Ninety children with acute epiglottitis were admitted from 1971 – 1977. Lateral extended neck radiograph was found to be a quick, safe and reliable way to establish the diagnosis. Out of 79, 77 (97%) had blood cultures yielding Hemophilus influenzae type b. Immediate institution of airway and antibiotics were the mainstay of treatment. All patients in the series survived. For short‐term airway management, as in acute epiglottitis, nasotracheal intubation under general anesthesia was found to be the airway of choice.
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