A device for use with an OR table for supporting a patient's head in a sniff position has a support assembly including a base and patient head support for mounting to an end of an OR table; a pneumatic or mechanical jack, or an expandable bellows, supporting the patient head support for raising or lowering the patient's head relative to the base; a rotatable axis allowing for flexion and extension of the neck; and a mounting assembly for mounting the support assembly to the end of the operating table.