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Sir.—In 32 years of pediatric experience I have routinely examined the epiglottis in all children with laryngeal symptoms. The epiglottis can almost always be seen with the patient in the sitting position, with or without the use of a tongue depressor. I have detected four or five cases of epiglottitis without immediate respiratory compromise and, to my knowledge, I have not overlooked any.
I have never been associated even peripherally with a case of diagnosed bacterial tracheitis.
CLARK R. Oropharyngeal Examination for Suspected Epiglottitis. Am J Dis Child. 1988;142(12):1264. doi:10.1001/archpedi.1988.02150120018010