Recurrent laryngeal papillomatosis is a rare chronic disease of viral etiology affecting most commonly larynx and paediatric age group. A 7 year old child with stridor was posted for laser excision of papilloma and managed with apnoeic anaesthesia with intermittent ventilation. The objective of our case was to review safety and efficacy of AAIV technique. At the end of case we observed. AAIV technique provides better visualization and immobile field for operation without any serious outcome. Thus we can conclude AAIV is an useful alternative technique for anaesthetic management of laryngeal papilloma.