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©2013 UpToDate ® Print Email Bimanual laryngoscopy Once the optimal glottic view is obtained with external laryngeal manipulation, the laryngoscopist instructs an assistant to place their fingers in exactly the same spot on the thyroid cartilage, using the same direction and degree of force. Reproduced with permission from: Orebaugh SL. Direct laryngoscopy. In: Atlas of Airway Management: Techniques and Tools, Lippincott Williams & Wilkins, Philadelphia 2007. Copyright © 2007 Lippincott Williams & Wilkins. file://www.lww.com