A 59-year-old woman with an epiglottic tumor was scheduled for the total removal of the mass by laryngomicrosurgery. The patient had no preoperative respiratory symptoms. During the induction of anesthesia, the mask ventilation was easily accomplished; however, when rigid laryngoscopy was attempted, an epiglottic tumor prevented exposure of the vocal cords. After a size 3 Cobra PLA had been placed, a size 6.5 mm reinforced tube was threaded over a fiberoptic bronchoscope through the Cobra PLA into the trachea. Post-extubation course was uneventful. The Cobra PLA can be a good alternative supraglottic airway device allowing easy tracheal intubation for difficult airway.
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