Office biopsy may offer early direction and avoid operative intervention in some cases; however, for suspected dysplastic or malignant lesions, direct microlaryngoscopy should be the standard of care to ensure adequate full-thickness sampling and staging. For benign pathology, office biopsy is a safe and viable alternative to direct microlaryngoscopy and biopsy/excision.
The use of nonprescription medications in the otolaryngology preoperative population is very common, especially in the female patient. The most commonly reported medications are associated with serious potential complications, and awareness of their use is critical before the patient undergoes surgery.
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