Endoscopy of ENT organs

Endoscopy in ENT is an advanced research method that ensures high accuracy and safety. In the field of otorhinolaryngology, the procedure is considered the most effective for identifying diseases of the nose and paranasal sinuses in both children and adults. The study does not require lengthy preliminary preparation.
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The essence of the technique

Endoscopy of ENT organs allows you to study in detail the internal structures of the ENT organs using an endoscope. Control is carried out using a handle with a rotating mechanism. The area under study is displayed on the screen in high resolution.

Modern endoscopes can be equipped with tools such as biopsy forceps, knives for cutting tissue and special loops for removing formations. They allow surgery to be performed through small openings, minimizing trauma.

During the procedure, the doctor analyzes the condition of the ear, nose and throat in real time. He also examines the mucous membrane in detail, identifying features and changes. The study is necessary to assess the condition of the tonsils and auditory tract in children with adenoiditis.

The essence of the technique

Types of endoscopes

Endoscopy is recommended for children from 2 years of age. Before starting the procedure, the doctor performs anesthesia.

Flexible

Devices with a diameter of 1.5 to 4 mm, equipped with a video camera and a built-in light source to illuminate the area under study.

Tough

They have high-quality optical and fiber optic systems for transmitting clear images that allow you to examine the structure of tissues.

Goals of endoscopic examination of ENT organs

Endoscopy of ENT organs is an indispensable tool in the diagnosis of various diseases. This method allows you to:

  • Detect nasal polyps, providing data on their size, location and features
  • Find out the causes of constant runny nose and the presence of discharge in the nasal passages
  • Assess congenital or trauma-induced deviation of the nasal septum
  • Diagnose damage to the eardrum
  • Study the adenoids, their size and condition
  • Identify inflammatory processes in the mucous membrane of the nose, larynx and other areas, determine the source and etiology of inflammation
  • Detect pathological neoplasms
  • Examine the vocal cords for the presence of polyps, cysts, tumors or paresis
  • Check the paranasal sinuses for tumors, polyps or inflammation

This method also helps to evaluate the effectiveness of the treatment, check changes in the condition of the mucous membrane and the size of the formations.

General information about the procedure

Indications and contraindications for ENT endoscopy

Endoscopic examination of ENT organs is prescribed in the presence of the following symptoms:

  • Nasal congestion not associated with colds
  • Persistent runny nose with a variety of discharge
  • Night snoring
  • Change in voice timbre, hoarseness
  • Deterioration of smell
  • Pain in the face, deep in the nasopharynx or near the eyes
  • Frequent sensations of ear fullness, hearing loss
  • Regular colds that turn into prolonged runny nose
  • Dependence on vasoconstrictor drops
  • Presence of chronic adenoiditis, adenoid vegetations in children
  • Tendency to nosebleeds
  • Pain, cough, discomfort in the throat

An ENT examination with an endoscope is relevant for identifying and treating a wide range of ENT diseases, including sinusitis, rhinitis, tonsillitis, disorders of the structure of the nasal septum, otitis, and pharyngitis. This method helps to accurately determine the causes of snoring, as well as to effectively combat mucosal hypertrophy associated with allergies or addiction to medications.

Endoscopic examination of ENT organs does not have strict restrictions. However, if patients cannot control their actions due to mental disorders or age (for example, small children), they will need to be restrained to ensure the safety of the procedure.

The doctor may decide not to perform an endoscopic examination of the ENT organs if the patient is allergic to pain medications, has increased reactivity of the mucous membrane, has a high likelihood of nosebleeds, or has neurological problems.

Preparation for endoscopy of a child’s nose and nasopharynx

No special preparation is required before pediatric endoscopy of the ENT organs. The only limitation is the exclusion of food and drinks 2-3 hours before the test. If the child has not previously encountered local anesthesia, the doctor conducts a sensitivity test to the drug by applying it to the nasal mucosa. The absence of an allergic reaction within 10 minutes is considered admission to endoscopic examination of ENT organs in children.

Sometimes before the procedure, the doctor examines the nasal passages using mirrors to assess their patency. To reassure the little patient, he explains the upcoming procedure in a calm tone and in an accessible manner. This helps to avoid fear and anxiety in the baby during the examination.

How the research is carried out

Inspection of ENT organs with an endoscope involves performing the following actions:

  1. Preparation for the procedure. The patient takes a comfortable position in the medical chair, tilting his head back slightly. This ensures optimal access to the ENT organs
  2. Anesthesia. To reduce discomfort and pain, the doctor treats the mucous membrane of the nasal passages with a solution of local anesthetic. The patient feels numbness in the treated areas, which signals readiness for further action
  3. Insertion of the endoscope into the nose. Once the anesthesia begins to take effect, an endoscope is inserted through the inferior turbinate. This device is equipped with an optical system and a light source, which allows the doctor to see the image of the tissue being examined in real time on the monitor
  4. Examination of ENT organs. The doctor carefully advances the endoscope, carefully examining the mucous membrane, sinus openings and other areas for abnormalities, inflammatory processes, discharge or neoplasms. If necessary, a tissue sample may be taken for biopsy
  5. Complete the procedure. After a thorough examination of all necessary areas, the endoscope is removed. The whole procedure takes from 10 to 15 minutes
  6. Rehabilitation. The patient is given recommendations for caring for the mucous membranes during this period

The results of endoscopy of the nose and nasopharynx are recorded on digital media and given to the patient. Such fixation makes it possible to further assess the dynamics of the condition of the ENT organs, comparing changes before and after treatment.

Rehabilitation

Rehabilitation after examination with an endoscope in adults

Eating food and water is allowed an hour after endoscopic examination of the ENT organs. To alleviate the condition and speed up the recovery of the mucous membrane, it is recommended to gargle with a warm soda solution.

Sometimes after an endoscopic examination of the nose, patients experience such unpleasant consequences as slight swelling, nasal congestion or slight dizziness. Usually these symptoms disappear on their own within 3-4 days and do not require special treatment.

Recommendations for children

To reduce the likelihood of bleeding or injury to a child after endoscopy of the nose and throat, it is recommended to follow several rules over the next 2-3 days:

  1. Prevent overheating of the sinus area
  2. Refrain from active games and any actions that involve tilting your head
  3. Avoid blowing your nose too hard
  4. Beware of situations that could result in a blow to the nose or face

After an endoscopic examination of the nasopharynx, the doctor may prescribe antibacterial or anti-inflammatory drugs, especially if during the examination the mucous membrane was touched or tissue was collected for analysis.

Advantages of endoscopy in ENT practice

The advantages of endoscopic examination of ENT organs include:

  • High detail. The endoscope provides the ENT specialist with an excellent overview of internal structures, including hard-to-reach areas. The ability to zoom the image and additional lighting allow you to accurately determine the nature of detected pathologies
  • Lack of preparation. The procedure can be performed at any time during a visit to the doctor
  • Instant results. The study takes place in real time, allowing patients to observe the process together with the doctor and immediately receive an opinion from him
  • Comfort. Modern endoscopes are considered minimally invasive, making the procedure acceptable for most patients
  • Safety. The procedure does not involve radiation exposure, so it is not harmful to health
  • Efficiency and speed. The duration of endoscopy is comparable to a conventional examination of the nasopharynx, but provides much more information about the patient's condition

Many endoscopic procedures can be performed under local anesthesia, making them accessible to those patients for whom general anesthesia is contraindicated.

Types of endoscopic operations

In modern ENT practice, the following endoscopic operations are performed:

1

Endoscopic examination of the nose and nasopharynx is a procedure that allows the doctor to examine the inside of the nose and nasopharynx using an endoscope to diagnose diseases

2

Endoscopic polysinusotomy - sinus surgery performed through the nasal passages to restore normal drainage and ventilation of the sinuses

3

Endoscopic septoplasty – correction of a deviated nasal septum to improve nasal breathing

4

Endoscopic adenotomy - removal of enlarged adenoids (nasopharyngeal tonsil) through the oral cavity. Performed to improve breathing or reduce the incidence of infections

5

Endoscopic turbinate vasotomy is a procedure aimed at reducing the size of the turbinates to make breathing easier through the nose. Performed by cutting or coagulating (cauterizing) the vessels supplying the turbinates

Full recovery after endoscopic surgery takes from 5 to 20 days.

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