An International Journal of Otorhinolaryngology Clinics

Register      Login

VOLUME 2 , ISSUE 3 ( September-December, 2010 ) > List of Articles


Special Considerations in Anesthesia for Laryngeal Cancer Surgery

Sonia Flory, Ian R Appadurai

Keywords : Head and neck cancer surgery,Otolaryngological larynx anesthesia

Citation Information : Flory S, Appadurai IR. Special Considerations in Anesthesia for Laryngeal Cancer Surgery. Int J Otorhinolaryngol Clin 2010; 2 (3):185-190.

DOI: 10.5005/jp-journals-10003-1034

Published Online: 01-12-2010

Copyright Statement:  Copyright © 2010; The Author(s).


The airway is not only shared but operated upon during laryngeal cancer surgery. Patients with laryngeal cancer may require general anesthesia for diagnostic endoscopic procedures, for endolaryngeal laser surgery or for major cancer resectional surgery. This review outlines the importance of careful assessment of the airway and medical comorbidities and discusses the options for anesthetic and ventilatory management whilst ensuring a safe airway, adequate oxygenation and the best possible view of the surgical field. Laryngeal cancer surgery may improve the airway or create new problems and the need for meticulous planning, multidisciplinary input, good communication and close cooperation between all members of the team is emphasized.

PDF Share
  1. Cancer Research UK 2010 [Accessed: 24/07/2010] Available from
  2. Interaction between tobacco and alcohol use and the risk of head and neck cancer: Pooled analysis in the International Head and Neck Cancer Epidemiology Consortium. Cancer Epidemiol Biomarkers Prev 2009;18(2):541–50.
  3. Guidelines for preoperative cardiac risk assessment and perioperative cardiac management in noncardiac surgery: The task force for preoperative cardiac risk assessment and perioperative cardiac management in noncardiac surgery of the European Society of Cardiology (ESC) and endorsed by the European Society of Anaesthesiology (ESA). Eur Heart J 2009;30(22):2769–812.
  4. Outcomes in heart failure patients after major noncardiac surgery. J Am Coll Cardiol 2004;44(7):1446–53.
  5. Predicting difficult orotracheal intubation in pharyngo-laryngeal disease: Preliminary results of a composite index. Can J Anesth 2003;50(1):81–85.
  6. The anesthetic considerations for the patient undergoing total laryngectomy. AANA J 1987;55(3):237–44.
  7. Prevalence of upper airway tumours and cysts among patients who snore. Ann Otol Rhinol Laryngol 2007;116(11):842–46.
  8. The obstructed airway in head and neck surgery. Anaesthesia 1999;54(7):625–28.
  9. Difficult tracheal intubation: A retrospective study. Anaesthesia 1987;42(5):487–90.
  10. Preoperative assessment of obstruction with computed tomography image analysis. Am J Otolaryngol 2000;21(4):263–70.
  11. The role of radiology in the evaluation of stridor. Arch Dis Child 1999;81(5):456–59.
  12. ENT and maxillofacial surgery. In: Calder I, Pearce A (Eds). Core topics in airway management. Cambridge, UK: Cambridge University Press, 2005;177–90.
  13. Anaesthesia for microlaryngeal and laser laryngeal surgery: Impact of subglottic jet ventilation. J Laryngol Otol 2010;124(6):641–45.
  14. Transtracheal high frequency jet ventilation for endoscopic airway surgery: A multicentre study. Br J Anaesth 2001;87(6):870–75.
  15. Complications of different ventilation strategies in endoscopic laryngeal surgery: A 10-year review. Anaesthesiology 2006;104(1):52–59.
  16. Two ventilating attachments for bronchoscopes. Delaware Med J 1967;39:170.
  17. Major complications during anaesthesia for elective laryngeal surgery in the UK: A national survey of the use of high-pressure source ventilation. Br J Anaesth 2008;101(2):266–72.
  18. Emergency use of the laryngeal mask airway in severe upper airway obstruction caused by subglottic edema. Br J Anaesth 1995;75(6):785–86.
  19. High frequency jet ventilation through the laryngeal mask airway in a critically obstructed airway. Anaesthesia 2008;63(12):1369–71.
  20. Advanced upper airway obstruction in ENT surgery. Br J Anaesth -CEPD Reviews 2002;2(5):134–38.
  21. Major neck surgeries under regional anaesthesia. Am J Otolaryngol 1998;19(3):163–69.
  22. Prophylactic percutaneous transtracheal catheterization in the management of patients with anticipated difficult airways: A case series. Anaesthesia 2005;60(8):801–05.
  23. Inhalational anesthetic technique in microlaryngeal surgery: A comparison between sevoflurane-remifentanil and sevoflurane-alfentanil anaesthesia. Ann Otol Rhinol Laryngol 2003;112(4):373–78.
  24. Coronary artery spasm induced by carotid sinus stimulation during neck surgery. Br J Anesth 2003;90(3):391–94.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.