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Retrograde intubation in a patient with stridor: an old technique revisited.

A 25 years old Caucasian male with a massive malignant melanoma recurrence in his neck presented with acute biphasic stridor. He had bilateral diffuse neck swelling and was unable to lie flat due to respiratory distress. The flexible pharyngo-laryngoscopy showed a posterior pharyngeal wall mass displacing the larynx to the left, whilst the posterior aspect of the right hemi-larynx was partially covered by the mass (Figure 1). There was significant narrowing of the airway measuring 3 millimetres in diameter just below the vocal cords (Figure 2).