Anaesthetic management of a child having congenital macroglossia with mandibular deformity

Securing the airway is vital in the management of anaesthesia administration. Patients with difficult airway are extremely challenging. Paediatric tongue lesions represent 2.4% of all paediatric oral and maxillofacial lesions. Most lesions are benign and include various local neoplasms, solid tumors, cysts, polyps and diffuse hypertrophy. We present a case of a 7-year-old child having congenital macroglossia with mandibular deformity due to malocclusion, admitted for reduction glossectomy. It was predicted to be a difficult intubation and it was successfully achieved by blind nasal technique.