“…Pure oral teratomas on the other hand, although frequently missed on prenatal scans are extremely rare, with tongue being most commonly involved and usually present with feeding problems. [ 3 ] Generally devoid of critical respiratory presentations, they tend to grow outwards away from the oral cavity, which explains the success of paraglossal direct laryngoscopic approach for intubation during the initial tumour resection. However, possibility of fatal airway compromise at birth still exists and remains a formidable anaesthetic challenge particularly with nasopharyngeal and large cervical teratomas.…”