bronchoscope

[scaredsos]

I have recently been infected with HPV 16. To rule out respiratory papillomatosis, dr suggested bronchoscope. However, I also have oral wart. Would this procedure introduce wart to my pulmonary trees?

Thanks for your help

[scaredsos]

why so sure oral wart spread other areas woudl be very unlikely?
or is it only if one follows your way to performing the procedure?

Thanks

from the distressed

[scaredsos]

there was no hoarseness but clear cough x 2 months. However CXR was (-). the procedure was done through mouth. 4 days ago, a possible oral wart was resected. During the procedure, there was a lot choking and strong gag. bronchial injections noted but dx was chronic bronchitis c/ reflux esophagitis. pt was still choking and had trouble coughing for 4 days secondary to meds and procedure. could oral HPV (likely 16) now have high risk of being passed onto the pulmonary leading to possible future pulmonary involvement?

Thanks so much for your advice. I really appreciate this.

[National Jewish Health]

Bronchoscopy would be the procedure of choice to examine the respiratory tract for evidence of respiratory papillomatosis.  However, I would not recommend the procedure unless there was clinical evidence to suggest respiratory tract involvement.  If you have a cough or hoarseness then bronchoscopy would be indicated.  I would perform the procedure by entering through the nose, the most common approach, not the mouth.  Spread of the oral wart to other areas would be very unlikely.