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Abstract Difficult intubaiioii can occur unexpectedily in clinical practice. It is therefore essential to be prepared ftr impending difficulty at all times which will enable the operator calmly to make and follow a rational plan 01 action with the correct eqUi)fl1ent immediately available. The anatomy of the airway is very important on dealing with the management ol ditlicult intubation. The airway, commending at the mouth and the ternijiites it the entrance to (lie alveoli. Although there may be considerable varianu’’, or acquired. the applied anatolily in an adult wa described and difference in infants and c1ildreii indicated. There are many causes of d jfficiilt intubatiun; coiigenital. inflammatory, and neop last ic. The undesirable consequences oh trachea I intubat ion can he classified as; coinj)l ical ions at i tituhat ton. complications while the tube in 1)lace. complications at |