Letter to the Editor about the article published in Clinical Oral Investigations titled "Effect of hyperextension of the neck (rose position) on cerebral blood oxygenation in patients who underwent cleft palate reconstructive surgery: prospective cohort study using near-infrared spectroscopy" (Smarius BJA, Breugem CC, Boasson MP, Alikhil J, van Norden S, Mink van der Molen AB, de Graaff JG. Clin Oral Invest, https://doi.org/10.1007/s00784-019-03157-8).