Perioperative airway management in patients with oro-facial cancers who has undergone chemo/or radiotherapy poses a great challenge to the anaesthesiologist. These challenges are mainly due to either a mass in the oral cavity or a limited mouth opening making intubation difficult or a major facial defect making mask ventilation difficult. We present our first time experience in a 27-year-old ma...

Difficult airway is a common problem encountered in oro-maxillo-facial surgeries. We describe case where displaced mandibular reconstruction plate obstructing the access to oral cavity. The was further compromised by previous tracheostomy, and limited neck extension owing surgeries radiotherapy. inability of patient swallow increased risk pulmonary aspiration. first line management such should ...