Rigid Endoscope-Guided Endotracheal Intubation: An Alternative Technique for Anticipated Difficult Airway Management in Otolaryngology Patients

Rigid endoscope-guided endotracheal intubation is a valuable technique for managing difficult airways in ENT patients, especially those with airway masses or cancers in the oral cavity, oropharynx, larynx, and hypopharynx. Traditional methods, including laryngoscopy and videolaryngoscopy, may fail to visualize the larynx in such cases, necessitating alternative approaches. This technique can combine a rigid endoscope with an endotracheal tube to provide clear visualization of the vocal cords with the trachea and facilitate intubation. This method can reduce the risk of airway trauma by allowing precise control and visualization throughout the procedure. It can also eliminate the need for blind insertion, improving safety. The technique can be effective in both anticipated and emergency difficult airway management scenarios, reducing the need for invasive procedures such as tracheotomy. This technique offers a promising alternative to traditional methods, especially for patients not candidates for awake intubation.