[Tracheal intubation using a guide wire for a 5-month-old baby with epiglottic cyst].

We report anesthetic management for a 5-month-old baby with an epiglottic cyst causing stenosis of the upper airway and growth failure. A flexible guide wire was first inserted into the trachea through the forceps port of the fiberoptic bronchoscope (O.D. 3.5 mm) nasally. After removal of the bronchoscope, the trachea was then successfully intubated with a trachea tube (I.D. 3.5 mm) passed over it. Her symptom improved after removal of the cyst. A flexible guide wire combined with fiberoptic bronchoscope is useful in tracheal intubation for a baby with a difficult airway.