Examination of the larynx with a flexible endoscope has been a standar
d procedure for over 20 years. Although excellent images have been obt
ained. there has not been a method for achieving any objective measure
ments and there are clearly both research and clinical applications fo
r this. The reason for this is firstly because of the inherent distort
ion of the lens and secondly because of an absence of a reliable metho
d of assessing the relative position of the endoscope within the laryn
x. This paper illustrates the theory of how these problems have been o
vercome and describes the equipment used in the clinical situation. Th
e first clinical trial of the Vocim system is detailed, demonstrating
an error of only 4%.