Skip to content

Advertisement

You're viewing the new version of our site. Please leave us feedback.

Learn more

Head & Neck Oncology

Open Access

Oropharyngeal complications of using laryngeal mask airway-case series

  • Priya Shah1,
  • Farai Nhembe1,
  • Colin Hopper1 and
  • Tahwinder Upile1
Head & Neck Oncology20091(Suppl 1):P23

https://doi.org/10.1186/1758-3284-1-S1-P23

Published: 28 July 2009

Introduction

The reinforced Laryngeal Mask Airway (LMA) is now increasingly being used for head and neck procedures. However, their use is not without complications and attendant morbidity. We report three cases of postoperative sore throat due to severe pharyngeal trauma following the use of a reinforced LMA.

Series report

In the first and second cases, a 27-year-old male and a 56-year-old male underwent septoplasty, submucosal diathermy to inferior turbinates and bilateral antral washouts. While in the third case, a 44-year-old-female underwent bilateral temporomandibular joint arthroscopy and arthrocentesis.

Size 4 LMA was used in all cases. No throat pack was used. Each procedure took less than an hour. A plastic Yankauer sucker was used under direct vision to clear the supraglottis and the posterior pharynx of retained secretions and blood. The LMA was then removed by the anaesthetist on recovery of the patient.

Postoperatively the patients complained of a severe sore throat with evidence of significant palatal abrasions and uvular swelling on examination. On later review the sore throat was reported to have lasted around 5–10 days. At the six week outpatient review, all patients reported full recovery with no visible evidence of residual palatal or uvular scarring or other anaesthetic sequelae.

Conclusion

LMAs are useful and occasionally life saving airways adjuncts but are not without complications. Both the surgeon and anaesthetist should recognise and ensure trauma is minimised to the oropharynx during all stages of surgery.

Authors’ Affiliations

(1)
Head & Neck Unit, University College London Hospitals

Copyright

© Shah et al; licensee BioMed Central Ltd. 2009

This article is published under license to BioMed Central Ltd.

Advertisement