Tonsillectomy done with Flexometallic Laryngeal mask airway, a case report

Tonsils and adenoids are part of waldeyers ring of lymphoid tissue and are often sites of acute and chronic inflammation. Children are prone for recurrent adenotonsillitis causing obstructive airway problems requiring the need for surgical removal. Airway problems are the major concern in adenotonsillectomy procedures. This is related both to the underlying clinical problem and the shared airway between the anesthesiologist and surgeon. Until recently, the airway is usually managed with either endotracheal tube or RAE tube for this procedure. Now with introduction of flexible LMA, which is designed for use in head and neck, oral surgeries, these procedures can be done with a superior recovery profile and fewer incidences of bronchospasm, laryngospasm, oropharyngeal trauma, than endotracheal tube. The flexible LMA provides better protection of lower airway and esophagus from blood and secretions than the endotracheal tube. Herewith, we present a case of adenotonsillectomy done in a 10 year old child with the use of flexible LMA.