DOI: https://doi.org/10.36347/sjmcr.2025.v13i06.005

Pages: 1320-1323

Reinforced endotracheal tubes are designed with a metal spiral to reduce the risk of kinking or compression. They are commonly used in head and neck surgeries, including neurosurgery. However, these tubes are not immune to obstruction. In this report, we present three cases of reinforced endotracheal tube obstruction in pediatric patients undergoing neurosurgical procedures. In the first case, obstruction was likely due to biting; in the third, to tube manipulation. In the second case, no clear cause was identified, suggesting the possibility of pre-existing tube deformities. These observations highlight the importance of thoroughly inspecting the endotracheal tube prior to use.