Application of Laryngeal Mask for Securing Respiratory Pathways in Patient with
Circumjaw Inflammation
Foltán R.,1 Macháč J.,2 Donev F.,1 Hoffmannová J.1
1Stomatologická klinika 1. LF UK a VFN, oddělení ústní, čelistní a obličejové chirurgie, Praha, přednosta prof. MUDr. J. Mazánek, DrSc. 2Klinika anesteziologie a resuscitace 1. LF UK a VFN, Praha, přednosta MUDr. M. Stříteský |
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Summary:
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.
Key words:
laryngeal mask - circummaxillary/circummandibular inflammation - laryngoscopy - endotracheal
intubation
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