Difficult Airway in a patient with cleft palate – A Case Report

Airway management of a child with cleft palate can be challenging to the anaesthesiologist due to the associated congenital anomalies. We report a case of difficult intubation in a child with grade II cleft palate. The child presented with symptoms of frequent respiratory tract infections, nasal regurgitation and heavy snoring .On examination he had tongue tie with macroglossia and a narrow tubular mouth. Contrary to the routinely published articles in scientific literature, a near impossible visualization of the epiglottis and vocal cords due to unsuspecting factor of tongue tie is described.