Ninety patients were allocated randomly to three groups for airway mai
ntenance during paediatric outpatient dental extraction: laryngeal mas
k airway, nasal mask with nasopharyngeal airway, or nasal mask alone.
Surgical access was better with the laryngeal mask. Airway maintenance
was easier with the laryngeal mask than the nasopharyngeal airway, an
d both were better than nasal mask alone. No patient became hypoxic wi
th the laryngeal mask, five patients became hypoxic with the nasal mas
k and two with the nasopharyngeal airway at corresponding periods, alt
hough the differences were not statistically significant. The laryngea
l mask airway is recommended for paediatric outpatient dental anaesthe
sia.