A 3-year-old male child presents with multiple laryngeal papillomas with hoarse voice and slight airway distress. Papillomas are involving the glottis. The best treatment is:
Preferred treatment is microlaryngoscopy and excision. As the recurrence is common, repeated excisions may be required. Tracheostomy is avoided to prevent distal spread. Interferon therapy has not shown sustained benefit.
Tracheostomy and observation
Steroids
Interferon therapy
Microlaryngoscopy and excision
Larynx