The pathogenesis of larynx papillomas has been a challenge of medical
science for a long time. Both clinical observations and electronmicros
copical examinations have made it possible to establish the viral orig
in. Final evidence, however, has been achieved only by complicated imm
unhistochemical investigations. The Papova viruses-types 6 and/or 11-c
an be detected with in situ hybrizidation polymerase chain reaction am
plification. HPV can be positivity demonstrated not only from visible
papillomas but-in significant percentage-in neighboring healthy-lookin
g mucous membranes. It may reveal the inadequacies of removal of lesio
ns and the need for adjuvant therapy. To make treatment more effective
we have developed a therapeutic regimen that combines CO2 laser micro
surgery with immunostimulants.