SYMPTOMS:
The child will present with hoarseness, stridor and airway obstruction. These symptoms often mimic asthma, croup and bronchitis.
Clinically, the diagnosis is made via a flexible nasopharyngolaryngoscope.
MANAGEMENT:
Surgery whether it be elective or as an emergency is the mainstay of treatment. The surgery is usually Endolaryngeal with aid of a laser, Microdebrider, Coblator or just with cup forceps. The surgery, especially in children, needs to be repeated sometimes a few times a year and even up to the age of 20. A Tracheostomy should be avoided at all costs. Obviously during surgery, a biopsy is taken to confirm the diagnosis.