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Introduction: A 7-year-old female presented with a tongue lesion that was causing dysphagia and difficulty breathing at night. Work-up revealed symptomatic lingual thyroid tissue. Transora...

Introduction: The patient is a 52-year-old male with massive retropharyngeal thyroid goiter causing compressive symptoms and a complex airway. This intraoperative video demonstrates simultaneous Glidescope exposure with flexible fiberoptic laryngoscopy utilizing the Seldinger technique to intubate. Materials and Methods: This is a single patient case presentation using pre and postoperative flexible fiberoptic nasopharyngoscopy and intraoperative Glidescope video. Results: Management of the complex airway with resolution of compressive symptoms after total thyroidectomy was effective. Conclusions: Simultaneous use of Glidescope for exposure with flexible fiberoptic laryngoscopy utilizing the Seldinger technique is a viable option for managing complex airways caused by massive retropharyngeal goiters. D.J.T. has been a speaker for Genzyme during the past 2 years. All other authors have no other potential conflicts to disclose. This case is to be presented on a panel at the World Congress on Thyroi...