Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 0 0 2026 02 23 1407 1407 Farnaz Shahabi Shojaei Department of Anesthesiology, Mofid Children's Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Nastaran Mahdavi Department of Anesthesiology, Mofid Children's Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Hasanali Ahmadi Department of Anesthesiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Gholamreza Ebrahimsaraj Department of Pediatric Surgery, Mofid Children's Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. 2025 09 10 2025 09 28 Critical airway incidents in children are among common anesthetic concerns. Due to limited apnea tolerance, any delay in airway management can quickly lead to severe complications. Unique pediatric anatomical features such as a large epiglottis, narrowed subglottic space, prominent occiput, elevated larynx position, and enlarged tongue can heighten the risk of airway obstruction. In this report, we presented a case of compromised airway due to a parapharyngeal mass in a 7-year-old patient, managed without complications. https://aacc.tums.ac.ir/index.php/aacc/article/view/1407