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Updated: Sep 29, 2026

The Rigid Tube as an Alternative in Controlling the Problematic Airway
Published on: June 6, 2020
An unexpected difficult laryngoscopy
D A H De Beer1, D G Williams, A Mackersie
1Department of Anaesthesia, Great Ormond Street Hospital for Children, London, UK.
Abstract:
A case of unexpected difficult laryngoscopy in a patient with gross hydrocephalus and generalized hypertonus is described. The 30-month-old girl had no antecedent history of such difficulty, having had two recent uneventful anaesthetics. We suggest that the reason for our inability to open the patient's mouth was a result of contracture of the temporalis muscle. The patient was managed using a laryngeal mask airway with controlled ventilation.
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