Kamla 4 yrs of age presented in emergency with mild respiratory "stress. On laryngoscopy she was diagnosed to have multiple juvenile papilomatosis of the larynx. Next line of management is -

The patient (a 4 years girl) in the question is presenting with mild respiratory distress due to multiple Juvenile papillomatosis of larynx. The management in such a case is microlarygoscopic surgery using CO2 laser to ablate the lesion. Steroids and antibiotics have no role. Tracheostomy is reserved for those patients who have severe respiratory distress.