Difficult Laryngeal Mask Airway Placement: A Possible Solution

A 40-yr-old American Society of Anesthesiologists physical status 1 female with a Mallampati class 2 airway is scheduled for cystoscopy and biopsy of the bladder under general anesthesia. She weighs 80kg and is 165cm in height. Her only complaint is hematuria. This is her first hospital admission and first general anesthetic. She refuses a spinal or epidural. You induce general anesthesia with propofol 150mg. The placement of the laryngeal mask airway (LMA) with the Brain technique proves impossible, as the LMA will not pass the junction with the posterior pharynx. You attempt to insert the LMA with other different techniques, including rotating the LMA 180 degrees, to no avail. Do you know of another technique using a stylet to insert the LMA?