(I have written this post with ENT Junior Residents in my mind. The art of doing Indirect Laryngoscopy (IDL) seems to have been relgated to back burner, with the arrival of endoscopes. However in the initial encounter with the patient, IDL is an indispensable tool and requires training and experience to master this important step of ENT examination. I will request my senior colleagues to contribute to discussion and give tips to their juniors to improve their technique of doing IDL.) One should have a set of three IDL mirrors number 2, 3, 4 and 5.
Have three sets at least and keep on changing these when they lose their polish. Make the patient sit straight without any bend in the back and ask him to bend his forehead a bit forward making an angle of 10 degrees. Ask the patient to open his /her mouth wide and protrude the tongue. Hold the tongue with a clean gauze piece (do not pull…