To the Editor.—We have read with interest the letter to the editor concerning laryngeal examination in the May 1988 issue of the Archives.1
We would like to share our experience using the otologic microscope in the indirect examination of the larynx.
Although the routine indirect examination of the larynx is usually considered an effective and reliable diagnostic procedure, there are cases when the physician feels the need for more light and magnification, especially when the diagnosis is difficult or when there is a suspicion of malignancy.
Whenever the indirect mirror examination fails to permit a sufficiently complete and detailed view of the larynx to arrive at a reliable diagnosis, it is necessary to procede to direct laryngoscopy in the operating room and under general anesthesia.
The use of the operating microscope makes it possible, in some cases, to avoid the direct examination, with the obvious advantage in terms
GOLZ A, ZOHAR S, AVRAHAM S, JOACHIMS HZ. Indirect Microscopic Laryngoscopy. Arch Otolaryngol Head Neck Surg. 1989;115(8):994. doi:10.1001/archotol.1989.01860320104031
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