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A 50-year-old man weighing 48 kg was admitted to the hospital after suffering breathing difficulty and hoarseness for two weeks. During endoscopic examination, a squishy mass that occupied 80-90% of the glottic opening was observed (Fig. 1). The stalk was located on the left side just above the vocal cords and it moved slightly in and out of the glottis when the patient breathed. The patient entered the operating room in a sitting position and was given 100% oxygen with a nasal prong. Once on the operating table, the patient was placed in the semi-Fowler's position. It was anticipated that when he lost consciousness from anesthesia induction, mask ventilation would no longer work due to his totally obstructed airway. We therefore decided to perform transtracheal jet ventilation (TTJV) using a percutaneous transtracheal catheter.

Successful management of a patient with massive vocal fold granuloma with transglottal jet ventilation