Airway Management in A 9-Month-Old Infant with Congenital Oral Teratoma: A Case Report

Paediatric airway management in children under one year of age with congenital oral tumors poses significant challenges, particularly due to potential airway obstruction and postoperative mucosal oedema. This report details the anaesthetic management for the successful resection of a congenital oral teratoma in a 9-month-old child. Anticipating difficult intubation due to limited oral cavity size and restricted mouth opening, a multidisciplinary plan was implemented. This included the availability of a fibreoptic scope and surgical teams prepared for emergency tracheostomy. The patient was successfully intubated via conventional laryngoscopy under inhalational anaesthesia, intravenous ketamine, and periglottic lidocaine. The case underscores the importance of individualized precautions and a coordinated approach to optimize outcomes.