# A Case of a One-Month-Old Infant Who Underwent Oral Intubation With Tongue Traction After Decompressing an Oral Cyst

## TL;DR

A one-month-old infant with a large oral lymphangioma was successfully intubated using tongue traction and a video laryngoscope.

## Contribution

The paper presents a novel intubation method using tongue traction and video laryngoscopy for managing airway emergencies in infants with oral cysts.

## Key findings

- Awake intubation with tongue traction and video laryngoscopy successfully secured the airway in a one-month-old infant with a giant oral lymphangioma.
- The McGrath Mac Disposable Laryngoscope Blade was used effectively under spontaneous respiration.
- This method may serve as a valuable option for airway management in similar cases.

## Abstract

Lymphangioma is a rare congenital anomaly of the lymphatic system that can lead to an airway emergency when it occurs in the oral cavity or neck. Here, we report a case of a one-month-old infant who presented with an airway emergency due to a giant lymphangioma. The infant was rushed to the ICU with respiratory and feeding difficulties, and examination revealed a large mass on the floor of the mouth. Airway management was challenging due to the cyst. After puncturing the cyst, a suture was placed at the tip of the tongue to allow forward traction. The oral surgeon then pulled the tongue forward to secure space for laryngoscope insertion. Awake intubation was performed with 0.03 mg of atropine, and a McGrath Mac Disposable Laryngoscope Blade #1 (Aircraft Medical, Edinburgh, Scotland) was inserted under spontaneous respiration.

Tongue traction and video laryngoscopy were used for intubation, and this method may be considered a valuable option for airway management.