RT Journal Article SR Electronic T1 Emergency tracheostomy for failed intubation due to glottic stenosis JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e239806 DO 10.1136/bcr-2020-239806 VO 14 IS 2 A1 Tessa Yap A1 Mark Quick A1 Paige Moore YR 2021 UL http://casereports.bmj.com/content/14/2/e239806.abstract 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.