Molar Approach Intubation: A Good Choice for Macroglossia.

Macroglossia is enlargement of tongue that presents a challenge to anaesthesiologists, especially during laryngoscopy and endotracheal tube insertion. Difficult laryngoscopy is encountered more often in these cases as they encroach and physically occupy the oral cavity thus making glottis visualization difficult and thus difficult maneuvering of the endotracheal intubation. This difficulty can be overcome using a molar approach for laryngoscopy. We present such a case of a 6 year old child with 22 kg body weight posted for elective debulking. General anaesthesia was planned. Difficult intubation was anticipated and molar approach proved to be a rescuer in intubating the patient.