Cancers of the head and neck, like the carcinoma base of tongue (BOT), can pose challenges to the insertion of a Ryle's tube, thereby posing barriers in patient's nutrition and health. An innovative approach using a fiberoptic bronchoscope for Ryle's tube insertion in a patient with significant oropharyngeal obstruction due to carcinoma at the base of the tongue. This case report details procedural adaptations and the use of a fiberoptic bronchoscope to facilitate nasogastric tube insertion in a complex clinical scenario. Successful nasogastric tube placement was achieved, enabling improved nutritional support and subsequent oncological treatment. This case underscores the potential of advanced airway management techniques to address enteral feeding challenges in patients with severe anatomical obstructions.