The tongue is held while a small, slightly warmed mirror is introduced into the mouth. The mirror should not be excessively warm and should avoid contact with the tongue. The patient is asked to breathe normally through the mouth. The mirror should be pushed upward against the uvula and positioned in the oropharynx. A beam of light can then be reflected off the mirror onto the internal laryngeal structures. This technique is demonstrated in Figure 12-44.
Although the examination of the larynx is important, indirect laryngoscopy is usually performed only by specialists. Any patient exhibiting symptoms of laryngeal disease should certainly be evaluated further.
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