Figure 7.

Flexible nasendoscopy in combination with the Laryngeal Distraction Maneuvre. This maneuver brings the tracheal into the birds-eye view of the endoscope and distracts the epiglottis. In combination with slow deep inspiration it allows visualization of the proximal, and in some cases the distal trachea. In combination with a Valsalva maneuver, it permits visualization of the postcricoid larynx that may in turn identify difficulties with placing a Supraglottic Airway Device. Reproduced, with permission from Laryngology: A Case-Based Approach by Allen, Nouraei, and Sandhu.¹⁵