Vocal cords paralysis
Kamla 4 yrs of age presented in emergency with mild re¬spiratory distress. On laryngoscopy she was diagnosed to have multiple juvenile papillo-matosis of the larynx. Next line of management is: (LQ)
• The patient (a 4 years girl) in the question is presenting with mild respiratory distress due to multiple Juvenile papillomatosis of larynx
• The management in such a case is microlarygoscopic surgery using CO2 laser to ablate the lesion.
• Steroids and antibiotics have no role.
• Tracheostomy is reserved for those patients who have severe respiratory distress.