Nasal Endoscopic Findings in Allergic Rhinitis: A Prospective Study

Kumar, Sujeet; Singh, Rashi; Singh, Manish K.; Nag, Subrata

doi:10.9790/0853-13564548

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…This finding is similar to the work of Kumar et al who observed inferior turbinate hypertrophy as a common finding on 1 st pass of nasal endoscopy in their study of 56 cases of Allergic rhinitis. 11 In the patients with epistaxis, nasal endoscopy was very useful in identifying the exact bleeding point. This finding is supported by the study of Babu et al who studied the role of rigid nasal endoscopy in the diagnosis and management of epistaxis in 50 patients.…”

Section: Discussionmentioning

confidence: 99%

Nasal endoscopy: an excellent tool for the novice

Suraneni¹,

Kudamala²,

Begum³

2019

Int J Otorhinolaryngol Head Neck Surg

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Background: Nasal endoscopy has revolutionized the ease of diagnosing nasal pathologies over the recent years. It offers the advantage of detailed examination of the intra-nasal architecture and precise identification of the pathology. It is cost effective and a useful adjunct for performing minor procedures in the office setting. Thus, nasal endoscopy has evolved as a tool with multiple roles of diagnosing the disease, planning of treatment and post treatment examination.Methods: This is a prospective study conducted at a tertiary care hospital during a period of 2 years on 100 patients to evaluate the role of nasal endoscopy in diagnosing the disease and planning the management. 60 cases were managed conservatively depending on the initial finding on nasal endoscopy while the other 40 cases underwent surgery. Pre-treatment symptoms and post treatment outcomes were observed objectively on nasal endoscopy. Results: Majority of the patients (60%) were managed conservatively and were labeled as cured after enough evidence was obtained both subjectively from the patient and objectively as seen on endoscopy. The remainder of patients (40%) underwent surgery and follow up endoscopy was done in all of them.Conclusions: Diagnostic nasal endoscopy is of immense help to the novice surgeon in understanding and managing various nasal pathologies. Through this study, it can be concluded that most of the nasal symptoms can be managed conservatively and surgery advised for absolute indication, with the help of nasal endoscopy.

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Section: Discussionmentioning

confidence: 99%

Nasal endoscopy: an excellent tool for the novice

Suraneni¹,

Kudamala²,

Begum³

2019

Int J Otorhinolaryngol Head Neck Surg

View full text Add to dashboard Cite

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“…The patients in Group A underwent nasal packing on both sides with cotton pledgets admixed with 9 ml of 4% lignocaine with 1 ml of oxymetazoline 0.05% w/v. Three cotton pledgets had been placed in the nasal cavity, one on the floor of the nasal cavity, the second pledget in the medial to the middle turbinate, and the third pledget in the middle meatus [ 10 ]. The patients in group B underwent two puffs of the nasal spray of oxymetazoline (each ml contains 0.5 mg, each puff contains 0.05 mg.…”

Section: Methodsmentioning

confidence: 99%

A Prospective, Randomized, Double-Blind Study on the Efficacy of Different Modes of Topical Application of Nasal Anesthetics in the Diagnostic Nasal Endoscopy Procedure

Velayutham¹,

Davis²,

Ravichandran³

et al. 2022

Cureus

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In the current otorhinolaryngology practice, technology has always been an essential part. Therefore, diagnostic nasal endoscopy (DNE) has become a vital examination in today's practice. In order to visualize the nasal cavity in a systematic manner without any discomfort to both patient and doctor, the nose should be well anesthetized and decongested. ObjectiveThe study is to compare and evaluate the efficacy of 4% lignocaine-oxymetazoline cotton pledget packing versus topical sprays in the preparation of nasal cavities for DNE. MethodologyThe prospective, randomized, double-blind study was conducted among 246 patients and was divided into two groups. In the first group, the nose was packed with cotton pledgets containing 4% lignocaineoxymetazoline and another group with 4% lignocaine-oxymetazoline spray. Following DNE, patients and surgeons were questioned on a pre-formed questionnaire to evaluate their experience during the procedure. ResultsIt was observed that the time taken for the pre-endoscopic preparation of the packing group was more than the spray group. A total of 91.9% of the spray group had pain during the pre-endoscopic preparation and more burning and tingling sensation than in the nasal pack (75.6%). A total of 69.9% of the patients among the spray group participants compared to 32.5% of the packing group patients experienced more throat discomfort. In addition, 12% of the packing group had mucosal bleeding during the preparation. A total of 32.5% of the spray group experienced severe pain when compared to 12.2% of the packing group during the endoscopic procedure. Most of the participants from both groups had difficulty visualizing the superior turbinate and sphenoethmoidal recess during the procedure. There was a significant difference seen between both the groups with respect to pain during the pre-endoscopic procedure (p=0.0005), burning/tingling sensation (p<0.0001), throat pain (<0.0001), mucosal bleed (p=0.0003), pain during the procedure (p=0.0001), and discomfort after the procedure (p<0.0001). ConclusionBoth methods of nasal preparation have merits and demerits in terms of discomfort, pain, and visualization of structures. Still, the packing of the nasal cavity with cotton pledgets is better when compared to spraying with 4% lignocaine-oxymetazoline. However, 4% lignocaine-oxymetazoline spray can be used during an emergency situation and with sensitive patients.

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Nasal Endoscopic Findings in Allergic Rhinitis: A Prospective Study

Abstract: Abstract

Cited by 2 publications

References 4 publications

Nasal endoscopy: an excellent tool for the novice

Nasal endoscopy: an excellent tool for the novice

A Prospective, Randomized, Double-Blind Study on the Efficacy of Different Modes of Topical Application of Nasal Anesthetics in the Diagnostic Nasal Endoscopy Procedure

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