Brain and ENT Clinic – Dr Lalit Mahajan In Nagpur & Dr Rachna Gangwani Mahajan In Nagpur

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Nasal Endoscopy in Nagpur

Nasal Endoscopy instrument insert patient nose

Nasal Endoscopy in Nagpur is a diagnostic procedure use by ear, nose, and throat (ENT) specialists to examine the nasal passages and the interior of the nose. It involves the use of a thin, flexible tube call an endoscope, which has a light and a tiny camera on its tip. This allows the ENT specialist to visualize and assess the nasal and sinus structures in detail.

  1. Endoscope Insertion:

    • The ENT specialist gently inserts the endoscope into one of the nostrils. The endoscope is flexible and minimally invasive, causing minimal discomfort.

  2. Visualization:

    • As the endoscope is advance through the nasal passages, the light & camera on the tip provide a real-time, magnifie view of the nasal structures on a monitor.

Types of Nasal Endoscopy

  1. Anterior Rhinoscopy:

    • This is a basic form of nasal endoscopy where the endoscope is insert into the nostril to visualize the anterior (front) part of the nasal cavity. 

  2. Diagnostic Nasal Endoscopy:

    • This is a comprehensive examination of the nasal cavity and sinus openings using a flexible or rigid endoscope. 

  3. Functional Endoscopic Sinus Surgery (FESS):

    • FESS is a minimally invasive surgical procedure that uses nasal endoscopy to treat chronic sinusitis and other sinus disorders. 

  4. Nasopharyngoscopy:

    • This type of endoscopy involves examining the nasal passages, nasopharynx, and the back of the throat. 

  5. Video Nasal Endoscopy:

    • Video nasal endoscopy involves using a small camera at the end of the endoscope to record real-time video footage of the nasal structures.

  6. Balloon Sinuplasty:

    • While not strictly a type of nasal endoscopy, balloon sinuplasty is a procedure often performe in conjunction with endoscopy. 

  7. Office-Base Nasal Endoscopy:

    • Some nasal endoscopies are performe in the office setting without the need for sedation or anesthesia. 

Symptoms of Nasal Endoscopy

  1. Nasal Congestion:

    • Persistent or recurrent nasal congestion that does not respond to over-the-counter decongestants.

  2. Chronic Sinusitis:

    • Symptoms such as facial pain or pressure, headache, postnasal drip, and a persistent stuffy or runny nose.

  3. Difficulty Breathing:

    • Chronic difficulty breathing through the nose, which may be associate with a deviate septum, nasal polyps, or other structural issues.

  4. Recurrent Sinus Infections:

    • Frequent or recurrent sinus infections, which may be indicative of underlying sinus issues.

  5. Nasal Polyps:

    • Symptoms may include nasal obstruction, a reduce sense of smell, or a runny nose.

  6. Epistaxis (Nosebleeds):

    • Unexplained or recurrent nosebleeds may prompt a nasal endoscopy to identify the source of bleeding.

Treatments

  1. Medical Management:

    • Antibiotics: Once, If a bacterial infection is detected, such as in cases of acute sinusitis, antibiotics may be prescribe to clear the infection.
    • Corticosteroids: Thus, Nasal corticosteroid sprays may be recommende to reduce inflammation in the nasal passages, particularly in conditions like allergic rhinitis or nasal polyps.

  2. Nasal Decongestants:

    • Thus, Short-term use of nasal decongestants may be advise to alleviate nasal congestion, especially in cases of acute sinusitis or nasal obstruction.

  3. Allergy Management:

    • Firstly, If nasal endoscopy reveals signs of allergic rhinitis, allergen avoidance strategies, antihistamines, or allergy shots (immunotherapy) may be recommended.

  4. Nasal Irrigation:

    • Thus, Saline nasal irrigation, using a saline solution or a nasal spray, may be suggested to help clear mucus and reduce nasal congestion.

  5. Septoplasty:

    • Once, If a deviate septum is identifie as the cause of nasal obstruction, septoplasty may be recommende. Septoplasty is a surgical procedure to straighten the nasal septum, improving airflow.

  6. Functional Endoscopic Sinus Surgery (FESS):

    • Therefore, In cases of chronic sinusitis, nasal polyps, or other sinus disorders, functional endoscopic sinus surgery (FESS) may be considered. FESS is a minimally invasive surgical procedure performe with the assistance of an endoscope to open blocke sinus passages and improve drainage.

  7. Polypectomy:

    • Thus, If nasal polyps are identifie, a polypectomy may be performed to remove the non-cancerous growths and improve nasal airflow.