Key points Laryngoscopy is performed to diagnose and treat diseases of
the hypopharynx and larynx Adequate exposure is essential for the
procedure and can be limited by a short neck, limited neck extension and
other patient factors When standard laryngoscopy biopsy forceps cannot
access an area of the pharynx, then flexible pulmonary or gastric biopsy
forceps can be used The flexible biopsy forceps can be loaded down a cut
intubating bougie to access difficult areas This correspondence explains
how to perform this technique and outlines the efficacy