Large thyroid mass

Large thyroid mass, trachea deviated towards left no retrosternal extension on CT scan. Airway management in a set up where fiber-optic is not available?

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Advise-1-usg of thyroid gland. 2-FNAC of throid. 3-biopsy of thyroid. 4-serum thyroid T3 T4 TSH. 5-Thyroid peroxidase antibody test. 6-xray chest pa and lateral view of neck. Case appears to be medullary carcinoma of thyroid.with secondary extension to cervical lymphnodes.

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