• Vol. 29 No. 6, 764–765
  • 15 November 2000

The Use of the Laryngeal Mask Airway in Post-Tonsillectomy Haemorrhage—A Case Report



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Introduction: The use of the laryngeal mask airway in elective adenotonsillectomy has been well described.However, there is no literature to support its use in post-tonsillectomy haemorrhage.

Clinical Picture: We report a case of a patient who presented with primary posttonsillectomy haemorrhage, which required general anaesthesia for haemostasis after undergoing bilateral functional endoscopic sinus surgery, uvulopalatopharyngoplasty and tonsillectomy.

Treatment and Outcome: The laryngeal mask airway was used successfully after an initial attempt at endotracheal intubation had failed. There were no complications.

Conclusions: The laryngeal mask airway can be used to secure the airway for haemostasis for post-tonsillectomy haemorrhage if intubation is not possible.

A 53-year-old man with a history of hypertension and asymptomatic Wolff-Parkinson-White syndrome was admitted to the hospital for an elective uvulopalatopharyngoplasty, tonsillectomy and bilateral functional endoscopic sinus surgery for mild obstructive sleep apnoea and chronic sinusitis respectively. He weighed 109 kg, all his four upper incisors were missing and neck movements were normal.

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