Microlaryngoscopy in a Child with Normal Anatomy: The patient is placed under general anesthesia and intubated. A mouth retractor and guard is introduced to protect the teeth. The laryngoscope is advanced to allow for visualization of the structures of the larynx. The image is magnified and transmitted to binoculars and a separate screen.

Diagnosis of suspected laryngeal pathology as indicated by hoarseness, breathing difficulties, laryngeal trauma etc. Also, treatment of selected laryngeal pathology including removal of foreign objects, biopsy/removal of masses etc

Active bleeding or infection, specific anatomical malformations of the airway

The patient is placed under general anesthesia and intubated. A mouth retractor and guard is introduced to protect the teeth. The laryngoscope is advanced to allow for visualization of the structures of the larynx.

Complete history and focused physical exam with anesthesia evaluation

Labelled stills are used to demonstrate the anatomy at multiple levels from superior to inferior including the levels of the epiglottis, vocal cords, trachea, and carina.

Not Available.

Bleeding, infection, airway swelling, damage to teeth, vocal cord injury, complications of anesthesia

Not Available

Soham Roy, MD – surgeon; Thomas Mitchell – video editor

http://www.entnet.org/content/clinical-practice-guideline-hoarseness-dysphonia