Abstract
The malposition twist of cuff site of size 2 laryngeal mask airway (LMA) in a 10 month old female is described. In this case the obstruction produced a slight sound at expiration, and elevation of end tidal CO2. W e examined the airway condition by X-ray in a lateral view of the cervical spine, and found the cuff site of the LMA to be twisted. The airway obstruction by the twisted cuff was reduced in the head down position. We concluded that size 2 LMA was too big for the patient.