Multi-Center, Randomized Trial of the Pulsed Dye Laser for JORRP

Inclusion Criteria: 1. Immunocompetent children ages 1-12 with symptomatic JORRP requiring operative intervention 2. Children who have historically required at least four surgeries in the year preceding enrollment to treat laryngeal JORRP Exclusion Criteria: 1. Children who have required fewer than four procedures to treat laryngeal JORRP in the year prior to enrollment. 2. Children who are currently receiving adjuvant therapies for JORRP including cidofovir, interferon, indole-3-carbinol or Hsp-E7. 3. Caregivers who are non-English speaking as the PVRQOL instrument has been validated only in the English language. 4. Children whose families do not sign an informed consent to enter into the study. 5. Children whose families anticipate discontinuing care at a participating institution during the study period