Successful airway management of difficult airway is formidable task to any experienced anaesthesiologist. Task is more compounded if difficult airway scenario exists in paediatric patient. Some of factors which make situation more challenging are awake uncooperative child, fear of losing airway, risk of bronchospasm, desaturation, bleeding. It is essential to have back up plans to manage difficult and challenging situation. The various plans to be put into action are based on experience of

more »

... thesiologist, availability of advanced airway gadgets; mental status of patient. The case report mentioned here is to highlight safe and successful method of securing airway in a child with keyhole mouth opening following multiple reconstructive surgeries around the oral cavity in the past.