Inclusion Criteria:  The investigator has been trained and conducted at least 5 successful training procedures with both the aScope 4 RhinoLaryngo and the reusable rhinolaryngoscope systems. The investigator on call for consults must be available to fill out the CRF immediately before and after the procedure. The investigator must be dedicated to the study while on call for consults Clinical indication and eligible for a rhino laryngoscopy, as judged by the physician Patients ≥18 years  Exclusion Criteria:  If the patient has no clear indication for rhino laryngoscopy the procedure should not be conducted.