Čes. stomatol. Prakt. zub. lék. (Czech Dental Journal) 2006; 106(1): 22-26

Application of Laryngeal Mask for Securing Respiratory Pathways in Patient with Circumjaw Inflammation

R. Foltán¹, J. Macháč², F. Donev¹, J. Hoffmannová¹

¹ Stomatologická klinika 1. LF UK a VFN, oddělení ústní, čelistní a obličejové chirurgie, Praha, přednosta prof. MUDr. J. Mazánek, DrSc.

² Klinika anesteziologie a resuscitace 1. LF UK a VFN, Praha, přednosta MUDr. M. Stříteský

The authors retrospectively studied the advantages, disadvantages, risk and complications in the application of laryngeal mask (LM) to secure respiratory pathways in patients with circummaxillary/circummandibular inflammation. The authors followed 23 patients at the age 19-68 years from the point of view of age of the patients, sex, size of contracture of masticatory muscles before and after diseases. LM was introduced without the application of laryngoscope and failures, i.e. repeated intubations, the use of laryngoscope, necessary endotracheal intubation, symptoms of stomach distension, regurgitation of stomach content, aspiration of stomach content and insufficient depth of anesthesia, were followed.
The study demonstrated that LM may be usedd for a safe maintenance of respiratory pathways and makes it possible to sufficient depth of anesthesia in the therapy of circummaxillary/circummandibular inflammation of odontogenic origin. LM may be applied even in conditions associated with difficut opening of mouth and potential deformities of pharynx by in inflammatory edema.

Keywords: laryngeal mask; circummaxillary, circummandibular inflammation; laryngoscopy; endotracheal intubation

Published: March 1, 2006  Show citation