Recurrent respiratory papillomatosis RRP

A young patient was admitted to the clinic because of sever dysphonia. The symptoms such as hoarseness had occurred 3 months earlier and had gradually worsened since then. Recently, there has been a deterioration in physical performance and slight shortness of breath while running. Stroboscopic examination revealed a huge number of papilloma like warts covering both vocal folds, vestibular folds, extended to the subglottic region.