A young female patient presented with submental contracture with keloids and was scheduled for release of contracture and flap closure. After premedication and preoxygenation, patient was induced with sevoflurane and after confirming adequate bag mask ventilation relaxed with succinylcholine. Size 2 Airtraq was inserted into the oral cavity which was loaded with endotracheal tube number 7mm of internal diameter with a gentle manoeuvre against the fixed flexion deformity. Trachea was easily intubated and the patient was maintained on 60% nitrous oxide in oxygen and sevoflurane 3% and muscle relaxant technique. The patient recovered well. We conclude that Airtraq plays a vital role in securing a recognized difficult airway where conventional laryngoscopy is not possible.
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