Park Mi Jung, Kim Hee Soo, Kim Jin Tae, Kim Chong Sung, Kim Sung Deok
Department of Anesthesiology and Pain Medicine, Seoul National University, College of Medicine, Seoul, Korea.
Korean J Anesthesiol. 2009 Nov;57(5):644-646. doi: 10.4097/kjae.2009.57.5.644.
The laryngeal mask airway (LMA) is widely used as an adjunctive airway device composed of a tube with a cuffed mask-like projection on the distal end. The LMA is simple to use and less invasive to pharynx and larynx than endotracheal tube. The LMA is inserted blindly into the hypopharynx, forms a low pressure seal around the laryngeal inlet. It is minimally stimulating the airway. Microscopic mucosal injuries are common during laryngeal mask airway (LMA) insertion but macroscopic injuries are rare and few have been reported with the ProSeal LMA. This report describes a case of the tearing of the lingual frenulum incidentally caused by insertion of the ProSeal LMA in a child.
喉罩气道（LMA）作为一种辅助气道装置被广泛使用，它由一根在远端带有带套囊的面罩样突出物的管子组成。喉罩气道使用简单，与气管内导管相比，对咽喉的侵入性较小。喉罩气道被盲目插入下咽，在喉入口周围形成低压密封。它对气道的刺激最小。在插入喉罩气道（LMA）过程中，微观黏膜损伤很常见，但宏观损伤很少见，关于ProSeal喉罩气道的此类报道很少。本报告描述了一例儿童在插入ProSeal喉罩气道时意外导致舌系带撕裂的病例。
