Airway management in patients with orofacial and neck bums is often a challenge. Restricted mouth opening, decreased oroph-aryngeal space, limited atlanto-occipital joint extension, reduced submandibular space compliance and heavily fibrosed scars in the neck lead to a difficult airway.1 We describe the anaesthetic management of a patient with obliteration of nasal passages, microstomia and severely limited neck extension by awake oral fibreoptic intubation aided by a Williams airway intubator.
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