Abstract
Airway management of a child with cleft palate can be challenging to the anaesthesiologist due to the associated congenital anomalies. We report a case of difficult intubation in a child with grade II cleft palate. The child presented with symptoms of frequent respiratory tract infections, nasal regurgitation and heavy snoring .On examination he had tongue tie with macroglossia and a narrow tubular mouth. Contrary to the routinely published articles in scientific literature, a near impossible visualization of the epiglottis and vocal cords due to unsuspecting factor of tongue tie is described.
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