INTRODUCTION: Endotracheal intubation is the gold standard to protect the airway during general anes- thesia. It is the commonest technique in medical practice with a low complication rate.
PRESENTATION OF CASE: We report a case of left pyriform fossa perforation in a child after apparently uneventful nasotracheal intubation for tonsillectomy.
DISCUSSION: This is a rare complication. Physicians performing endotracheal intubation or dealing with intubated patients should be aware of the clinical symptoms of such complications. A rational manage- ment approach has been discussed.
CONCLUSIONS: Early diagnosis is the mainstay to improve the outcome and avoid the morbidity and potentially life-threatening course of such trauma.