J Dent Anesth Pain Med.  2017 Mar;17(1):61-64. 10.17245/jdapm.2017.17.1.61.

Flexible laryngeal mask airway management for dental treatment cases associated with difficult intubation

  • 1Department of Dental Anesthesiology, Kyushu University Hospital, Fukuoka, Japan. tsukamoto@dent.kyushu-u.ac.jp
  • 2Department of Dental Anesthesiology, Faculty of Dental Science, Kyushu University, Fukuoka, Japan.


Nasotracheal intubation is generally a useful maxillofacial surgery that provides good surgical access for intraoral procedures. When nasotracheal intubation is difficult, laryngeal mask airway (LMA) insertion can be performed, and the flexible LMAâ„¢ (FLMA) is also useful for anesthetic management. However, the FLMA provides limited access to the mouth, which restricts the insertion of instrumentation and confines the surgical field available. Here, we present our experience using the FLMA airway management for dental treatment cases involving difficulty with intubation.


Dental Care; General Anesthesia; Intubation; Laryngeal Mask Airway

MeSH Terms

Airway Management
Anesthesia, General
Dental Care
Laryngeal Masks*
Surgery, Oral


  • Fig. 1 Tracheal granulation tissue is shown as observed using a fiberoptic bronchoscope.

  • Fig. 2 The image shows a patient after insertion of a size 2 flexible laryngeal mask airway (FLMA).


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