A 44-year-old man, because of adenoid cystic carcinoma of maxillary sinus and invasion of the left eye, had underwent radical maxillary sinus surgery, radiotherapy and left orbital exenteration successively. The patient was scheduled for partial maxillectomy and skull base exploration under general anesthesia due to recurrence of adenoid cystic carcinoma of maxillary sinus. He experienced severe trismus with an oral opening less than 5mm. In addition, his right nasal cavity was narrow, and anterior nostril shrank without erosion, at the same time, his left nasal inferior and middle turbinate were absent and fresh blood was visible inside. All of these indicated that it was difficult to establish an artificial airway through conventional ways. Since the patient’s contents of left orbit were absent, which was connected to the upper airway, we finally successfully established an artificial airway through transorbital endotracheal intubation guided by light wand.

Keywords: Transorbital intubation; Difficult airway management; Light wand