Retrograde intubation in a patient status post subtotal maxillectomy with restricted mouth opening

Retrograde intubation is one of the techniques, which is useful for difficult airway management. Selecting the method of airway intervention in a difficult airway scenario depends on clinical judgment and experience of the attending anesthesiologist. Retrograde intubation stands as one of the better alternatives in the settings where fiberoptic bronchoscope is not available. We successfully managed a case of status post (s/p) subtotal maxillectomy and reconstruction left tensor fascia flap and s/p tracheostomy decannulated with raw wound over neck posted for right deltopectoral flap cover by awake retrograde intubation.