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Sir.—I concur with Mauro and colleagues' evaluation of patients with acute supraglottitis. I have evaluated all patients whom I have suspected of having this problem by visual inspection as benignly as possible using a tongue blade. I have not incurred any substantial sequelae by doing this and in the process I have diagnosed approximately seven to ten cases of epiglottitis over the past 17 years.
Obviously, one cannot predict whether problems will occur during future observations by this method. However, I wanted to add my opinion and experience to this issue.
STRENG JA. Oropharyngeal Examination for Suspected Epiglottitis. Am J Dis Child. 1988;142(12):1265. doi:10.1001/archpedi.1988.02150120019013