• Thomas Gehrke, Stephan Hackenberg, Bernhard Steinhübel, Rudolf Hagen, and Agmal Scherzad.
• Department of Otorhinolaryngology-Head and Neck Surgery, University Hospital Würzburg, Würzburg, Germany.
• Laryngoscope. 2019 Nov 1; 129 (11): E383-E388.

Objectives/HypothesisTo evaluate whether endotracheal intubations are superior to the use of laryngeal masks in the airway management for adenoidectomies in pediatric patients in terms of safety and duration of surgery.Study DesignRetrospective case series.MethodsA retrospective analysis of 1,500 adenoidectomies in children using laryngeal mask or endotracheal intubation for intraoperative ventilation between 2009 and 2017. Data collected included complications, duration of surgery, and duration of induction and emergence from anesthesia.ResultsThe use of laryngeal masks did not accelerate the time needed for induction and emergence of anesthesia although significantly increasing the duration of surgery itself. There also were significantly more complications during and after anesthesia when using a laryngeal mask. In 10% of the children, the laryngeal mask had to be replaced by an endotracheal tube intraoperatively.ConclusionsThere is no reason to recommend the use of a laryngeal mask as the first choice of airway management regarding adenoidectomies in children.Level Of Evidence3 Laryngoscope, 129:E383-E388, 2019.© 2019 The American Laryngological, Rhinological and Otological Society, Inc.

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