In your opinion laryngeal lesions caused by hpv should be removed only when present clinical symptoms or they should be removed whenever diagnostic taking into account that the virus is considered an independent risk factor for carcinoma.
Dear Leonardo,
In clinical practice what I see is that all lesions caused by HPV are usually surgically removed because those lesion can cause obstrutions in air ways, and even after removed can come back again. Many children perform surgery to tracheostomy in order to breath easily. And still follow with otolaryngologist
thanks Priscila,
My point is the indication for surgery or only clinical follow-up in warty lesions that do not cause respiratory distress or severe dysphonia,
Sorry the poor answer... I believe that a doctor can answer it better for you... As a speech language pathologist who works with swallowing disorders in patients only severe cases come to my practice... If you find any books from Mara Behlau or Silvia Pinho you may find a proper answer too... those are the most famous researchers in voice field of knowledge inside brazilian speech language pathology.