Anesthetic management of children with recurrent, viral laryngeal papillomatosis: a case report.

The authors report the case of a 4-year-old boy who required anesthetic care during laser excision of respiratory papillomatosis. The perioperative issues surrounding this disease process are discussed including anesthetic induction in the patient with a compromised airway, maintenance anesthetic techniques, methods used for ventilation during laser surgery of the upper airway, and infectious disease risks to the operating room personnel. In addition, the psychological and emotional impacts of recurrent surgical procedures during childhood are addressed.