This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: All India exam, Subject name: ENT
All are true regarding Reinke's oedema except? 
Select and explain. 
A. Usually caused by vocal abuse, B. There is collection of oedema fluid in the subepithelial space, C. There is asymmetrical swelling of vocal cords, D. Vocal cord stripping is the treatment
C: There is asymmetrical swelling of vocal cords
Answer: C: There is asymmetrical swelling of vocal cords 
Explanation: Reinke's oedema is caused by vocal abuse or smoking. There is diffuse symmetrical swelling of both vocal cords. Vocal cord stripping is the treatment of choice. Enough mucosa should be preserved for epithelialization. Ref: Diseases of Ear, Nose and Throat by P.L. Dhingra, 9th edition, p323.