Introduction 3 pages

Session Overview Learning Objectives Introduction

Definitions 1 page

Definitions

Indications 2 pages

What information can and can’t be gained from suspension laryngoscopy Phonosurgery

Contraindications and risks for consent 2 pages

Few absolute contraindications Risks discussed in consent process may include

Predicting difficult access 3 pages

History Examination Investigations

Anaesthetic considerations 3 pages

Anaesthetic considerations OptiFlow unit and nose piece Flexible Mucosal Atomisation Device mounted on syringe of local anaesthetic

Theatre set up 3 pages

Equipment required Theatre Layout Sniffing the morning air position

Procedure steps 10 pages

Procedure steps Insertion of laryngoscope Use of arm to lift laryngoscope upwards without levering on teeth Suspension set up with Mayo table Direct laryngoscopy view in suspension Surgeon with microscope in position Tubeless normal larynx Manual cricoid pressure aka Sellick manouvre Hands free cricoid pressure with gauze and tape Algorithm when can’t get an adequate view

Different Laryngoscopes 6 pages

Pros and cons of commonly used scopes Lindholm Bouchayre Parsons Dedo Fraser

Microlaryngoscopy vs other approaches 1 page

Microlaryngoscopy vs other approaches

Self Assessment 1 page

Self Assessment

Session Summary 5 pages

Key Learning Points Further Reading Web Resources References Acknowledgements

Feedback and Certification 3 pages

Reflect: What Have I Learned? Reflect: What More Do I Need to Learn and How Will I Apply This? Certificate