Journal of Anesthesiology and Pain

Most cause of difficult intubation are anatomically disorders such as micrognathia, head and neck deformities, cervical spine disorders .Most of post-anesthetic harmful complications are due to airway management problems and hypoxemia. Therefore one of the most important points in the airway management is the appropriate selection of safe policy.
In this study we introduce a 79 – years old man, who was candidate for elective endoscopic dacriocystorhinostomy. He had congenital spastic torticollis. Finally we did successful awake fiberoptic-guided tracheal intubation with sedation.

In neck deformities and torticollis which airway anatomy is distorted, it seems reasonable to intubate trachea with sedation and preservation of spontaneous breathing by fiberoptic broncoscope.