PT - JOURNAL ARTICLE AU - Tessa Yap AU - Mark Quick AU - Paige Moore TI - Emergency tracheostomy for failed intubation due to glottic stenosis AID - 10.1136/bcr-2020-239806 DP - 2021 Feb 01 TA - BMJ Case Reports PG - e239806 VI - 14 IP - 2 4099 - http://casereports.bmj.com/content/14/2/e239806.short 4100 - http://casereports.bmj.com/content/14/2/e239806.full SO - BMJ Case Reports2021 Feb 01; 14 AB - Glottic stenosis can be an unexpected finding during an intubation, causing difficulties that may result in a ‘can’t intubate, can’t ventilate’ situation. We present a case of a patient who required an emergency tracheostomy, in the setting of a failed intubation secondary to glottic stenosis. The patient underwent open laryngotracheal reconstruction, followed by tracheostomy decannulation 2 months post-surgery. This paper highlights the importance of awareness of laryngeal pathology masquerading as respiratory conditions. It also outlines the critical approach to managing ‘can’t intubate, can’t ventilate’ situations.