Abstract
Papillary Carcinomas of the thyroid are slow growing and least aggressive of all thyroid tumors. These tumors when large can cause compression of the trachea and symptoms of dyspnea and stridor. Airway management is of crucial importance not only for symptomatic relief, but also for airway control pre-operatively till the definitive diagnosis and treatment is planned. The dilemmas faced in airway management are many folds considering the tumor profile and patient compliance. It plays a crucial role in final decision making. Papillary thyroid carcinoma prognosis is good. Distant metastasis is also not a contraindication for treating the primary.
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