Massive Ameloblastoma Requiring Awake Nasal Fiberoptic Intubation

Ameloblastomas are rare tumors that arises from the odontogenic epithelium. Although benign and slow growing, an extensive lesion may cause airway obstruction, making bag-mask ventilation intubation a significant challenge. Here, we present 54-year-old male in respiratory distress with 18x15x13 cm submandibular mass causing compromise. The tumor was extensive, occupying most of oral cavity. Unable to perform direct laryngoscopy because burden, performed awake nasal fiberoptic secure airway. Successful achieved as well subsequently tracheostomy. We provide discussion on associated challenges management options for patients ameloblastomas.