Laryngeal mask airway with mouth opening less than 20 mm

Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
J R MaltbyD P Archer

Abstract

We describe the use of a laryngeal mask airway in three adult patients whose mouth opening varied from 12 mm to 18 mm. The first patient's incisal opening was 12 mm. His airway was otherwise normal and the standard laryngeal mask was used as the definitive airway for the 90 min revision of facial scars and bone graft to mandible. The second patient, who had an incisal opening of 18 mm, was scheduled for posterior fossa craniotomy. She adamantly refused awake fibreoptic tracheal intubation. Following induction of general anaesthesia, a standard laryngeal mask was inserted and, through this, fibreoptic intubation was performed. The third patient, in addition to a mouth opening of only 18 mm, had limited neck movement from previous flap reconstruction following mandibulectomy, hemiglossectomy and radical neck dissection. For three more reconstructive head and neck procedures that ranged from 90 min to nine hours, the flexible reinforced laryngeal mask was inserted under topical anaesthesia and its correct position confirmed by fibreoptic laryngoscopy before induction of general anaesthesia. Maintenance of anaesthesia in all cases was uneventful and there were no postoperative complications.

References

Oct 1, 1994·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·T Asai, S Morris
Jul 1, 1993·Anesthesiology·J H Pennant, P F White
Mar 1, 1993·Anaesthesia·J R MaltbyJ S Low

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Citations

Mar 20, 1999·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·T AsaiK Shingu
May 8, 1999·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·N C WatsonJ M Todesco
Aug 18, 1999·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J BrimacombeK Weidmann
Mar 1, 1997·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·R J Defalque, M L Hyder
Nov 8, 2001·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·P P LuH P Liu
Jul 11, 2001·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·C Preis, I Preis
Sep 16, 2000·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·C PreisM Zimpfer
Feb 13, 2001·The Journal of Emergency Medicine·C V Pollack
Sep 27, 2002·Anesthesiology Clinics of North America·Charles B Watson
Nov 15, 2013·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Jason A Meyers, James Sidman
Sep 5, 2007·Paediatric Anaesthesia·Olubukola O Nafiu, Nicholas Coker
Jul 23, 2003·International Anesthesiology Clinics·Linda I Wat
Aug 29, 2000·Anesthesia and Analgesia·J BrimacombeJ Barry
Jan 5, 2002·Anaesthesia and Intensive Care·B S Lim, R Andrews

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