Case Report: Use of Airway Exchange Catheter (AEC) for Difficult Extubation in Postoperative Commando Patient

69 years old male with no comorbidities, presented with right cervical node, level 2. Fine needle aspiration cytology positive for malignant cells. CT neck showed-ulcerative lesion on right lower alveolus extending on cheek retromolar trigone tumor and significant surrounding induration. Received 2 cycles of chemotherapy for the same. Posted for commando PMMC and DP. Received in ICU postoperated, nasotracheally intubated with flexometallic tube, was stable on t-piece 2lpm O2. Assessed for extubation on POD-1, nasotracheal tube was patent, no bleed or edema noted, patient vitally stable, flap circulation was adequate. Extubated over endotracheal tube exchanger (frova), and later removed as airway remained patenet and safe. Phonation was good.