Papilloma of the larynx is somewhat self-limiting, and the tendency of recurrence decreases after adolescence and can even disappear on its own. Parents of children with the disease should build up confidence in treatment. Due to the ease of recurrence of the disease, the child has to undergo long-term treatment and suffer from pain that many people of the same age do not. As a medical worker, we should give adequate psychological support to help the child adjust his or her psychological problems and treat the disease scientifically so that he or she can better adapt to society. For children with tracheotomized laryngeal papilloma, postoperative care and home care are crucial to the child’s recovery. First of all, the child should be provided with a quiet, clean, fresh air living environment with a room temperature of 20-22°C and humidity of 60%-70%. If the child is already in school, teachers and classmates should be instructed to pay attention to the child to avoid accidents. Oral secretions into the lower respiratory tract is an important source of infection, oral care should be strengthened. Choose oral care solution according to the pH value of the mouth, 2%-3% boric acid when the pH value is high, 2% sodium bicarbonate when the pH value is low, and 1%-3% hydrogen peroxide or saline when the pH value is neutral to reduce the chance of lung infection. Prevent water from splashing into the tracheal tube when bathing. Strengthen nutrition, high calorie, high protein, high vitamin diet, forbid strong tea, coffee, spicy food. Next, the airway should be kept open and the endotracheal tube should be cleaned from time to time. Before discharge, the family should be taught the method of pulling out and putting in the endotracheal tube, the cleaning and disinfection of the endotracheal tube, and the method of changing the skin dressing around the tracheotomy. When pulling out the endotracheal tube, the sputum should be aspirated first, one hand should press the ears of the external tube, and the other hand should rotate the flap on the orifice of the endotracheal tube and take it out gently, otherwise the external tube will be taken out easily. There are two methods of disinfection: (1) Soak method. Pull out the internal catheter soaked with 3% hydrogen peroxide for 15 min, and then soaked with 3% hydrogen peroxide for 15 min after washing the sputum crust, and then rinsed with saline and can be inserted naturally in the direction of the airway. (2) Boiling method. First, take out the inner catheter for preliminary cleaning, put it into a special pot and boil it for 15 min, take out the cleaning and put it into another container and boil it for 15 min after the water boils, and then insert it directly after it cools. Those with sputum should be aspirated first and then placed, depending on the amount of sputum 3 to 4 times a day J. Each removal should not exceed 30 min. The skin around the tracheotomy should be disinfected with 75% alcohol daily and replaced with sterile gauze once to keep the area dry and clean. If there is redness and swelling, local care should be strengthened and Bactrim or erythromycin ointment can be applied. Before discharging the child with aspiration, the family should be trained on the correct method of aspiration. Pay attention to the changes of respiratory sounds, which should be tubular under normal conditions and sputum sounds when there is sputum; when the lower end of the cannula is covered with pseudomembrane, a crackling sound will be heard with breathing; when the lower end of the cannula is blocked by sputum crust or blood crust, breathing will become sharp and labored. Where the casing emits loud sounds when breathing, it means that there are sticky secretions that cannot be coughed out easily in the casing, which should be aspirated in time, and after aspiration, medicine should be dripped into the trachea, and the mouth of the casing should be covered with moist single-layer saline gauze, which can increase the humidity of the aspirated air by wetting it in time after drying. The depth of sputum tube insertion is usually 5-10 cm, and the method of rotation, attraction and retreat is adopted at the same time, and the duration of sputum aspiration does not exceed 15 S each time, and the action should be gentle to avoid damaging the airway mucosa. If there is more sputum and it needs to be suctioned again, it should be suctioned again after 3-5 wan rest, and oxygen inhalation can be given during the period if there is condition. Strictly implement aseptic operation to reduce the chance of infection. The suction tube should be changed one at a time, and once it enters the airway for suction, it should not be reinserted for suction once it is withdrawn from the tracheal tube. The suction tube entering the airway must not be contaminated, and should be replaced in time if contamination is suspected. The connecting tube and drainage tube of the suction device should be changed daily. Mucosolvan nebulization can be given if the sputum is thick and sticky, and with back draining. Tracheal tube decannulation is one of the serious complications after tracheotomy and must be strictly guarded against. Since pediatric laryngeal papilloma is prone to recurrence, parents should learn to observe the patient’s breathing and determine whether the patient is in respiratory distress based on the presence of laryngeal tinnitus, lip bruising, and irritability. If there is any abnormality, come to the ENT clinic immediately for clear diagnosis and treatment. Parents who have other questions can make an appointment for telephone consultation to communicate with me.