View source for Mirror laryngoscopy

==Overview==
*Helpful if fiberoptic [[laryngoscopy]] is not available

==Indications==

==Contraindications==

==Equipment Needed==
*Head lamp or assistant with mobile light source
*Mirror

==Procedure==
*Patient should sit with head in sniffing position
*Warm mirror with water to prevent fogging
*Grasp tongue with non-dominant hand, use middle finger to lift upper lip
*Insert mirror parallel to tongue and lift cephalad against uvula/soft palate until larynx is seen
*Topical anesthetic such as benzocaine or lidocaine 4% may help
*Have patient phonate with a high pitched voice ("eeee") to move epiglottis and to visualize cord function <ref name="Otolaryngologic Procedures">Riviello R. Otolaryngologic Procedures. In: Roberts and Hedges' Clinical Procedures in Emergency Medicine. 6th ed. Philadelphia, PA: Elsevier; 2014. </ref>


==Complications==
*Inability to complete due to gag reflex
*Traumatic abrasions or bleeding
*Laryngospasm if paraglottic infection

==See Also==
*[[Laryngoscopy]]

==External Links==

==References==
<references/>

[[Category:Procedures]]
[[Category:ENT]]