Role of Nasal Endoscopy in Sinonasal Diseases

Abstract

Introduction: Nasal endoscopy allows detailed and complete evaluation of intranasal anatomy and identifi cation of pathology that was impossible to see using standard techniques with headlight or head mirror. The following study was undertaken in order to ascertain the effi cacy of endoscopy in diagnosing a spectrum of nasal and nasopharyngeal pathology which otherwise remain unrevealed clinically. Aims and Objectives: To evaluate sinunasal diseases with the help of nasal endoscopy. To study the effi cacy of nasal endoscopy in diagnosing nasal pathology over clinical examination. To defi ne medical and surgical (FESS) management according to the type of nasal pathology. To defi ne 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 anaesthesia. Endoscopy was done using 0 degree and 30 degree endoscope with 3 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 tumour. 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 post operative recovery. It’s a good tool for diagnosing anatomical variation.