HighlightsLaryngeal mask airways have a high rate of success and low rate of complications.Parapharyngeal abscesses have not been recently published following LMA use.We report a parapharyngeal abscess after uncomplicated LMA use following atraumatic insertion.Pressure necrosis from over-inflation is thought to have perforated the pyriform fossa.The perforation created a communication into the parapharyngeal space causing infection.
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