Combined Use of a Gum Elastic Bougie and Video Laryngoscopy for Intubating a Patient With an Unexpected Laryngeal Papilloma

Anesth Prog. 2020 Dec 1;67(4):230-232. doi: 10.2344/anpr-67-03-01.


This is a case report of a 75-year-old man scheduled for apical resection and cystectomy of odontogenic cysts involving both maxillary central incisors who presented with a previously unknown laryngeal mass that was discovered prior to intubation. Following induction and easy mask ventilation, direct laryngoscopy revealed a large mass on the right side of the glottis that impeded passage of a standard oral endotracheal tube. Successful atraumatic intubation was performed with the combination of a video laryngoscope (King Vision, Ambu Inc, Ballerup, Denmark) and a gum elastic bougie (GEB). Although a GEB may not be used routinely for tracheal intubation, it facilitated smooth advancement of the endotracheal tube without damaging the laryngeal mass when used in combination with video laryngoscopy.

Keywords: General anesthesia; Gum elastic bougie; Laryngeal papilloma; Tracheal intubation; Video laryngoscope.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Humans
  • Intubation, Intratracheal
  • Laryngoscopes*
  • Laryngoscopy
  • Male
  • Papilloma* / diagnosis
  • Papilloma* / surgery
  • Tracheostomy