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We used fiberoptic bronchoscopy (FOI) to visualize the tumor\u2019s location and employed double endotracheal tubes to manage the airway difficulties. The first endotracheal tube was inserted orally into the trachea until it passed the tumor to provide primary airway control. Once the ventilator was connected, the second tube was repositioned below the tumor to maintain airway patency. After the surgery, the patient was transferred to the intensive care unit (ICU) for close monitoring of maintaining respiratory stability and preventing complications. 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