What are the different approaches for intubation in Lingual Thyroid?

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Introducción
Lingual Ectopic Thyroid is a rare developmental anomaly, its position and size may cause obstruction of laryngeal pathway leading to ventilation and intubation difficulties with a potential dramatic risk of hemorrhage during attempts of intubation. We report successful management of a patient with Lingual Thyroid for appendectomy under general anaesthesia.

Awake Fiber Optic
Inhalation induction
Conventional Intubation with relaxant
Laryngeal mask airway
Nasal Intubation with relaxant

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