Use of the laryngeal mask airway in otolaryngology

The laryngeal mask airway (LMA) provides a third type of airway for consideration in otolaryngology that offers some of the benefits of intubation and avoids many of the associated hazards. It can be inserted without the use of a laryngoscope or muscle relaxant, and is designed to produce an airtight seal around the laryngeal inlet. The LMA provides a secure airway suitable for spontaneous or controlled ventilation, acts as an airtight throat pack, and is well tolerated during recovery. The reinforced LMA (RLMA), specifically designed for otolaryngology anaesthesia, has recently become available. The purpose of this article to is provide a brief overview of the LMA with special emphasis on its use in otolaryngology--head and neck surgery.