The management of all laryngeal pathologies begin with a simple and traditional examination with laryngeal mirror. Even though the use of mirror is invaluable, the image is often distorted and misleading in seven different ways. Direct laryngoscopy is a sermon on relaxation and does not require any local or general anesthesia in both children and adults. The greatest advantage of direct laryngoscopy is the presence of oblique illumination. This chapter deals with the different angulations of laryngeal mirrors and its seven drawbacks in detail. This also provides a detailed explanation of direct laryngoscopy technique in children and adults with its axioms and clinical application.
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