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General Medicine General 0ef34c01

A 30 year old female with history of singing, vocal abuse and gastrooesophageal reflux developed nodules at junction of anterior 1/3rd & middle 3rdof her vocal cords. What is treatment of choice ?

A
Speech therapy and Proton pump inhibitor (PPI)
B
Microlaryngascopic surgery & CO2 laser
C
Microlaryngectomy
D
Direct laryngoscopy and biopsy

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