Rhinoscopy
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equipment
treatment
General information about the procedure
Anterior rhinoscopy
Direct or anterior rhinoscopy involves examining the inside of the nose using a special instrument - a dilator. In this case, the patient sits opposite the doctor, who, holding his head, inserts the instrument into the nasal passage. The depth of its insertion varies depending on the age of the subject and the purpose of the examination.
By changing the position of the patient's head, the doctor examines different parts of the nasal cavity. For example, when looking straight, the lower areas are accessible, and when the head is tilted back, the middle areas are accessible. Particular attention is paid to the middle meatus, since this is where important anatomical structures are located.
During the procedure, the specialist assesses the condition of the mucous membrane, the size of the nasal turbinates and septum, as well as the amount and nature of discharge. In some cases, an additional examination of the posterior wall of the nasopharynx is carried out - this helps to diagnose, for example, adenoiditis. At the same time, for a better view, the doctor asks the patient to make sounds or move his head.
Rhinoscopy of the nasopharynx should not cause pain. If the patient experiences discomfort, the doctor administers pain relief (local agents are used).
To assess the condition of the mucous membrane and identify pathological formations, it is additionally palpated with a special probe. Anemization of the mucous membrane with vasoconstrictor drugs improves visibility and helps diagnose rhinitis.
Features of nasal rhinoscopy in children
Infants and preschool children often react negatively to medical procedures. Therefore, specialists working in private clinics try to perform rhinoscopy on a child as quickly and as gently as possible. In most cases, doctors abandon the use of nasal dilators in favor of smaller instruments, such as ear specula.
In this case, the doctor limits himself to a visual examination, slightly lifting the tip of the child’s nose. If a dilator is still needed, the mucous membrane is pre-treated with an anesthetic spray.
In more complex situations, when a thorough examination or surgical procedures are required, rhinoscopy in children is performed under general anesthesia. This allows you to simultaneously examine the nasal cavity and carry out the necessary manipulations, for example, take biomaterial for analysis.
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When is rhinoscopy necessary?
The procedure is performed for frequent nosebleeds.
It is also shown when:
In addition, it is prescribed for identified diseases of the nasopharynx. Rhinoscopy can be anterior, middle and posterior.