Role of Nasal Endoscopy in Sinonasal Diseases

Abstract

Aims and objectives: To evaluate sinunasal diseases with the help of nasal endoscopy. To study efficacy of nasal endoscopy in diagnosing nasal pathology over clinical examination. To define medical and surgical functional endoscopic sinus surgery (FESS), management according to type of nasal pathology. To define applications of nasal endoscopy (biopsy, swab, epistaxis control, foreign body removal, rhinolith removal, follow-up). Materials and methods: Total 100 patients were studied. Patients came with complaints of nasal blocking, nasal discharge, mass in nasal cavity, bleeding etc, included in study. Pre-endoscopic assessment was carried out like history, examination, investigation. Endoscopic was done after consent under necessary anesthesia. Endoscopy was done using 0 and 30º endoscope with three standard passes. Result: Total 100 patients were studied. Male to female ratio was 1.8:1. Out of 100 patients maximum number of patients had chronic sinusitis on nasal endoscopy examination (22); followed by nasal polyp (27) and deviated nasal septum and epistaxis (10). Nasal endoscopy was an excellent diagnostic aid in condition like epistaxis, nasal mass, nasal obstruction, foreign body, nasopharyngeal tumor. Conclusion: Diagnostic nasal endoscopy offers high diagnostic accuracy in patient with sinonasal complaints. Diagnostic nasal endoscopy is gold standard tool in patient having sinonasal complaints. It has high accuracy due to vision control, has less bleeding, minimal complication, and early postoperative recovery. It is a good tool for diagnosing anatomical variation.

A Study of Correlation Between Nasal Endoscopy and Ct Scan in Cases of Chronic Rhinosinusitis

“…Ritesh Shelkar et al 12 in 2014 evaluated 100 patients of CRS with the help of nasal endoscopy, they are concluded that diagnostic nasal endoscopy is gold standard tool in patients having sinonasal complaints.…”

Rejuvenating The Shunned Art of Diagnostic Nasal Endoscopy Using Angled Endoscopes- A Descriptive Study

“…Sample size of 756 subjects was calculated keeping level of significance (α ) as 0.05, estimated proportion (p) as 0.23 and estimated error (d) as 0.03; where p (estimated proportion) was calculated based on a previous study by Shelkar et al 4 All the data was added in a master chart and was processed using SPSS software (version 22).…”

“…This can be attributed to the better visualization of superior part of nasal cavity and the roof with angulation of scopes. Shelkar et al 4 in their study, made 100 of subjects undergo nasal endoscopic examination with 0 & 30 degree scopes. Nasal polyposis was seen in 27%, Mucopus in 22 %, nasal masses in 12%, rhinolith or impacted foreign body in 4 % and CSF rhinorrhoea in 1% study population.…”

“…As a result, examiners receive a more precise and comprehensive diagnostic evaluation. There is an ample armamentarium of nasal endoscopes available with the current generation of otorhinolaryngologists, including the rigid endoscopes with 0,30,45,70,90 & 120 degree lenses [4][5][6] . With 0-degree scope being used as the first and often the only endoscope in diagnostic nasal endoscopy, this study will explicate the use of angled scopes such as 30 & 70 degrees, to visualize the entire nasal cavity.…”

Endoscopic evaluation and treatment of epistaxis – A prospective study

“…Messerklinger was the first to start endoscopic nasal and paranasal sinus surgery [3]. The use of endoscope during the last decade provided high quality visualization of the intranasal anatomy and improved the knowledge on the intranasal pathology [3,8]. Nasal endoscopy helps to identify the bleeding sources in the nasal cavity that are impossible to be seen by anterior and posterior rhinoscopy.…”