Insertion of a folded laryngeal mask airway around a palatal torus

The laryngeal mask airway (LMA) is an airway management device that is used to establish and maintain a patent airway for the patient. A palatal torus is a common benign bony exostosis, usually located in the midline of the palate, beneath the palatal mucosa. It should be recognized by the CRNA during the preoperative anesthetic assessment. A palatal torus can hinder insertion of the LMA when using the standard LMA insertion technique. Therefore, modification must be made to the operator's insertion technique with a folded LMA around a palatal torus.