Awake fiberoptic nasal intubation using a Parker spiral tube in a patient with a giant thyroid tumor

: A 62-year-old man was scheduled for resection of a giant thyroid tumor. We planned awake fiberoptic nasotracheal intubation using a Parker spiral tube. Because a Parker spiral tube may improve endotracheal tube passage with fiberoptic intubation when compared to a standard endotracheal tube. After inserting the bronchial fiberscope, his trachea was intubated easily. The operation was performed without any complications. We conclude that a Parker spiral tube is useful for fiberoptic awake nasal intubation in a patient with a giant thyroid tumor.