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We received correspondence from Nick Lavies of Worthing in connection with the article by Radha Ravi and Tanya Howell on Anaesthesia for paediatric ear nose and throat surgery (CEACCP 2007; 7(2): 33–37). Dr Lavies commented on the issues of airway management, management of the bleeding tonsil, and anaesthesia for oesophagoscopy. He questioned the statement that only 16% of anaesthetists used the reinforced laryngeal mask airway routinely. However, no mention is made of the CJD problem which forced me and I suspect a good