Positioning of the epiglottis when the Brain laryngeal mask airway is
in place was studied in 20 adult patients, using a Hew technique of in
sertion. The laryngeal mask was inserted when the anterior displacemen
t of the mandible extended the epiglottis, thereby the providing an ex
cellent airway in all patients. in 10 out of these 20 patients, the co
nventional technique of insertion revealed an incomplete extension of
the epiglottis, and inadequate opening of the laryngeal inlet. It was
concluded that the anterior displacement of the mandible during insert
ion of the laryngeal mask enhances the opening of the larynx, the resu
lt being an excellent airway.