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An integrated optical coherence tomography (OCT) and video rigid laryngoscope have been designed to acquire surface and subsurface tissue images of larynx simultaneously. The dualmodality system that is based on a common-path design with components as few as possible effectively maintains the light transmittance without compromising the imaging quality. In this paper, the field of view (FOV) of the system can reach 70 by use of a gradient index (GRIN) lens as the relay element and a four-lens group as the distal objective, respectively. The simulation showed that the modulation transfer function (MTF) value in each FOV of the rigid video endoscope at 160 lp/mmis greater than 0.1 while the root mean square (RMS) radii of the OCT beamin the center and edge of the FOV are 14.948 m and 73.609m, respectively. The resolutions of both OCT and video endoscope meet the requirement of clinical application. In addition, all the components of the system are spherical, therefore the system can be of low cost and easy to assemble.