Background</b>: Laryngeal Papilloma (LP) is a benign tumor that grows from laryngeal mucosa. This due to its location and size, the symptoms may varied from minimal to life-threatening since it may obstruct the airway. <br> <b>Method</b>:We present a case of Pediatric Airway Obstruction presenting with respiratory distress as a manifestation of LP. <br> <b>Case Presentation</b>: 10-years old male child consulted from the Paediatric Department with chief complaints short of breathness since 6 days ago, cough, and hoarse voice for around 2 years ago. Initial assessment showed dyspnea, hypoxia and physical examination revealed suprasternal retraction, stridor, and rhonchi. First working diagnosis was suspicious Acute Laryngitis with Laryngeal tumor and treated conservatively with steroid while patient under heavy observation. The following day, the patient fell on apnea and then hardly intubated due to resistance at airway passage. Later, fiberoptic laryngoscope was done which revealed laryngeal mass and decided to do tracheostomy and biopsy. Serial examinations performed with results: normal blood test, superior collapse of lung with Chronic Bronchitis in CXR, Acidosis Respiratory in BGA, a 21 x 28 mm mass covering airway at supraglottis level in lateral neck CT-scan, and last was proliferative squamous epithelial cell with mild dysplasia suggested LP in biopsy. The patient then referred to tertiary hospital in Surabaya for Microlaryngeal Surgery. <br> <b>Conclusion</b>: This purpose of the study is to raise awareness of comprehensive clinical examination of LP in pediatric patient to prevent its fatal airway complication. Holistic approaches are very needed to manage and improve the quality of life in pediatric patient with LP. <br> <b>Keyword</b>: Paediatric Airway Obstruction; Respiratory Distress; Laryngeal Papilloma; Case report