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This report aims to solve endotracheal intubation for the non-acute airway difficulties. Method: Anesthesia program has the following four categories: Option I, using intubation laryngeal mask to insert through the oral endotracheal tube; Option II, sober nasal bronchoscopy guided tracheal intubation; Option III, using tracheotomy insert the endotracheal tube through the trachea cut openings in patients awake state; Option IV, if the above program cannot be successful intubation, then give up surgery to ensure the safety of patients. Results: Intubation guided by nose bronchoscopy was proved to be successful. Conclusion: The patient’s neck joint (including the upper and lower jaws) was severe ankylosis which cause mouth opening less than 1.5 cmand oral anatomical structures has changed, leading to intubation laryngeal mask in the normal structure of the mouth cannot be successfully arrived at the designated location, resulting bronchoscopy down cannot find glottis, then we use nasal intubation. In this report, the patient has non-acute airway difficulties which belong to difficult endotracheal intubationdoes instead of difficult mask ventilation. Difficult tracheal intubation in about 90% of the patient can be found through the preoperative assessment. Prepared for the known difficult airway, systematic processing in accordance with certain rules will significantly increase patient safety.