This is a short video of an endoscopic exam performed in the office. Initially, it’s with the patient sitting up after topical nasal decongestion and anesthesia. You can see the right and left nasal anatomy, and the Mueller’s maneuver in the middle of the video. Near the end, the patient is lying flat on her back, and you can see that the space behind the tongue base and epiglottis is much more narrow.

At the very end, I have the patient thrust her lower jaw forward, which pulls the tongue base forward significantly, allowing you to see the voice box more clearly. This is one maneuver I do to determine if a patient is potentially a good candidate for a mandibular advancement device.