<![CDATA[Background: Effective airway management is crucial in anesthesiology, especially when dealing with unexpected complications such as undiagnosed laryngeal tumors. These tumors often present with subtle symptoms that can be easily misattributed to more common conditions, posing significant challenges during intubation.Case : A 19-year-old male with neck lumps, hoarseness, and dysphagia faced severe airway obstruction during anesthesia induction, leading to failed intubation attempts and necessitating an emergency tracheostomy. Postoperative care included ICU admission and multidisciplinary management.Conclusion: This case underscores the importance of comprehensive preoperative evaluations and the use of advanced imaging techniques to identify hidden airway pathologies. Preparedness for emergency airway procedures like tracheostomy is essential for patient safety. Vigilance and thorough preoperative assessments are crucial in anesthesiology to prevent and manage unexpected airway complications effectively.]]>
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