The laryngeal mask airway in tonsillectomy: the surgeon's perspective

Abstract

The laryngeal mask airway presents certain advantages in the management of the airway during general anaesthesia. However, from the surgeon's perspective, there have been reports of problems occurring when the laryngeal mask airway is used in tonsillectomy. This study of 90 patients undergoing tonsillectomy suggests that surgical access is inferior with a laryngeal mask airway and the weight of tonsillar tissue excised is less. In addition the laryngeal mask airway needs to be changed to an endotracheal tube during the procedure in 11.4% of patients.

Uso da máscara laríngea descartável em adenotonsilectomias

“…The use of laryngeal mask airways may impair surgical access, which may increase the operative time, increase the need for aspirating oral blood and decrease the amount of tonsil tissue removed 16 . In this study, although there was a need for proper positioning of the mouth opener, there were no statistically significant differences in operative times.…”

Einsatz der Larynxmaske bei Adenotomie und Tonsillektomie bei Kindern

“…1). [7]. In manchen Studien stieg man auf die endotracheale Intubation um, ohne den Mundsperrer auszutauschen [13,21].…”

“…Der Laryngospasmus trat als gravierende Komplikation zwischen Narkoseeinleitung und Operationsende bei 0,4% der mit Larynxmasken versorgten Patienten auf [2,7,13,19,21]. In ca.…”

“…eingeschränkte Sicht[7]. Darüber hinaus wurden die häufigeren Atemwegsobstruktionen mit der Notwendigkeit kleinerer Manipulationen oder Umintubationen kritisiert[13].…”

A Review of Tonsillectomy Techniques and Technologies

“…Alternatively, some practitioners prefer to use a laryngeal mask airway. 14,15 The bed is turned 90°-180° so that the surgeon can sit or stand at the head of the bed. The patient is positioned at the edge of the bed, and a small shoulder roll is placed.…”