Abstract

Malignant rhabdoid tumors develop in infants up to 1 year old. These tumors area very progressive pediatric cancer that is difficult to treat. We experienced a case involving anesthetic management for tracheostomy of an infant with a high risk of airway occlusion due to a rapidly growing malignant rhabdoid tumor on his tongue. The patient was successfully intubated using an endotracheal tube with a 3.0-mm inner diameter; this was accomplished by awake nasal intubation using a flexible rhinolaryngoscope with a 2.2-mm outer diameter. Awake nasal fiberscopic intubation is an alternative choice for difficult airway management in infants.

Keywords: Anesthesia induction, awake nasal fiberscopic intubation, malignant rhabdoid tumor, oral cavity tumor, pediatric difficult airway management