Soft palate injury during attempted tracheal intubation using videolaryngoscopy

A 54-year-old man sustained a soft palate injury during an attempt at tracheal intubation before urgent spinal surgery for symptomatic spinal cord compression at level T10-12.His medical history consisted of obstructive sleep apnoea, and his body mass index was 44 kg.m 2 .Difficult airway management was anticipated as the patient had reduced neck extension, a large neck circumference and Mallampati score was 3 on clinical examination.Figure 1 A size 8.0 mm ID reinforced tracheal tube passing through the soft palate.