anaesthetic management of a huge oropharyngeal mass- case report

Background: patients with oropharyngeal masses present a challenge for anesthesiologists regarding ventilation and tracheal intubation. therefore, preoperative evaluation and preparation play a crucial role in managing difficult airway cases.case report: a 45-year-old female suffered from a mass in her oropharynx, leading to dysphagia and a hoarse voice. clinical examination and diagnostic tests indicated a challenging airway. the patient underwent fiberoptic nasotracheal intubation with successful perioperative outcomes. in addition, a tracheostomy was reserved as an alternative plan in case of unexpected difficulty during the civ (cricothyroid vein injection) procedure.discussion: thorough preoperative examination and assessment are essential to adequately prepare for potentially difficult airways. fiberoptic bronchoscope-guided nasotracheal intubation is a secure and effective method for managing the airway in challenging situations when dealing with a spontaneously breathing patient.