The use of high frequency jet ventilator in a patient with tracheal papillomatosis

Abstract

Juvenile laryngeal papillomatosis is an acquired disease caused by human papilloma virus of early childhood with the clinic of respiratory distress. In the treatment, mechanical procedures like CO2 laser, electrocautery, cryotherapy, cold knife excision and curettage can be used. The commonly used chemical methods are salicylic acid, lactic acid, bichloroacetic acid and trichloroacetic acid. High frequency jet ventilator (HFJV), especially when used during laryngotracheal surgery, enables sufficient ventilation, oxygenation and excellent surgical vision. As the ventilation is provided over a possible stenosis, barotrauma risk is minimalised. In this case report, we present the management of a case of a 36 years old with tracheal papillomatosis which started in early childhood as laryngeal papillomatosis, by the use of a rigid bronchoscope and HFJV.

Key words: High frequency jet ventilator, human papilloma virus