THE DIFFICULTIES encountered in the management of laryngeal papillomatosis have been known for many years. One case of sudden death three months following a tracheostomy for laryngeal papillomata is presented to emphasize the unrecognized clinical manifestations of this tumor. This is the 11th case of juvenile papillomata encountered in 23 years at Milwaukee Children's Hospital and the first death from this disease.
Report of a Case
History.—A 7-month-old baby boy was first seen for hoarseness and dyspnea while crying. Direct laryngoscopy showed a single papilloma of the left true vocal cord. The papilloma was excised, and pathological diagnosis was benign squamous cell papilloma of the larynx.At age 16 months the patient was admitted for intermittent hoarseness of three months' duration. Direct laryngoscopy showed wart-like papillomas on both true and false vocal cords. The lesions were again removed and the same pathological condition was found.At 19 months of