NASAL ENDOSCOPY

Endoscopy is a diagnostic medical procedure that’s minimally invasive. Physicians use it to view interior surfaces of a tissue or organ, allowing them access to certain cavities of the body they normally can’t see while performing a standard examination procedure.
Nasal endoscopy, also referred to as Rhinoscopy, is typically performed in an otolaryngologist’s or ear, nose, and throat office where they have a direct, high-quality and magnified vision as they evaluate your sinus and nasal passages.

The single-use Ambu Rhino-Laryngoscope is a fine flexible (non-rigid) tube that is inserted via the nose to visualise and photodocument the appearance of the whole of the upper aero-digestive tract. This includes the nose, pharynx (throat) and larynx (voice-box), as well as allow images to be taken from inside the mouth and ear canal openings. That means there needs to be mention that flexible nasendoscopy is used also for investigating causes for voice, swallow, airway and snoring symptoms additonally.

A classic  nasal endoscope is an instrument that consists of a rigid, thin tube with fiber-optic cables. It connects to a video camera and light source where magnified images project onto a screen. The otolaryngologist then captures and records the endoscopic images to document for each patient.

The procedure helps with diagnosing and treating different health conditions. Sometimes, the physician may use small tools to perform certain tasks like gathering tiny tissue samples.

Why it's done ?

SHOW SPECIFIC DETAILS

The endoscopy can show specific details, such as the site of bleeding and swelling of nasal tissue. It can also be used to look at a growth that might be cancer. It also give information abour problems such as :

• Nasal congestion / Blockage
• Nasal and sinus infection (rhinosinusitis)
• Nasal polyps
• Nasal tumors
• Loss of ability to smell
• Cerebrospinal fluid leak

USED AS A TREATMENT

In some cases, a nasal endoscopy can be used as a treatment. For example, it may be done on a child to remove a foreign object from his or her nose.
Your provider might also advise endoscopy to see how a treatment for a nose or sinus problem is working. For example, it can show if nasal polyps have shrunk.

RHINOSINUSITIS

Rhinosinusitis is one of the most common reasons for nasal endoscopy. You may have symptoms such as nasal blockage, yellow or greenish fluid from your nose, and facial pain. Your healthcare provider can use the endoscope to look for swelling and polyps. He or she may collect pus from the infected area. This can help show what is causing an infection and how best to treat it.

MINIMALLY INVASIVE SURGERY

A healthcare provider may use a nasal endoscope to do minimally invasive surgery. This is done in a hospital or surgery center. It can treat conditions such as sinus infection, nasal polyps, and nasal tumors. The surgery is done with very small tools, and does not need an external cut (incision).

First private clinic to offer SINGLE-USE scopes which guarantee:
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Full overview of the procedure

1 - PRE-PROCEDURAL PREPARATION

Ask your healthcare provider if you should stop taking any medicines before the procedure. These may include blood thinners. You should be able to eat and drink normally before the procedure. Your healthcare provider may give you more instructions about what to do before the test.

Just before the procedure, a topical decongestant may be sprayed into your nose. This helps reduce swelling and lets the nasal endoscope pass easily through your nasal cavity and sinuses. Your nose may also be sprayed with an anesthetic, which will briefly numb your nose. But in healthcare providers may need to avoid these medicines under special circumstances, though. In certain cases, you may also need a shot (injection) of anesthetic.

2 - DURING THE PROCEDURE

During a Nasal Endoscopy – 3 minutes

The following are some things you might experience in a typical procedure:

  • For the procedure, you will probably sit upright in an exam chair.
  • After numbing the area, your healthcare provider will place the endoscope into one side of your nose.
  • You may find this a little uncomfortable. If so, let your provider know. You may need more numbing medicine or a smaller nasal endoscope.
  • In one nostril, your provider will push the endoscope forward to view a part of the nasal cavity and sinuses.
  • They may repeat this step 2 more times on the same side of your nose. (Each pass lets your healthcare provider see a slightly different part of your nasal cavity and sinuses.)
  • Your provider may then repeat the procedure on the opposite side of your nose. Again, they may need a few passes of the scope to get the needed information.
  • If needed, your provider may remove a tissue sample as part of the endoscopy. They may send this tissue to a lab to be checked.

3 - POST-OPERATIVE CARE

After you had your procedure in the office, you should be able to go home right after the procedure. You should be able to go about your activities as normal. Let your provider know if you have a nosebleed that doesn’t go away.

The nasal endoscopy often provides the information needed to create a treatment plan. You might discuss this with your healthcare provider right after your endoscopy. In other cases, they might want to order more tests, such as a CT scan. If you had a tissue sample taken during your procedure, these results may take a few days to come back.

Follow all of your healthcare provider’s instructions about medicines and follow-up. In many cases, your provider will want to schedule another nasal endoscopy in the future to see how your treatment has progressed.

In case doctors use the nasal spray : for 30 minutes after the nasendscopy procedure where the nasal spray has been used, patients need to be aware that they should not eat or drink anything, Doing so may cause them to cough and choke, food and drink potentially going down the wrong passage into the voicebox and trachea (airway pipe).

4 - YOUR RESULTS

If a tissue sample (biopsy) was collected, you may need to wait a few days to get results from the testing laboratory. Ask your provider when you can expect the results.

ADVANTAGES

The advantages with respect to the traditional technique are multiple:

• No feeling of suffocating.

• No feeling of gagging or vomiting.

• No feeling of constriction.

• Possibility of speaking or swallowing freely during the examination.

• Painless.

• No need to take any medications.

• During the endoscopic exploration, which lasts about 3 minutes, the patient can converse with the doctor and breathe normally through the mouth. The reduced emotional tension and the short duration of the endoscopic exam means that sedation is not required, making the procedure safer.

RISKS & COMPLICATIONS

Nasal endoscopy is generally safe. But it may have rare complications such as:


• Nosebleed.

• Fainting.

• Harmful reaction to the decongestant or anesthetic.

• You may be at greater risk for bleeding if you have a bleeding disorder or if you take a blood thinner. Your own risks may vary according to your age and your other health conditions. Ask your healthcare provider about the risks that most apply to you.

However, many patients may still have a strong sensitivity and reflex tendency to gagging, which may or may not lessen through the spray of nasal decongestant / local anaesthetic. This spray often will provide more comfort for some patients, but does cause some patients to feel there is a constriction / tightness in the throat (like it is closing up) which lasts for about 20-30 minutes before disappearing. That is perfectly normal and it always does return back to normal.

BOOK A CONSULTATION WITH OUR DOCTORS TO DEFINE WITH YOU THE RIGHT TREATMENT.


* All procedures require a first appointment with our doctors.
* Most of our procedures are performed directly at the clinic.

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Disclaimer:

Information provided is only for educational purpose. Contact your Health consultant or Emergency services depending on your symptoms. Do not self-diagnose, treat or take health care decisions based on the information given. It cannot replace a medical consultation required for a patients individual needs.

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