Perioperative Anaesthesia Management of a Paediatric Patient with a Giant Facial Tumour: A Case Report

General anaesthesia administration in paediatric patients is a challenging task to begin with.It can be further complicated when a patient presents with large facial tumour distorting the anatomical structures, reducing mouth opening (two-finger breadth), and a Mallampati score of 4. We report the anaesthetic management during surgery of a patient with a large left-sided undifferentiated malignant facial tumour in a tertiary care hospital.The patient had anticipated difficult airway.Pre-oxygenation and video laryngoscopy to insert cuffed endotracheal tube (ETT) was used for airway maintenance.Fentanyl, ketamine, and propofol were used for induction, while dexmedetomidine was used to maintain anaesthesia.Meticulous intraoperative monitoring was done and fluid balance was ensured.A multi-disciplinary team approach was used for successful anaesthesia management during prolonged surgery.The postoperative outcome was good.