Nasal endoscopy, what can be found by rhinoscopy

Nasal endoscopy is generally performed with 1% decaine cotton pads for surface anesthesia of the bilateral nasal cavity and nasopharyngeal local mucosa, and then used an instrument to enter the examination, and there is basically no pain during the general examination.

As long as you cooperate with the doctor's operation during the examination and do not move around, it can be completed quickly. Nasal endoscopic examination can detect bilateral nasal mucosal lesions, bilateral lesions in the middle meatus, lower nasal passages and olfactory fissures, as well as lesions in the nasopharynx, tumor growth in pharyngeal crypts and nasopharyngeal parietal posterior walls, and edema and compression in the pharyngeal opening of the eustachian tube.

If a lesion is found, it can also be removed for biopsy.

Nasal endoscopy does not leave a foreign body, and purulent discharge is one of the typical symptoms of sinusitis, and forehead, nose pain, dizziness, etc. are also symptoms of sinusitis.

Disease analysis: 1. The sinuses are the appendages of the nose, and the sinuses are often called paranasal sinuses in medicine, and sinusitis is also often called paranasal sinusitis. **Sinusitis general drugs can only relieve, not completely**!

It is recommended that you use the nasal endoscope under the nasal endoscope, with the special instruments of the nasal endoscope to directly act on the lesion position, the operation only needs to open the sinus orifice, directly remove the lesion tissue, the operation is delicate, one-time**, the patient's recovery time after surgery is shortened, the trauma is small, and the postoperative pain is small.

Suggestions:

Abstract:Nasal endoscopy is an endoscope used to examine the nasal cavity, which can examine the nasal structure, mucosal appearance and degree of inflammation and swelling of the patient, the nature of the nasal cavity and sinus inflammatory discharge and its **. Nasal endoscopy is done with a diameter only, and a local anesthetic is sprayed before the examination, so it is generally not painful, but there will be slight discomfort.

Nasal endoscope, also known as rhinoscope, is an optical device that can conduct a detailed examination of the nasal cavity, which can easily pass through the narrow nasal cavity and the structure in the nasal passage, examine the nasal cavity and nasopharynx and even the internal structure of the sinuses.

2. What can be found by rhinoscopy?

Rhinoscopy is a commonly used examination method in the clinical work of otolaryngology, which can generally be divided into anterior rhinoscopy and nasal endoscope, and now the commonly used nasal endoscope can check many nasal diseases and finger diseases.

Through the rhinoscope, the doctor can carefully observe and confirm the patient's entire nasal structure, mucosal appearance, inflammation and swelling, nasal cavity, the nature of inflammatory secretions in the nasal cavity, whether the nasal septum is obviously deviated, and whether there are abnormal new organisms in the nasal cavity and sinuses, etc., which has great guiding significance for the formulation of subsequent drug regimens. Some patients with abnormalities on rhinoscopy may require further CT or magnetic resonance imaging (MRI), which is important for the decision to operate and the development of surgical plans.

3. Is nasal endoscopy painful?

Many friends are worried that it will be painful to do nasal endoscopy, so they refuse to do it, but in fact, with the development of technology, modern nasal endoscopy is not as painful as everyone thinks.

When performing nasal endoscopy, the diameter of the endoscope used is only, and the doctor will generally spray some anesthetic locally before the examination, which can make the nasal mucosa vasoconstriction and make the nasal cavity unobstructed, so the nasal endoscope into the nose generally does not cause pain, but there may be some discomfort, especially for friends with narrow nasal cavity, but the operator can tolerate it if he is careful.

Fourth, how to do nasal endoscopy.

There are two types of rhinoscopy: anterior rhinoscopy and nasal endoscopy, and the examination methods are also different

1. How to do anterior rhinoscope.

1) The examinee tilts his head back, the examiner fixes the forehead of the examinee with his left hand, lifts the tip of his nose back and up with his right thumb, and then pushes it left and right, and examines the whole nasal vestibule with the help of the reflected light of the frontal mirror.

2) To check the nasal cavity, the examiner holds the rhinoscope in his left or right hand, holds the opening and closing joints of the rhinoscope with his thumb and index finger, puts one foot of the rhinoscope handle against the palm of his hand, and holds one leg of the other fingers respectively to control the opening and closing of the rhinoscope, and the palm of the hand is facing the examiner. The frontal mirror reflects the light at the tip of the nose, and the closed nasal lens (the lobe is parallel to the nasal floor) is placed into the nasal vestibule, and the anterior rhinoscope is slowly opened to examine each part of the nasal cavity in turn.

3) After the examination, withdraw the nasal mirror.

2. Nasal endoscopy process.

The nasal endoscope system is equipped with a cold light source, a camera and a monitor, which can penetrate deep into the nasal cavity, and the examination method is generally as follows: the patient is sitting or semi-recumbent, and the doctor extends the nasal endoscope into the patient's nasal cavity, and then examines the inside of the nasal cavity through the monitor; After the examination, the nasal endoscope can be withdrawn.

Hold the rhinoscope in your left hand, place your thumb at the intersection of the two lobes of the nasal scope, place one handle in your palm, and the other handle is supported by the other four fingers, put the rhinoscope into the vestibule of the anterior nostrils, and examine it from bottom to top, observing the bottom of the nasal cavity, the nasal septum, the inferior turbinate, the lower nasal passages, the middle turbinates, the middle meatus and the nasal roof area.

Pay attention to the color of the nasal mucosa, nasal passages secretions, and whether there are lesions such as qualitative ulcers, adhesions or tumors.

Nasal endoscopy is a common clinical examination method in otolaryngology. It is mostly used to observe specific lesions in the nasal cavity and nasal passages, as well as for post-sinusitis surgery review and nasal cavity clearance. Nasal endoscopy can generally be performed in an outpatient clinic and costs about 200 yuan.

The procedure is also relatively simple, first using a decongestant to properly astringent the nasal mucosa, and then examining the nasal cavity, nasal passage, and nasopharynx in turn. The cost of nasal endoscopy is different from the cost of nasal endoscopic surgery, which costs about a few thousand dollars.

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Speak with efficacy.

Nasal endoscope is an otolaryngological device, which is an optical device that can conduct a detailed examination of the nasal cavity, generally referring to a rigid tube scope, with an angle ranging from 0 to 90 degrees, due to good lighting, and it is relatively thin, with a diameter only, but the nasal endoscope sometimes refers to the flexible tube scope. Nasal endoscope can easily pass through the narrow nasal cavity and nasal passages in the structure, to examine the nasal cavity and nasopharynx and even the internal structure of the sinuses, is an important means of diagnosing sinusitis nasal polyps, through the supporting surgical instruments can also be used for sinusitis nasal polyps finely, so that the operation can reach the area that traditional surgery can not reach.

Nasal endoscope, a minimally invasive medical examination instrument with good illumination, can make the operation more delicate with the matching surgical instruments and can reach areas that cannot be reached by traditional surgery. With angles ranging from 0 to 120 degrees, the common nasal endoscope is a rigid tube scope, which is different from fiberoptic laryngoscopes and fiberoptic esophagoscopes.

Nasal endoscopy is a functional surgery that uses the good illumination of electronic endoscopes and supporting surgical instruments to preserve the normal mucosa and structure of the nasal cavity and sinuses as much as possible on the basis of completely removing the lesions, forming good ventilation and drainage, and promoting the restoration of the morphology and physiological function of the nasal cavity and sinus mucosa. At the same time, according to the severity of the lesion, the purpose of relying on the recovery of the physiological function of the nasal cavity and sinuses can be achieved. Due to its strong light guide, multi-angle and large field of view, it can directly peek into many important parts of the nasal cavity (such as the openings of each sinus, the hidden narrows inside the grooves and sinuses) and the subtle lesions of the nasopharynx, thereby reducing the postoperative rate.