“…But obstruction of airway due to enlarging mass makes them present with difficulty in breathing and stridor. [ 3 4 ] Though it would have been ideal to do awake oral fiberoptic intubation (FOI),[ 5 ]our patient was not willing for it. In addition, oral FOI may require slightly more manipulation to railroad ETT over the fiberoptic bronchoscope (FOB) as the oral and tracheal axes will be in a more obtuse angle, which might traumatize nearby hemangiomas.…”