How to perform endoscopy in paediatric otorhinolaryngology?

Upper airway endoscopy in children is a high-risk procedure, which should only be performed by a well trained and fully equipped team. The sequence of procedures, at least at the beginning of the procedure, is always the same and must be performed very rigorously. Communication between the various operators, especially the surgeon, the anaesthetist and the operating room nurse, is essential before starting the procedure, as anticipation of sudden difficulties is the key to effective management. The authors report their experience and endoscopy practices.