Presence of intraoral pathology poses a great challenge during management of pediatric airway. We report management of big intraoral cystic swelling physically occupying the entire oral cavity restricting access to airway. Preintubation aspiration of swelling was done to decrease its size and make room for airway manipulation. followed by laryngoscopy and intubation in lateral position. https://www.roneverhart.com/33-14-50R24-HD878-R-T-Special/