Emergency endotracheal intubation under fiberoptic endoscopic guidance for malignant laryngeal obstruction

Endotracheal intubation under fiberoptic flexible scope guidance is an easy technique to master and can be performed under local anesthesia. It provides immediate and safe intubation of malignant obstructive lesions of the larynx and allows surgical resection and reconstruction to be carried out as an emergency procedure. Ten patients with malignant obstructive lesion of the larynx were intubated and managed successfully in this manner. Refinements of intubation techniques under fiberoptic endoscopic guidance were described.