RIGID NASAL ENDOSCOPY; EFFICACY IN SINONASAL PATHOLOGIES

Abstract

OBJECTIVE: To evaluate efficacy of nasal endoscopy in diagnosing nasal pathologies.
DURATION OF STUDY: 01 November 2013 to 30 Jun 2014
STUDY DESIGN: Prospective
PLACE OF STUDY: ENT A Unit Hayatabad Medical Complex, Peshawar, ENT unit Saidu group of
teaching hospitals, swat.
MATERIAL & METHODS: Eighty (80) patients were included in the present study, with fifty six
male and 24 female. They presented with nasal obstruction 54 (67.5%), persistent rhinorrheal6 (20%),
Nasal bleed 50 (62.5%), headaches, 18(22.5%) foul breath 6 (7.5%) and olfactory disturbances 7
(8.75%). Anatomic variations were found on nasal endoscopy, Concha bullosa 9 (11.25%) was the
commonest anatomic variation followed by enlarged bulla.
RESULTS:Enlarged adenoids were found in 3(3.75%) patients, Hypertrophy of posterior end of inferior
turbinate 5 (6.25%)Discharge in middle meatus 12 (15%),Polyps in 9 (11.25%), Nasopharyngeal mass 4
(5%), Mass in nasal cavity 7 (8.75%), Posterior spur 11 (13.75%), Angifibroma 3 (3.75%), Nasal
synaechia 4(5%), Antrochonal polyp 3 (3.75%), Inverted papiloma 3 (3.75%), Rhinolith 2 (2.25%),
Atrophic rhinitis 3 (3.75%) and Allergic rhinitis 13 (16.25%).
CONCLUSION: Nasal endoscopy can find nasal and sinus pathology that might easily be missed with
routine speculum and nasopharyngeal examination. For patients with unexplained nasal sinus symptoms,
the general otolaryngologist might consider rigid nasal endoscopic office examination as part of the
routine office examination.
KEY WORDS: Nasal Endoscopy, Nasal Pathologies.