Diagnostic Endoscopy of the Nose

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Abstract:

The purpose of this presentation is to describe a diagnostic technique of examining the nasal cavity with nasal endoscopes. This technique is used for the identification and evaluation of structural abnormalities and chronic inflammatory changes which may be medically treated or surgically repaired. The rigid endoscopes with angled lenses allow elevation of the middle turbinate and direct inspection of the middle meatus and ostiomeatal complex. Passage of the endoscope medial to the middle turbinate allows inspection of the sphenoid recess and nasopharynx.

Maxillary sinusoscopy can be performed through a trochar placed sublabially through the anterior face of the maxilla. It is a valuable technique for evaluation and biopsy of maxillary sinus lesions. Endoscopic ethmoidectomy combined with maxillary sinusoscopy have largely replaced Caldwell-Luc procedures at our institution.

An invaluable asset in the evaluation of the sinuses is the coronal CT scan. This scan, in contrast to axial scans, is done in the same orientation as the endoscopic examination. It not only demonstrates pathology within the sinuses, which cannot be directly examined, but also confirms the endoscopic observations of the shape and condition of the ostiomeatal complex.

Document Type: Research Article

DOI: http://dx.doi.org/10.2500/108854188778994977

Publication date: March 1, 1988

More about this publication?
  • Allergy and Asthma Proceedings is a peer reviewed publication dedicated to distributing timely scientific research regarding advancements in the knowledge and practice of allergy, asthma and immunology. Its primary readership consists of allergists and pulmonologists.

    The goal of the Proceedings is to publish articles with a predominantly clinical focus which directly impact quality of care for patients with allergic disease and asthma.

    Featured topics include asthma, rhinitis, sinusitis, food allergies, allergic skin diseases, diagnostic techniques, allergens, and treatment modalities. Published material includes peer-reviewed original research, clinical trials and review articles.

    Articles marked "F" offer free full text for personal noncommercial use only.

    The journal is indexed in Thomson Reuters Web of Science and Science Citation Index Expanded, plus the National Library of Medicine's PubMed service.
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