A 30 year old female with history of singing,vocal abuse and gastrooesophageal reflux developed nodules at junction of anterior 1/3rd and middle 3rd of her vocal cords.What is treatment of choice?

• A. Microlaryngectomy
• B. Direct laryngoscopy and biopsy
• C. Speech therapy and Proton Pump Inhibitor (PPI)
• D. Microlaryngascopic surgery and CO2 laser