Rhinoscopy of the nose: what is it, front and back rhinoscopy
What is rhinoscopy?
During the examination of patients suffering from chronic diseases of the nose, and rhinoscopy is used. After receiving directions, people often do not know how to prepare for the procedure. They wonder about what is rhinoscopy?
Rhinoscopy is a instrumental examination of the nasal cavity.
In the process of studying the nasopharynx doctors use special tool – rhinoscope.
Appearance this device resembles a tube that has a thickness of 4 mm.
To examine the nasopharynx it is equipped with a flashlight, the camera and eyepiece. The procedure helps physicians to make a correct diagnosis.
The advantage of endoscopic rhinoscopy is that the survey allows to identify pathological changes of the nasopharynx in the early stages. With its help, doctors can conduct sampling and analysis of secretions accumulating in the sinuses of the patient.
Diagnostics allows to detect the presence of tumors and foreign objects that may be present in the nose. Rhinoscopy is used to monitor the patient’s condition after surgery.
Among the indications for the procedure include:
- injuries of the nose;
- deformation of the nasal septum.
How to perform rhinoscopy
There are several varieties of rhinoscopy: front, back, middle and surgical.
In the process of anterior rhinoscopy, the doctor will examine the nose for the presence of ulcers and areas of inflammation. The lamp during the procedure, set at the level of the auricles. During the examination the doctor may use 2 methods:
- Specialist evaluates the condition of the anterior nose. While the patient’s head is in the normal position.
- Another option is that the patient is asked to tilt the head. Using this method the doctor has access not only to the anterior part. This way you can study and the average area of the nasopharynx.
The patient throws her head back. To expand the nasal passages of the patient is instilled solution with vasoconstrictor action.
In the process of diagnosis the doctor examines the void located near the top of the sinuses. Specialist carefully examines the health of the frontal sinus and the lunate cleft.
With a spatula, the doctor presses on the tongue, as it limits the review. The patient during the average rhinoscopy should breathe through the mouth. Measures must be taken to achieve relaxation of the sky to examine the nasopharynx.
The patient is recommended wide open mouth to avoid a gag reflex. To avoid retching can be due to the use of anesthetic solution. If you use painkillers, you need to consider the presence of patient allergies.
Why the need for posterior rhinoscopy?
With the help of rear rhinoscopy doctors examine the back region of the nasal cavity.
Specialist takes in his left hand a spatula and presses down on the tongue. After that, he enters into the nasopharynx mirror.
However, manipulation of the tool in this area provoke attacks of vomiting.
The body tries to protect itself from the foreign object.
The patient is in the process of studying the nasopharynx to maximally open the mouth. If this should happen the instinctive relaxation of the sky.
For holding the rear rhinoscopy, the doctor uses a scope. This device is a handpiece equipped with an illuminator. This method of examination allows the doctors to detect the presence of polyps formed in the nasal sinuses.
Important! To reduce pain and eliminate the retching, the mucosa is irrigated with an anesthetic solution.
Contraindications to rhinoscopy
The procedure is not carried out in the following cases:
- the patient is too narrow throat;
- there has been a significant increase in the tonsils;
- the patient suffers from allergies to anesthetics;
- in the throat there are the tumor;
- the procedure can not be performed if the patient has the scars on the mucosa;
- from the survey would have to give to patients suffering from inflammatory diseases of the nasopharynx.
What drugs are used for anesthesia of mucous membranes of the nose
The procedure of research of the nasal cavity and nasopharynx with help of an endoscope the doctors proceed after processing produces the anasthetic solutions. To prevent gag reflex you can use Tetracaine, or Lidocaine Xylocaine. Anesthetic solutions are available in the form of an aerosol.
The focus is on the mucosa that absorb most of the pressure tool. The patient should inform the doctor before the sneezing, as it can damage the tissues of the nose. In this case the specialist should have time to pull the rhinoscope.
For anesthesia of the mucosa in children doctors use Lidocaine. The use of solutions based on cocaine can cause the baby hallucinations.
Features rhinoscopy in children
Anterior rhinoscopy is the basic method diagnosti used in the examination of the nasal cavities in children.
Before the procedure will have to fix the hands of the baby.
In the process of diagnostics experts use small instruments designed for the observation of narrow nasal passages of the baby.
Order rhinoscopy in children does not differ from the examination of adult patients.
Examination of the nose with an endoscope, the older children takes place in the presence of parents. Applied to the mucous anesthetic to avoid pain.
For studies of the nasopharynx in infants rhinoscope not suitable. Instead, doctors use the ear funnel with a small diameter. The most painful is considered as posterior rhinoscopy.
In some children, there is panic and fear of the procedure because they are afraid to choke. Not all babies can breathe by mouth. The task of the doctor – show the child how to breathe during the examination. Before the procedure to calm the baby. This will help to cope with anxiety, which will disturb the studies of the nasal cavities.
To resolve painful mucous membranes of the nasopharynx of a child are handled by the anesthetics. When choosing the anesthetic solution the doctor takes into account the individual characteristics of the child.
Before undergoing the examination need to ensure that no baby allergies to anesthetics.
Endoscopic rhinoscopy can be used not only for examination of the patient. The experts use this procedure to remove tumors and polyps, which are formed in the nose of the patient.
To this end, the affected area is made small incisions. They are used to gain access to the affected area. With the help of a rhinoscope the doctor examines the nasal cavity. After that, the technician proceeds to the extraction of polyps. The duration of rehabilitation is on average 2 days.
Rhinoscopy – a procedure designed to examine the condition of the nasal cavities. In the process of diagnosis, our specialists will reveal tumors that complicate nasal breathing. Analysis of purulent secretions is needed to determine the harmful bacteria that provoke the development of sinusitis.