BACKGROUND: Flexible fibreoptic laryngoscopy is the method of choice for coping with difficult tracheal intubations, a leading cause of catastrophic outcomes in anaesthesia. However, this technique is not always available or feasible. Retrograde intubation is a minimally invasive airway management technique with a flat learning curve and a high level of skill retention. We modified the retrograde intubation technique by threading endotracheal tube antegradely over indigenously made Bougie guided by retrogradely placed epidural catheter. METHODS: Twenty pateints of Oral Submucous Fibrosis(OSMF) and TMJ Ankylosis posted for corrective surgeries were randomly assigned to two groups.