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In the ICU setting, laryngeal dysfunction complicates core physiotherapy and respiratory therapy tasks, including noninvasive therapies, cough evaluation, and airway clearance. This clinically oriented narrative synthesis outlines how bedside visualization with transnasal fiberoptic laryngoscopy (TFL) and translaryngeal ultrasound (TLU) can improve individualized airway clearance strategies and optimization of noninvasive ventilation when laryngeal dysfunction is suspected. Both modalities enable direct assessment of secretion pooling, penetration and aspiration, cough function, and mucosal trauma. In difficult cases, TFL can confirm that a nasotracheal suction catheter has traversed the vocal folds when blind nasotracheal attempts fail, facilitating an effective cough. Within interprofessional workflows, TLU can serve as an accessible screening tool, whereas targeted TFL-supported assessments add diagnostic and therapeutic value in challenging cases. Safe implementation, particularly of TFL, requires appropriate skills, adherence to infection-prevention protocols, and structured local training and credentialing. Existing clinician-performed ultrasound frameworks may be adapted to support competence in TLU. Embedding these modalities into credentialed and audited clinical pathways may enhance safety and efficiency, although pragmatic implementation and outcome studies remain key priorities.<\/jats:p>","DOI":"10.1177\/19433654261444706","type":"journal-article","created":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T09:42:07Z","timestamp":1777714927000},"page":"1170-1178","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Scope and Scan Led Airway Care: Therapist Laryngeal Visualization"],"prefix":"10.1177","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1088-3009","authenticated-orcid":false,"given":"George","family":"Ntoumenopoulos","sequence":"first","affiliation":[{"name":"Dr. Ntoumenopoulos is affiliated with the Department of Physiotherapy, Royal Perth Hospital, Perth, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne Kristine","family":"Brekka","sequence":"additional","affiliation":[{"name":"Ms. Brekka and Prof. Andersen are affiliated with the Thoracic Department, Haukeland University Hospital, Bergen, Norway."},{"name":"Ms. Brekka and Prof. Andersen are affiliated with the Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway."},{"name":"Ms. Brekka is affiliated with the Department of Physiotherapy, Sorlandet Hospital, Arendal, Norway."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0641-3653","authenticated-orcid":false,"given":"Tiina","family":"Andersen","sequence":"additional","affiliation":[{"name":"Ms. Brekka and Prof. Andersen are affiliated with the Thoracic Department, Haukeland University Hospital, Bergen, Norway."},{"name":"Ms. Brekka and Prof. Andersen are affiliated with the Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,2]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000003368"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-019-2400-2"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.06674"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-025-05689-w"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/cc11249"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40814-023-01362-7"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.03875"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.08960"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201606-1249CI"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nic.2022.07.011"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13244-019-0786-7"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2017.0976"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/WNP.0000000000000187"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjorl.2017.08.010"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-019-09980-1"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.4103\/0972-5229.40942"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/09593985.2022.2106916"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.12201"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pulmoe.2019.02.008"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.09978"},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-017-4151-z"},{"key":"e_1_3_2_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-059234"},{"key":"e_1_3_2_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-018-5469-1"},{"key":"e_1_3_2_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13304-020-00728-3"},{"key":"e_1_3_2_26_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2015.2795"},{"key":"e_1_3_2_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2022.111193"},{"key":"e_1_3_2_28_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13092643"},{"key":"e_1_3_2_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13089-023-00318-5"},{"key":"e_1_3_2_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/jum.15817"},{"key":"e_1_3_2_31_1","doi-asserted-by":"publisher","DOI":"10.1183\/23120541.00099-2019"},{"key":"e_1_3_2_32_1","volume-title":"Post-intubation laryngeal edema","author":"Ak AK","year":"2025","unstructured":"31.Ak AK, and Cascella M. 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