Against the Odds: Safe Intubation in a Young Patient With a Massive Tonsillar Tumor.

Oropharyngeal tumors pose significant challenges for airway management and nasogastric tube (NGT) insertion due to anatomical distortion. We report a case of a young male who underwent excision of a large left oropharyngeal mass, diagnosed as a pleomorphic adenoma. The case required meticulous planning for nasotracheal intubation and preprocedural NGT insertion, as requested by the surgeon, due to tumor-related airway distortion. After induction of general anesthesia, right-sided nasotracheal intubation was performed uneventfully using the video laryngoscope. Left-sided NGT insertion was completed preprocedurally without complications. This report highlights the strategic use of video laryngoscopy, preoperative coordination, and tailored NGT placement in managing complex head and neck cases, ensuring safe airway and nutritional access.