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Department of Additional Information

While reading the otherwise excellent article, "The Many Faces of Infectious Mononucleosis: The Spectrum of Epstein-Barr Virus Infection in Children" (Pediatrics in Review 1985;7:35-44), I noted that Dr Grose refers to the airway management of these children done at the Children's Hospital of Pittsburgh. Dr Snyderman's article to which Dr Grose refers (Pediatric Clinics of North America 1981;28:1011-1016), however, does not recommend nasotracheal intubation, as described by Dr Grose but, rather, placement of a nasopharyngeal airway. This tube does not enter the trachea between the vocal cords but, essentially, bypasses the enlarged adenoids and tonsils and rests in the posterior pharynx.