A case of a different approach for difficult airway: transorbital endotracheal intubation

Background: In patients who have undergone head and neck surgery and received radiotherapy, airway management presents serious difficulties for the anesthesiologist. Case presentation: We report a case of a 23-year-old male patient undergoing an emergency operation due to a rhabdomyosarcoma pressed spinal cord that loss of muscle strength and loss of sensation developed below the level of thoracal 6-7 vertebrae. Because of the previous radiotherapy reducing the mouth opening (less than 1 cm), the patient was intubated by transorbital pathway without any difficulty. Conclusions: Transorbital intubation seems to be a safe method and may be a good alternative to difficult airway in the patient undergoing orbital exenteration.