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Radiological Case of the Month

John L. Gwinn, MD; Fred A. Lee, MD; Charles J. Fagan, MD; Leonard E. Swischuk, MD
Am J Dis Child. 1972;123(2):139-140. doi:10.1001/archpedi.1972.02110080117013.
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CLINICAL HISTORY.—This 10-month-old boy was referred to our care with a history of several bouts of "laryngotracheobronchitis." Laryngeal stridor was the most troublesome problem and was severe enough on the last occasion to require emergency tracheostomy. Subsequent attempts to remove the tracheostomy tube precipitated bouts of acute respiratory distress.

Physical Examination.—Between the acute bouts of respiratory distress the patient was alert, active, and only mildly dyspneic. Coarse breath sounds were heard over both lung fields, and expiratory wheezes were present on the right. No other pertinent findings were present except for those noted on direct laryngoscopy. These findings consisted of coarsely thickened and nodular vocal

Roentgenograms were obtained of the larynx (Fig 1), chest (Fig 2), and a biopsy of the larynx was obtained.

Denouement and Discussion 

Juvenile Laryngeal Papillomatosis With Spread to the Lungs  Papillomatosis of the larynx is a benign neoplastic condition of unknown etiology, but suspected to

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