Evaluation of Sino-Nasal Diseases Using Diagnostic Nasal Endoscopy
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 7
Abstract
Introduction: Nasal endoscopy allows detailed & complete evaluation of intranasal anatomy and identification of intranasal pathology that is not possible to visualise with routine anterior rhinoscopy. This study was undertaken in order to ascertain the importance of diagnostic nasal endoscopy (DNE) in diagnosing a spectrum of nasal, sinus & nasopharyngeal pathology which otherwise remains unrevealed clinically. Aim: Evaluation of sino-nasal diseases using Diagnostic Nasal Endoscopy. Objectives: To assess the anatomical details of nasal cavity and lateral nasal wall. To assess the intranasal appearance of sino-nasal diseases. Materials & Methods: Study was undertaken in department of ENT from 01.09.18 to 30.05.19. Total 100 patients were studied. All patients attending ENT OPD with symptoms of Nose & para-nasal diseases were included. Informed consent taken. A detailed clinical history was recorded. Anterior rhinoscopy using Thudichum nasal speculum done & findings recorded, then diagnostic nasal endoscopy were done in all patients using 4mm, 0 & 70 degree endoscopes. Results: Total 100 patients were studied. Male to female ratio was 1.6:1. Out of 100 patients. Majority had chronic sinusitis (25); followed by nasal polyp (26, Ethmoidal-14 , Antrochoanal-12) , Deviated nasal septum (14), epistaxis (10), Nasopharyngeal Angiofibroma (02), haemangioma (02) and Rhinosporidiosis(02), Inverted papilloma (01) Conclusion: Diagnostic nasal endoscopy offers high diagnostic accuracy in patients with sino-nasal pathology which cannot be visualised by routine anterior rhinoscopy. Diagnostic nasal endoscopy is gold standard tool in patients having sino-nasal complaints. It has high accuracy. It’s a very good tool and should be made a part of routine clinical examination.
Authors and Affiliations
Dr Rohit Shyam Bobil
Keywords
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