Anesthetic Management of a Patient with Multiple Laryngeal Papillomatosis
Laryngeal papillomatosis is a rare disease, caused by human papilloma virus infection. It can present with various respiratory signs and symptoms, including but not limited to hoarseness, respiratory distress, and stridor. Anesthetic management of this condition is challenging due to multiple factors such as shared airway with the ear, nose, and throat surgeon, potential difficult airway, and associated complications related to jet ventilation and/or laser use in the airway. The chapter discusses the most important and clinically relevant facts related to this condition. Topics covered include difficult airway, airway laser airway fire, jet ventilation, and barotrauma. A case study of a 55-year-old overweight male patient who presents to the operating room for an elective removal of his recurrent laryngeal papillomas is used as an example.