Subglottic mucocele is a rare entity in the pediatric population, often associated with   intubation-related complications. We present a case of a 1.5-year-old male child with a history  of repeated hospitalizations for respiratory distress, ultimately diagnosed with subglottic mucocele. Despite being born at full term without comorbidities, the patient required  mechanical ventilation shortly after birth. Imaging revealed an ill-defined lesion in the subglottic region, confirmed histologically as a mucocele. Following initial airway compromise  during excision, emergency tracheostomy was performed, followed by successful removal of  the mass via coblation. Postoperative follow-up showed significant improvement in respiratory  symptoms, and the patient was successfully decannulated. This case highlights the importance  of considering subglottic mucocele as a differential diagnosis in pediatric airway obstruction,
necessitating prompt diagnosis and appropriate surgical management. We discuss the etiology,  differential diagnosis, and surgical techniques for managing subglottic lesions in pediatric  patients, emphasizing the significance of a multidisciplinary approach for optimal outcomes.