Make sure

• Laryngeal framework
• Overlying skin condition
• Colour
• Inflammation
• Other abnormal lesion located next to larynx
• Mass
• Opening
• Movement of laryngeal framework during swallowing
• Mirror examination of the laryngeal inlet (indirect endoscopy)
• Shape of epiglottis
• Condition of mucosa over the vocal cords
• Position and mobility of vocal cords
• Abnormal surrounding mass especially in the oropharynx and hypopharynx

• Laryngeal framework
• Swelling
• Shape
• Mobility of the laryngeal framework
• Tenderness
• Laryngeal crepitus
• Movement of the laryngeal framework on swallowing

• Breath sound

• Skin texture, scar
• Shape of neck: front, side, back
• Abnormal masses
• Abnormal openings
• Also
• Conjunctiva
• Uvula
• Upper + lower mouth

• Stand behind the patient, palpate the lateral aspects of the neck with both hands
• Start palpation systemically
• Submental region
• Submandibular region (bimanual: one hand on submandibular, one inside mouth)
• Along the SCM muscle
• Posterior triangle
• Supraclavicular fossa
• Palpation of central part of neck include the laryngeal framework and the trachea