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May 2, 1953


Author Affiliations

Beverly Hills, Calif.

JAMA. 1953;152(1):17-18. doi:10.1001/jama.1953.03690010023005

It is the purpose of this paper to call attention to the fact that direct laryngoscopy is both inadvisable and unnecessary in a majority of cases in which it is being used today. A plea is made to replace it with mirror laryngoscopy in these cases. A brief reference to the history of the examination of the larynx might be in order.

The lack of a method of viewing the interior of the throat was recognized long before Bozzini1 described a candle-lighted reflector for illuminating the interior of the throat in 1807. It was Senn,2 however, who about 20 years later first attempted to visualize the larynx by means of a small mirror introduced into the mouth. In 1829, Babington3 reported his glottiscope, a piece of mirror set in wire and attached to a long handle. The reflector was placed against the soft palate, while the tongue