LAUSR

ing procedure with a variably reported complication rate [1]. The most commonly reported complications are loss of airway and hemorrhage. Distorted neck anatomy is the most common risk factor for these complications. To perform percutaneous tracheostomy, various adjuncts such as a lightwand, fibreoptic bronchoscopy (FOB), and ultrasound have been reported to help visualize the needle puncture and tracheal tube. However, in ST, the trachea is usually identified using anatomical landmarks, without the help of adjuncts. Here we discuss a case of ST in which FOB was used to visualize the tracheal ring in the presence of distorted neck anatomy. Informed consent has been taken from the patient prior to publication for usage of data and pictures. A 58-year-old man, diagnosed with papillary carcinoma of the thyroid, with history of multiple surgeries and radiotherapy, presented with collapse Letter to the Editor