PAEDIATRIC LARYNGOLOGY 201 mothers have grown warts on their fingers after managing a child who has had a tracheostomy for the condition. At laryngoscopy the papillomata look like bunches of wart-like ex- crescences, pinkish-white in colour; they may be sessile or pedunculated and are always multiple (Fig. 100). Symptoms depend upon the size and position of the growths. If the vocal cord is affected at all there will be dysphonia, and if the papillomata are big enough to compromise the airway there will be stridor (Fig. 101). Fig. 100. Multiple papillomata of larynx. Fig. 101. The appearances in severe dyspnoea in a child with multiple papillomata of the larynx.