We report two cases of left vocal fold palsy following use of the lary
ngeal mask airway. In both cases anaesthesia was uneventful with a dur
ation of about 60 minutes. It is proposed that high intra-cuff pressur
es induced during anaesthesia resulted in distension of the hypopharyn
x and subsequent neuropraxia of the motor branches of the recurrent la
ryngeal nerve and the external branch of the superior laryngeal nerve.