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The Cormack–Lehane system classifies views obtained by direct laryngoscopy based on the structures seen. It was initially described by R.S. Cormack and J. Lehane in 1984 as a way of simulating potential scenarios that trainee anaesthetists might face. [1] A modified version that subdivided Grade 2 was initially described in 1998. [2]
Laryngoscopy (/ ˌ l ær ɪ ŋ ˈ ɡ ɒ s k ə p i /) is endoscopy of the larynx, a part of the throat. It is a medical procedure that is used to obtain a view, for example, of the vocal folds and the glottis .
A systematic review of 42 studies, with 34,513 participants, found that the modified Mallampati score is a good predictor of difficult direct laryngoscopy and intubation, but poor at predicting difficult bag mask ventilation.
used in direct laryngoscopy; video link: Jobson Horne's probe with ring curette: to access or clean the external ear: Tuning forks: for various clinical tests of hearing loss; vibration sense test Pritchard's politzerization apparatus: video link: Aural/Ear syringe: used to flush out anything like ear wax or foreign bodies from the external ear
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Structures of the larynx as viewed during laryngoscopy. The leaf-like epiglottis is shown as number '3'. The leaf-like epiglottis is shown as number '3'. Other structures: 1=vocal folds, 2=vestibular fold, 3=epiglottis, 4=plica aryepiglottica, 5=arytenoid cartilage, 6=sinus piriformis, 7=dorsum of the tongue