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Difficult Airway Management in Severe Tracheal Deviation Due to Large Nodular Goiter: A Case Report

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Awake intubation with video laryngoscopy effectively managed a difficult airway in a case of severe tracheal deviation.
A 53-year-old female patient with a large nodular goiter showed significant deviation, affecting intubation risk assessments.
LEMON criteria indicated high risk for intubation difficulty despite low risk for face mask ventilation.
Structured anesthetic approaches are essential for safe airway management in patients with severe anatomical distortions.

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Case report highlights management of difficult airway in a patient with tracheal deviation and goiter, suggesting effective strategies.

Putrawan et al. (2025) studied this question.

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