Recurrent respiratory papillomatosis (RRP) is caused by human papillomavirus (HPV) and produces wart-like growths on the vocal cords and surrounding larynx. Because papilloma regrows after removal, surgical management is ongoing and requires repeated microlaryngoscopic procedures to maintain an open airway and functional voice.
The surgical goal is debulking — removing enough papilloma to restore voice and airway patency without scarring the cords. A CO2 laser, microdebrider, or cold steel instruments may be used depending on location and extent. Dr. Thomas uses a conservative approach that prioritizes vocal cord structure over aggressive clearance.
For a detailed description of what to expect before, during, and after microlaryngoscopy — including anesthesia, risks, and recovery — see the Surgical Microlaryngoscopy overview.