathic medicine Thuja (Arbor Vitae) post operatively has shown very good results. We wish to share our experience of five cases of recurrent laryngeal papillomatosis, treated at Command Hospital Air Force, Bangalore.
Laryngeal papillomatosis forms one of the major causes of progressive hoarseness of voice. The diagnosis is confirmed by laryngoscopy which shows warty growth on one or both vocal cords. The histological examination reveals a characteristic arrangement of cells in benign epithelioma. Surgical removal is invariably followed by recurrence [1, 2].
Thuja is a homeopathic medicine which is known to cure benign warty excrescences and condylomas. It acts particularly on skin and mucous membrane of respiratory tract, especially on papilloma of the larynx . Different therapeutic doses of Thuja have been advocated for papillomas . There are no side effects of the drug at any potency dose . A trial of this drug has shown good results .
A total of five cases of laryngeal papillomatosis who have had recurrence after the first surgery seen during the period January 1995-December 1996 were subjected to direct laryngoscopy under GA and microlaryngeal scalping was done. These patients were then subjected to Thuja 1 M (one thousand potency) monthly dose for a period of three months, followed by monthly dose of 10 M (ten thousand potency) for the next three months. Cases were reviewed periodically. There was no recurrence seen in these cases upto 1 1/2 – 2 years followup.
Thuja in the potency of 1 M given to the patients for three months and 10 M for another three months after microlaryngeal surgery, in cases of recurrent benign squamous papillomatosis has shown marked improvement in the quality of voice. Our results are comparable to earlier studies .
It is recommended that Thuja be tried as an adjuvant to microlaryngeal surgery in cases of recurrent laryngeal papillomatosis for successful results.