Reinforcement of Laryngeal Mask Airway Cuff Position with Endotracheal Tube Cuff for Airway Control in a Patient with Altered Upper Airway Anatomy

Implications This case report suggests that the laryngeal mask airway (LMA) cuff position may not be optimal in some difficult airway situations in which the anatomical position of the larynx is altered. Reinforcement of the LMA cuff position by an additional cuff on the dorsal side of the LMA cuff may prove helpful. In this case, in which a difficult airway was anticipated, a nasopharyngeal tube cuff placed behind the standard LMA cuff helped relieve upper airway obstruction.