“The most important thing is for the surgeries to be done in a conservative, precise fashion,” Dr. Rosen said. “Most patients will have repeated surgeries and most will develop scars in the vocal cords,” he said. “The treating otolaryngologist should exercise great care and proceed with the surgery in a non-aggressive fashion. The disease is not eradicated with surgery; it’s kept under control at best. Aggressive surgery and laser won’t keep recurrences from happening.” He added that the use of cidofovir can markedly reduce the frequency with which some patients require repeat surgeries.
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