title: Downfolding of the epiglottis induced by the laryngeal mask airway in children: a comparison between two insertion techniques.
abstract: BACKGROUND
  The purpose of this study was to compare the incidence of the downfolding of the epiglottis in children during insertion of the laryngeal mask airway (LMATM) using the standard technique and an alternative technique with the cuff partially inflated.
  
  
  METHODS
  Eighty paediatric patients were randomized into two groups and were anaesthetized using the LMA inserted with one of the two techniques.
  
  
  RESULTS
  There was no difference in the successful rate of insertion, fibreoptic findings and the lowest intraoperative SpO2 between the two groups.
  
  
  CONCLUSIONS
  The partially inflated cuff insertion technique does not increase the incidence of the downfolding of the epiglottis in children and would be an acceptable alternative to the standard technique.
authors.affiliation: Department of Anaesthesia, Yamada Red Cross Hospital, Misono-mura, Watarai-gun, Mie, Japan. GHD02235@nifty.ne.jp
authors.forename: Y
authors.initials: Y
authors.lastname: Tsujimura
mesh_terms: D000769:Anesthesia, Inhalation; D000776:Anesthesiology / Q000379:methods*; D020680:Bronchoscopes; D002675:Child, Preschool; D004825:Epiglottis / Q000293:injuries*; D005260:Female; D005336:Fiber Optic Technology; D006801:Humans; D017214:Laryngeal Masks / Q000009:adverse effects*; D008297:Male; D011446:Prospective Studies