Navigating Airway Management in Post-tracheostomy Patients: A Case Report and Review of the Literature

One-lung ventilation (OLV) is an essential technique in thoracic anesthesia to isolate lungs and provide optimum operating conditions. Different techniques have been described in the literature to achieve adequate surgical exposure. However, in anatomically altered upper airways, such as in post-laryngectomy patients, airway management remains challenging. Here, we report a case where OLV was successfully accomplished utilizing a double-lumen tube following a total laryngectomy and a comprehensive literature review of achieving OLV in patients with tracheostomy/laryngectomy. Informed consent was obtained from the patient, permitting the publication of this case report along with all associated clinical images and data.