Nasal endoscopy video

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How to do nasopharyngeal endoscopy for children

An endoscopic examination is a diagnostic procedure performed in an inpatient setting on an outpatient basis. The study involves analyzing the condition of the mucous membrane, assessing the degree of curvature of the septum, the presence or absence of formations in the sinus cavity.

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The procedure involves taking biological material for analysis and is done only if indicated.

Description of the procedure

An otolaryngologist prescribes an endoscopic examination for the child; he recommends going through the procedure if there are difficulties in making a diagnosis.

The study is carried out in compliance with several rules, in order for it to take place it is necessary:

  1. Explain to the child why he is being examined.
  2. Explain the mechanism of action and manner of behavior.

The child must understand how to behave and that attempts to contact the doctor will lead to an increase in the duration of the examination, and undesirable consequences will arise at the time of its conduct.

How the research works

  • the child is seated on a chair or armchair;
  • the doctor asks him to tilt his head back slightly;
  • The doctor inserts a small tube into the baby’s nasal passage.

The video shows how the procedure is carried out:

An endoscope is a device that is a small (in diameter) tube with a camera at its end that transmits an image to a monitor.

The doctor sees a picture on the monitor, assesses the condition of the mucous membrane, and upon completion of the procedure prints out photographs of problem areas.

At this point, the study can be considered completed; many parents are worried about the sensations that the baby experiences at the time of insertion of the endoscope. Anticipating possible questions and concerns, it is worth noting that the examination is carried out using an anesthetic (lidocaine in the form of an ointment or spray).

The anesthetic is applied directly to the endoscope; for this reason, its administration does not lead to the development of unpleasant sensations. The use of this product irritates the mucous membrane, which means it facilitates the process of removing the cutting.

But the procedure is not carried out if there are contraindications, these include:

  1. Mental illnesses in a child in which he cannot remain calm for a specified period of time: autism, dementia, ADHD.
  2. Frequent nosebleeds of unknown etiology (the procedure may cause blood loss).
  3. Intolerance to the main active ingredient of the anesthetic.

If a child has an allergic reaction to lidocaine or novocaine, then parents should notify the doctor.

Indications

Endoscopic examination is carried out if indicated. These include:

  • frequent pain in the frontal or temporal lobe of the skull;
  • bleeding from the sinuses;
  • discharge of purulent secretion from the sinuses;
  • violation of the breathing process (on one or both sides);
  • inability to breathe through the nose, snoring at night;
  • decreased sense of smell or its complete absence;
  • impaired perception of taste;
  • frequent rhinitis of unknown cause.

The procedure is also carried out if the doctor for some reason cannot (finds it difficult) diagnose the patient. If there are indications, and there are no contraindications to an endoscopic examination, an ENT specialist may recommend a procedure in order to make an accurate diagnosis.

An otolaryngological operation can also be considered an indication; the procedure can be performed before surgical procedures, as well as after. This allows you to track the effectiveness of treatment, as well as identify the presence or absence of indications for surgical procedures.

The video contains detailed information about that. Why this procedure is carried out:

How is the procedure performed?

An endoscopic examination is done following certain rules. It all starts with a visit to an ENT doctor.

If there is evidence, he recommends the procedure, finds out from the parents or the child himself:

  1. Are there any complaints that may indirectly or directly indicate the presence of indications for an examination?
  2. The presence of allergic reactions to lidocaine or novocaine.

It is worth noting that the procedure may cause certain sensations, including pain, provided that the child’s nasal passages are narrowed. This is considered an anatomical feature of the structure of the nasopharynx. In this case, the procedure is called into question.

How is the examination carried out?

  • the endoscope is treated with an anesthetic and antiseptic solution;
  • then they gradually introduce it into the nasal sinus, examining it with a camera;
  • The doctor examines the result personally and makes a diagnosis for the little patient.

On average, the study lasts from 2 to 5 minutes; if it is performed on an infant, then the parents record the position of the baby.

It is important that the baby does not move and does not create unnecessary interference. Otherwise, the child risks injury and damage, and the procedure may be disrupted.

Preparation for the event

It involves direct communication with the child. You can tell him the essence of the procedure, the scheme of its implementation and the algorithm of the doctor’s action.

If the small patient cooperates with the doctor, then the study:

  1. It won't take long.
  2. It will pass without consequences or complications.
  3. It will allow you to obtain data on the condition of the nasal mucosa, the presence of polyps and formations.

If the baby is afraid of pain, then you should explain to him that the procedure may be accompanied by unpleasant sensations. But if you are worried about severe pain, then you should notify the doctor about it.

The examination does not require any specific preparation; you should not deny your child food or drink. Since a local anesthetic is used, it is well tolerated and rarely leads to the development of unwanted side effects. The drug acts only on the mucous membrane, it does not penetrate into the general bloodstream.

The cost of the procedure is considered acceptable; it is carried out in clinics that are equipped with specialized equipment. But this has a minor impact on the cost of the study; the price of the procedure does not exceed 2 thousand rubles.

Reviews

  • Anna Vasilkova, 34 years old, Astrakhan: “I recommend all those parents who are familiar with the concept of “adenoids in children” to conduct this examination. If your baby is often sick, has trouble breathing, snores in his sleep and often complains of headaches, he simply needs an endoscopy. I have 2 children and I had each of the boys examined, a very useful procedure, despite the fact that it may be accompanied by discomfort and unpleasant sensations.”
  • Victoria Sizova, 25 years old, Moscow: “My daughter Masha has frequent headaches and nosebleeds. We went to an ENT specialist, the doctor prescribed an endoscopy, but for some reason I’m afraid to do it for my daughter. What if there is pain or bleeding? Where is the confirmation of the safety of the procedure?
  • Alesya Drozdova, 21 years old, Solnechnogorsk: “My little daughter had an endoscopy, they found a polyp in her nasal sinus, they removed it safely. The nosebleeds went away and the snot went away. Very useful research! True, the baby was crying and turning her head, but I was able to fix her and do everything the doctor said. The endoscopy took 5 minutes maximum.”

Endoscopic examination is a good diagnostic method that helps to diagnose changes in the mucous membrane at an early stage of development, detect the presence of polyps and determine the degree of curvature of the septum. The procedure is easy to perform, does not require specific preparation and is well tolerated by patients.

Source: http://prolor.ru/n/simptomy/endoskopiya-nosoglotki-detyam-kak-delayut.html

How is a nasal endoscopy performed on a child?

An endoscopic examination of the nasal cavity in a child helps to examine the nasopharynx and auricles for the presence of pathology and diseases.

Thanks to a long tube no more than four millimeters thick with a camera and a lighting device at the end, the image is displayed on the monitor in an expanded form.

The procedure helps to identify an accurate diagnosis and prescribe comprehensive treatment to eliminate the disease.

For what diseases and symptoms is endoscopy of the nose and nasopharynx prescribed for children?

Nasal endoscopy is prescribed for diseases of the ENT organs, the main of which are: sinusitis, sinusitis, tonsillitis, acute respiratory disease, rhinitis, rhinosinusitis, frontal sinusitis.

The procedure makes it possible to identify various pathologies at an early age, the treatment of which in the early stages will be more effective than in an advanced state. Endoscopic examination can detect benign and malignant neoplasms, inflammation of the adenoids and in the sinuses. Polyps are identified through the endoscope. You can also view anomalies in the structure of the nasal passages and septa, and the peculiarities of the nasal mucosa during the disease.

Endoscopy of the child’s nose is prescribed for a number of symptomatic features:

  1. Difficulty breathing, forcing children to breathe through the mouth
  2. With a decrease or complete disappearance of the sense of smell
  3. If you have mucus or pus coming from your nasal passages
  4. Unreasonable headaches in the frontal lobe, or temporal region
  5. With a decrease in taste buds
  6. For throbbing pain in the sinuses
  7. With hearing loss, prevalence of tinnitus
  8. If you snore during sleep
  9. Frequently recurring nosebleeds

to contents ↑

Preparation for nasal endoscopy in a child

Before the endoscopic examination, a conversation is held with the child about the upcoming procedure.

Parents should explain:

  • With the assistance of a doctor, the procedure will take a few minutes.
  • Don’t twitch or struggle, then the doctor will quickly and painlessly perform an endoscopy and prescribe treatment.

During the procedure, children use a gel containing lidocaine as an anesthetic. The tip of the device tube is treated with it. When exposed to the gel, numbness occurs in the nasal area, due to which the endoscope painlessly passes into the nasal passage for examination.

An anesthetic spray is also used as a pain reliever. When exposed to it, a tingling sensation occurs in the nasal passages, which irritates the mucous membrane and facilitates painless insertion of the tube.

How is nasal endoscopy performed on a child? Features of the event

This is what nasal endoscopy looks like for children

  1. The procedure is performed in a sitting position.

Parents holding baby

If the child behaves calmly, the endoscopic examination lasts several minutes. Then the doctor takes the tube out of the nose, prints out pictures of the problem areas and makes a conclusion, which includes a description of what he saw, making a diagnosis and prescribing qualified treatment.

When examining ENT organs through an endoscope in young children, during the procedure parents hold the child so that he does not break free and harm himself.

Is it necessary to do an endoscopy?

Nasal endoscopy can help establish an accurate diagnosis and examine organs for the presence of foreign bodies. It is carried out before and after ENT surgery. During the procedure, the doctor can perform surgery with precision, thanks to the display of the image on the monitor screen.
  • Through an endoscope, the doctor examines inflamed areas, deviated nasal septum, neoplasms, and the condition of the adenoids. Endoscopy should be done for a child of any age to accurately identify the cause of the disease and make a final diagnosis.
  • Endoscopy is mandatory for children with pathological features of the auditory tubes, enlarged adenoids and swelling in the nasal passages.
  • The procedure is financially accessible. Thanks to modern technologies, it allows you to reduce the time and costs of diagnosing the disease by conducting only an endoscopic examination.

to contents ↑

Contraindications for endoscopy in children

If bleeding is frequent, endoscopy should be performed carefully.

Endoscopic examination is painless. Thanks to the flexible hose, it allows you to examine hard-to-reach areas of the ENT organs. It is worth warning your doctor about the presence of frequent bleeding from the nose and sensitive mucous membranes. With such symptoms, the procedure is carried out with extreme caution.

A contraindication to endoscopic examination of ENT organs is an allergic reaction to the anesthetic. Parents should warn the doctor about this feature before the procedure begins.

Is the endoscopy procedure painful?

Thanks to local anesthesia, nasal endoscopy is performed painlessly. An unpleasant feeling as the tube passes through the nasal passages is present in children with pathologies in the structure of the ENT organs and a deviated nasal septum.

The procedure itself lasts no more than 2 minutes.

Allows you to accurately examine the internal structure of the nasopharynx or ears in an enlarged form. Also, during an ENT examination, the doctor may take biological material for analysis.

During the diagnostic procedure, most patients experience discomfort during pain relief. After a few minutes they pass and the doctor begins an endoscopic examination.

Where can I do a nasal endoscopy for a child?

Modern office equipped with advanced equipment for nasal endoscopy

Endoscopy of the nose and nasopharynx for children can be performed by an experienced otolaryngologist in a treatment room equipped with all the necessary equipment. Endoscopic examinations are carried out in clinics and specialized medical centers.

Parents prefer modern clinics with a license, qualified doctors and modern equipment.

Before performing nasal endoscopy, the otolaryngologist prescribes blood tests to rule out allergies to painkillers in children.

Add an article to social networks:

Yesterday I went with my son for an endoscopy. I want to share my impressions. I barely persuaded the child to come into the office. The doctor administered an anesthetic spray, after which Yegor became even more scared, but during the procedure itself, thanks to contact and communication, the son was distracted. I looked at the monitor, the doctor talked about everything he saw out loud. The procedure lasted no more than five minutes, after which we were sent into the corridor to wait for the test results.

The pediatrician sent us for an endoscopic examination. My son is 7 years old. He is breathing poorly through his left nostril; as it turns out, his nasal septum is deviated. The procedure went very quickly. Maxim behaved well. I was filled with pride. The doctor allowed me to be present throughout the entire study. We managed without anesthesia.

Dear mothers, we were scheduled to examine the adenoids through an endoscope. My 3-year-old daughter burst into tears when she saw the doctor. My husband and I calmed down as best we could. After using a local anesthetic spray, I had to hold it. Well, the doctor is experienced, quickly got his bearings, and carried out the examination in five minutes. They calmed the child down in the corridor and waited for the conclusion. In general, everything is fine, but everyone was nervous.

My son is 5 years old and recently had an endoscopic examination. The doctor has been working with children for a long time, first he talked to Artyom himself, then he enlightened my ear and showed me on the screen, my son watched what was happening on the monitor for a long time, then agreed to carry out the procedure. When they left the office, he said that it didn’t hurt at all and that he was more afraid.

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Source: http://nos-zdorov.com/metody-issledovaniya/endoskopiya-detyam

Endoscopy of a child's nose video

An endoscopic examination of the nasal cavity in a child helps to examine the nasopharynx and auricles for the presence of pathology and diseases.

Thanks to a long tube no more than four millimeters thick with a camera and a lighting device at the end, the image is displayed on the monitor in an expanded form.

The procedure helps to identify an accurate diagnosis and prescribe comprehensive treatment to eliminate the disease.

For what diseases and symptoms is endoscopy of the nose and nasopharynx prescribed for children?

Nasal endoscopy is prescribed for diseases of the ENT organs, the main of which are: sinusitis, sinusitis, tonsillitis, acute respiratory disease, rhinitis, rhinosinusitis, frontal sinusitis.

The procedure makes it possible to identify various pathologies at an early age, the treatment of which in the early stages will be more effective than in an advanced state. Endoscopic examination can detect benign and malignant neoplasms, inflammation of the adenoids and in the sinuses. Polyps are identified through the endoscope. You can also view anomalies in the structure of the nasal passages and septa, and the peculiarities of the nasal mucosa during the disease.

Endoscopy of the child’s nose is prescribed for a number of symptomatic features:

  1. Difficulty breathing, forcing children to breathe through the mouth
  2. With a decrease or complete disappearance of the sense of smell
  3. If you have mucus or pus coming from your nasal passages
  4. Unreasonable headaches in the frontal lobe, or temporal region
  5. With a decrease in taste buds
  6. For throbbing pain in the sinuses
  7. With hearing loss, prevalence of tinnitus
  8. If you snore during sleep
  9. Frequently recurring nosebleeds

to contents ↑Preparing for nasal endoscopy in a child

Before the endoscopic examination, a conversation is held with the child about the upcoming procedure.

Parents should explain:

  • With the assistance of a doctor, the procedure will take a few minutes.
  • Don’t twitch or struggle, then the doctor will quickly and painlessly perform an endoscopy and prescribe treatment.

During the procedure, children use a gel containing lidocaine as an anesthetic. The tip of the device tube is treated with it. When exposed to the gel, numbness occurs in the nasal area, due to which the endoscope painlessly passes into the nasal passage for examination.

An anesthetic spray is also used as a pain reliever. When exposed to it, a tingling sensation occurs in the nasal passages, which irritates the mucous membrane and facilitates painless insertion of the tube.

back to contents ↑How is nasal endoscopy performed on a child? Features of the event

This is what nasal endoscopy looks like for children

  1. The procedure is performed in a sitting position.

Parents holding baby

If the child behaves calmly, the endoscopic examination lasts several minutes. Then the doctor takes the tube out of the nose, prints out pictures of the problem areas and makes a conclusion, which includes a description of what he saw, making a diagnosis and prescribing qualified treatment.

When examining ENT organs through an endoscope in young children, during the procedure parents hold the child so that he does not break free and harm himself.

back to contents ↑Is it necessary to do an endoscopy?

Nasal endoscopy can help establish an accurate diagnosis and examine organs for the presence of foreign bodies. It is carried out before and after ENT surgery. During the procedure, the doctor can perform surgery with precision, thanks to the display of the image on the monitor screen.

  • Through an endoscope, the doctor examines inflamed areas, deviated nasal septum, neoplasms, and the condition of the adenoids. Endoscopy should be done for a child of any age to accurately identify the cause of the disease and make a final diagnosis.
  • Endoscopy is mandatory for children with pathological features of the auditory tubes, enlarged adenoids and swelling in the nasal passages.
  • The procedure is financially accessible. Thanks to modern technologies, it allows you to reduce the time and costs of diagnosing the disease by conducting only an endoscopic examination.

to contents ↑Contraindications for endoscopy in children

If bleeding is frequent, endoscopy should be performed carefully.

Endoscopic examination is painless. Thanks to the flexible hose, it allows you to examine hard-to-reach areas of the ENT organs. It is worth warning your doctor about the presence of frequent bleeding from the nose and sensitive mucous membranes. With such symptoms, the procedure is carried out with extreme caution.

A contraindication to endoscopic examination of ENT organs is an allergic reaction to the anesthetic. Parents should warn the doctor about this feature before the procedure begins.

back to contents ↑Is the endoscopy procedure painful?

Thanks to local anesthesia, nasal endoscopy is performed painlessly. An unpleasant feeling as the tube passes through the nasal passages is present in children with pathologies in the structure of the ENT organs and a deviated nasal septum.

The procedure itself lasts no more than 2 minutes.

Allows you to accurately examine the internal structure of the nasopharynx or ears in an enlarged form. Also, during an ENT examination, the doctor may take biological material for analysis.

During the diagnostic procedure, most patients experience discomfort during pain relief. After a few minutes they pass and the doctor begins an endoscopic examination.

back to contents ↑Where can I get a nasal endoscopy for a child?

Modern office equipped with advanced equipment for nasal endoscopy

Endoscopy of the nose and nasopharynx for children can be performed by an experienced otolaryngologist in a treatment room equipped with all the necessary equipment. Endoscopic examinations are carried out in clinics and specialized medical centers.

Parents prefer modern clinics with a license, qualified doctors and modern equipment.

Before performing nasal endoscopy, the otolaryngologist prescribes blood tests to rule out allergies to painkillers in children.

Endoscopy of a child’s nose video:

Among the numerous methods for diagnosing diseases of the nose and throat, endoscopy of the nasopharynx occupies a special place.

This examination method allows you to recognize the disease at the earliest stage of its onset and prescribe timely treatment.

Endoscopy of the nasal cavity and nasopharynx is performed using a device in the form of a thin tube - an endoscope. Thanks to the flexibility of the tube, the built-in mini-camera and a special flashlight, it is possible to conduct an effective examination for any ENT diseases.

Nasopharyngeal endoscopy: what is it? An examination using this technology is possible both for regular examination and to clarify a previously made diagnosis. The diagnostic procedure can be carried out at different angles and magnifications, which guarantees the accuracy of the results.

This type of diagnosis is low-traumatic. It is widely used during surgical operations in the nasopharynx area.

It does not require surgical incisions, lengthy preparation or recovery period.

Endoscopic diagnosis of the nasopharynx is a painless procedure, lasting only a few minutes, causing minimal discomfort to patients. These advantages make it possible to recommend this manipulation to people of all ages, including children.

For what diseases is it prescribed? Indications for the procedure

This examination allows you to make a timely diagnosis of various diseases. Among them are diseases such as tonsillitis, laryngitis, pharyngitis, sinusitis, sinusitis, tumors of various origins, polyps, pathologies of the mucous membranes, inflammatory processes in the maxillary sinuses.

This type of diagnosis is used in parallel with more traditional ones, including rhinoscopy.

Often, endoscopic examination of the nasopharynx becomes the only reliable way to assess the condition of hard-to-reach areas of the nasal cavity.

Indications for the use of the diagnostic procedure are:

  • impaired nasal breathing and decreased sense of smell;
  • regular headaches of unknown origin;
  • discharge of mucus, pus and blood from the nasal passages;
  • hearing problems and speech underdevelopment in children;
  • frequent occurrence of “noise” and congestion in the ears;
  • feeling of pressure and hot flashes in the face.

Endoscopy is performed for snoring during sleep and in order to determine the degree of complexity of the curvature or injury of the nasal septum. The diagnostic procedure is performed during preparation for surgery and in the postoperative period.

Contraindications to the procedure

There are no absolute contraindications to endoscopic examination. A certain obstacle to its implementation may be the presence of an allergy to anesthetics that are used to treat the nasal cavity before diagnostics.

Other contraindications include:

  • the presence of regular intense nosebleeds;
  • weakened blood vessels;
  • low level of blood clotting.

Increased sensitivity of mucous membranes, which is more common in children, should also not be a contraindication to endoscopy. In this case, an ultra-thin device is used, the use of which eliminates the risk of injury to the nasopharynx.

How to prepare for an endoscope examination?

Endoscopic examination of the nose does not require any preliminary preparation. It is well tolerated by most patients and, as a rule, does not cause fear or discomfort even in young children.

If a child is still afraid of a procedure unknown to him, it is necessary to mentally prepare him for the fact that examination with an endoscope will not cause pain.

Practice shows that during the procedure children behave calmly and without fear. There is no need to make sudden movements or worry during the diagnosis. The body should be as relaxed as possible, and breathing should be even and calm.

Endoscopic examination of the nasopharynx: how is it performed?

The endoscopic examination is carried out in several stages. Immediately before the manipulation, the nasal passages are cleansed and irrigated with vasoconstrictor drugs. This is necessary to reduce swelling of the mucous membrane and increase visibility.

To eliminate painful sensations, lidocaine is usually used. The gel is applied to the end of the tube. Under the influence of the anesthetic gel, the nasal passages become numb and their sensitivity decreases, thanks to which the doctor can freely insert an endoscope into the nose to determine the pathology.

During the examination, the patient sits in a chair with his head slightly tilted back. At the second stage, the doctor examines the vestibule of the nose for the presence of inflammation or purulent formations.

The nasal endoscope used during manipulation can be flexible or rigid. The examination results are displayed on the screen.

During the manipulation, the doctor receives visualization of the condition of the anterior sections of the nasal cavity, nasal passages, septum, and posterior walls.

After the examination, the doctor removes the tube from the nasal cavity, prints out images of areas with pathological changes and makes a conclusion, the data of which is taken into account in further treatment.

How to perform an endoscopy on a child?

Many parents are distrustful of the procedure because they are not sure that their child will behave calmly. But in most cases, the anxious state in children is transmitted to them precisely from parents who do not fully understand the significance of the procedure.

The diameter of the tube used for children is no more than 3 mm. Shortened attachments are also used to diagnose diseases in children. An experienced doctor will need no more than 2-3 minutes to conduct a full examination.

With the help of endoscopic attachments, you can easily penetrate parts of the nose or pharynx that are inaccessible to the eye. Additional lighting and magnification allow a detailed study of pathological changes and anatomical features of organs.

Hypertrophy and inflammation of the adenoids is a common pathology in children, which is very difficult to diagnose with the naked eye. Using an endoscope, the doctor can easily assess the condition of the adenoids and the presence or absence of fluid behind the membrane.

Videoendoscopy of the nose is the only reliable method for identifying and observing hypertrophy of the adenoids in their development. Carrying out such manipulation is possible at any age of the child. Parents can hold very young children in their arms during the examination. What can be detected using diagnostic endoscopy of the nasopharynx?

In addition to a clear diagnosis or confirmation of a preliminary diagnosis of diseases of the upper respiratory tract of various origins, endoscopy through the nose allows us to identify other, less common pathologies.

Young children very often stick various small objects into their noses while playing. In this case, the child experiences swelling of the mucous membranes, discharge of mucus and even pus from the nasal passages, which are difficult to explain. Endoscopy can easily detect the presence of a foreign object in the nasal cavity.

If a patient is suspected of having malignant tumors, using this diagnostic method it is possible to accurately determine the color of mucous membranes, the presence of spots or damage, and the thickness of tissue growth.

Pediatric nasopharyngeal endoscopy is also used to determine the causes of frequent nosebleeds and determine their type. Endoscopy is also invaluable in diagnosing the causes of hearing loss and lack of normal speech in preschool children.

Is the endoscopy procedure painful?

Many patients worry whether it hurts to do endoscopy of the nasopharynx. They are afraid of the possible negative consequences of the procedure.

In some cases, the following may occur:

  • allergic reactions to local anesthetics;
  • discomfort during it and minor pain in the nose for several hours after it;
  • nosebleeds;
  • dizziness.

If the procedure is performed in a reputable clinic with an experienced specialist, such complications occur very rarely. The painful syndrome is eliminated using local anesthesia.

When the tube is inserted, the patient feels a slight pressure, which does not pose any danger. For children, flexible instruments are used that do not scratch or injure mucous membranes.

If the patient has a predisposition to frequent bleeding or is taking coagulants, it is necessary to inform the doctor about these facts, as they can provoke nasal bleeding.

Where can I do a nasopharyngeal endoscopy for a child?

Which doctor performs this diagnosis? Typically, endoscopy is performed by an otolaryngologist in a procedure room.

The examination is carried out in specialized clinics and medical centers equipped with modern equipment and licensed to provide this type of medical services.

Before an endoscopy, your doctor may order a blood test. This is necessary in order to eliminate the risk of allergic reactions to painkillers.

Endoscopy is the most modern and reliable method for diagnosing various pathological changes in the nasal cavity. Most patients adequately evaluate its effectiveness, speed, safety and reliability.

Carrying out the procedure on time allows for the treatment of various diseases without their transition to chronic forms and without the occurrence of complications.

My daughter was treated for a runny nose for months. I no longer knew what to do. The doctor advised me to do an endoscopic examination of the nasopharynx. The process goes as follows. The child is placed in a chair and a procedure is performed to freeze the nose, i.e., anesthesia is given.

This is done with a cotton swab. My daughter said that it didn’t hurt. At the end of the stick there is a camera, which, when it enters the nasal passages, allows you to see all the problems from the inside.

Thanks to endoscopy of the nasopharynx, we learned our diagnosis. And before that, doctors couldn’t figure out what was wrong. Oleg, 35 years old

My five year old son had an endoscopy. We went to see adenoids. First, the nose is treated with an anti-inflammatory and anesthetic agent. They say it's even more unpleasant than the procedure itself. My child did not cry and sat quietly.

He was interested in watching what was shown on the screen. Then I asked him: shall we come here again? He happily replied that we would come. So there is absolutely nothing wrong with this event. Tatyana, 39 years old

I believe that only with the help of this manipulation can an accurate diagnosis be made. I took my child to many doctors, and no one saw the adenoids. It’s good that at least one of the specialists noticed something suspicious about them and sent them to do an x-ray. I understood that an x-ray would not be enough and I independently went to a private clinic for an examination.

There we were immediately scheduled for an endoscopy. At first, the child was scared that some kind of tube was being shoved into his nostrils. But the doctor was able to set him up in the right way. You could see all the problems on the screen. We were diagnosed with third degree adenoids. Alexandra, 29 years old

If it weren't for this procedure, I don't know what we would have done. Using a stick with a camera at the end, we identified our ailment and were able to prescribe competent treatment. I had heard a lot about this procedure from my friends, so I did not visit the therapist first.

I immediately went to the ENT specialist, who prescribed me an endoscopy. The camera gets into hard-to-reach places and shows all the damage and new growths. The entire process is recorded on video, which can then be obtained on disk. Unfortunately, polyps were discovered. I'll have to have surgery. Gennady Petrovia, 48 years old

We took our son to an endoscopy when he was three years old. It won't be long there. The whole procedure takes about five minutes. We found a good doctor who knows how to treat children.

Our child generally does not like going to doctors, but he sat calmly with her. True, he winced at the moment when they shoved a stick into his nostrils. It didn't hurt. Before inserting the camera, the nasal passages were treated with an anesthetic drug. Svetlana, 37 years old

How to do endoscopy of the nasopharynx: video

Nasal endoscopy is a modern diagnostic method that allows you to examine the structures of the nasal passages and paranasal sinuses, monitor treatment and carry out therapeutic manipulations. The examination reveals diseases at an early stage, which helps prevent complications (purulent sinusitis, atrophy of the mucous membrane, malignant tumor).

In most cases, the following research methods are prescribed: rhinoscopy, radiography, ultrasound examination of the sinuses. If these methods do not provide comprehensive information, endoscopy of the nose and nasopharynx is prescribed. It has a budget cost and allows you to reduce time and money for diagnosing pathology.

The essence of the method

This method is based on examining the inside of the nasal passages using a thin endoscope. Its diameter does not exceed 2-4 mm. At one end there is a camera and a flashlight, thanks to which the image is transmitted. The outer end is equipped with an eyepiece. Thanks to this structure, the doctor can examine in detail the relief of the mucous membrane and the nasal passages.

Does it hurt?

To the question “does it hurt when examining the nasal cavity?” - the answer can be unequivocal - no. The procedure is absolutely painless and non-traumatic. Minor discomfort may be present in the presence of structural anomalies, for example, a deviated nasal septum.

Indications and contraindications

Examination of the nose using an endoscope is indicated in the following cases:

  • Diseases of the nasal cavity – rhinitis, adenoiditis.
  • Inflammatory diseases of the paranasal sinuses - sinusitis, frontal sinusitis, ethmoiditis.
  • Pathology of the upper respiratory tract – tonsillitis, laryngitis, pharyngitis.
  • Allergic diseases – rhinitis, hay fever.
  • Congenital or acquired developmental anomalies - deviated nasal septum.
  • Frequent nosebleeds with unknown causes.
  • Breathing disorders, snoring.
  • Decreased or absent sense of smell, hearing, and taste.
  • Facial injuries.
  • Before rhinoplasty and during the recovery period.
  • Constant headache with unknown cause.

The procedure is not recommended if you are allergic to lidocaine. Relative contraindications include blood clotting pathologies (coagulopathy, thrombocytopathy). For examination in case of nosebleeds or slight vulnerability of the mucous membrane, a children's endoscope is used.

What can you see with endoscopy?

Examination using an endoscope allows you to establish an accurate diagnosis, monitor treatment and carry out some procedures. Endoscopy can reveal the following pathology:

  • Neoplasms (benign, malignant).
  • Polyps.
  • Thinning of the mucosa, ulcerative defects.
  • Adenoids.

Endoscopic examination has advantages over other diagnostic procedures due to the following features:

  • tissue integrity is not compromised;
  • no special training required;
  • can be performed at any age;
  • allows you to evaluate the growth of adenoids over time;
  • it is possible to carry out a differential diagnosis between the pathology of the nose and the upper throat;
  • there is no recovery period.

How to prepare for research?

Before the procedure, it is not advisable to administer drops, ointments, inhalations, or smoke into the nasal cavity. It is not recommended to take stimulants (containing caffeine). During the endoscopy, it is important to remain calm and not move. On the part of the doctor, it is necessary to explain all the stages to the patient and prevent any anxiety.

How to do it?

The procedure has several stages:

  • The patient is seated in a chair with his head tilted back slightly.
  • Clear the nasal passages of mucus and instill vasoconstrictor drops.
  • The doctor applies an anesthetic ointment to the end of the endoscope or injects a spray onto the area being examined.
  • The device is inserted into the nasal passage and examined.
  • At the end, a conclusion is drawn up and treatment tactics are determined.

The image from the endoscope camera is displayed on the monitor, where it can be enlarged. If necessary, take a photograph of the affected area. The study takes from 20 to 30 minutes. If a benign tumor or polyp is detected, it can be removed directly in the otolaryngologist’s office.

Endoscopy in children

Nasal endoscopy is performed at any age and has special features when performed on a child. The examination must be carried out in the presence of parents. Preschool children are placed on the lap of one of the adults. With one hand they fix the head in the forehead area, with the other they press their hands to the chest. Common reasons for examining the nasal cavity in children are:

The child’s anxiety during the procedure is more related to the parents’ experiences than to the procedure itself. This is why it is so important for adults to maintain self-control.

Examination using an endoscope allows you to painlessly examine the deep structures of the nose and accurately establish a diagnosis. It can be easily performed on adults and children. For a successful endoscopy result, modern equipment and a qualified otolaryngologist are needed.

Author: Natalya Nikulina, doctor,

especially for Moylor.ru

Useful video about how an endoscopic ENT examination is performed

Methods for examining patients are improved every year. Nasopharyngeal endoscopy is considered a highly accurate way to diagnose respiratory diseases. The reliability of the results often depends on how competently the procedure is carried out and whether the parent can prepare the child for it.

What is nasopharyngeal endoscopy?

This procedure is prescribed for suspected inflammatory disease of the respiratory system affecting the lower nasal cavity. Endoscopy of the nasopharynx allows you to see changes that have occurred in diseased organs, which increases the accuracy of the diagnosis.

During the procedure, the child is examined with an endoscope. This device resembles a long tube of small thickness (2–4 mm). A flashlight is located at the end of the device to increase visibility.

Next to the lighting device there is a camera that allows you to display the image on the monitor screen behind which the doctor sits. Tubes can be soft, very thin, hard or bendable. The device consists of several parts:

  • frame;
  • connection cable;
  • working part;
  • working end control handle;
  • monitor;
  • lighting cable;
  • lighting cable connector;
  • power cable connector;
  • distal end.

Nasal endoscopy is absolutely painless. The procedure is highly accurate and allows you to see pathologies in the early stages. This allows you to make a diagnosis with high accuracy.

Endoscopic examination is often combined with surgical procedures. This allows you to remove tumors quickly and in the least traumatic way. This operation leaves no marks on the face, and blood loss is minimal. The patient is sent home on the second day. This significantly reduces the number of days on sick leave.

Indications for use

Nasopharyngeal endoscopy is sometimes called rhinoscopy. It is carried out for diagnostic purposes and to remove certain tumors.

There are several diseases whose presence requires endoscopic examination:

  • hay fever;
  • sinusitis;
  • tonsillitis;
  • pharyngitis;
  • sinusitis;
  • rhinitis;
  • frontal sinusitis (inflammatory disease of the frontal sinus);
  • ethmoiditis (damage to the ethmoid labyrinth);
  • sphenoiditis (pathology of the sphenoid sinus).

Nasal endoscopy is used to diagnose diseases and as therapy (in the treatment of polyps). But not only diseases are considered indications for endoscopic examination. These include some symptoms:

  • decreased sensitivity of olfactory receptors;
  • difficulty breathing;
  • frequent nosebleeds;
  • headache;
  • increased amount of mucus discharge;
  • feeling of pressure in the nose;
  • sudden deterioration of hearing;
  • the presence of nasopharyngeal diseases of inflammatory etiology;
  • sensation of ringing or noise in the ears;
  • snore;
  • delayed speech development in children;
  • history of deviated nasal septum;
  • injuries to the nose and skull;
  • Preparation for rhinoplasty and monitoring the results obtained.

The presence of one of the symptoms gives rise to a nasal endoscopy. Sometimes the cause of nasopharyngeal diseases is a staphylococcus infection localized in another organ. Then respiratory tract diseases will only be complications of the underlying disease.

But with the help of endoscopic examination it is possible to see the smallest changes in the mucous membrane, which indicate the presence of inflammation. This helps prevent further spread of the infection and possible more serious complications.

Contraindications

Since endoscopy of the nasopharynx is a painless and safe procedure, it does not have an extensive list of contraindications. But it cannot be performed if there is an allergic reaction to lidocaine. Since examination with an endoscope involves local anesthesia to eliminate discomfort in the patient.

For children and patients with sensitive mucous membranes or frequent nosebleeds, special ultra-thin tubes of the device are used. This allows you to avoid nasopharyngeal injuries and carry out the procedure without complications.

What will endoscopy show?

An endoscopic examination allows you to look inside the nasopharynx and see its changes in more detail. Especially often during the procedure the following is revealed:

  • injury to the nasopharyngeal mucosa;
  • foreign bodies in the nasal cavity;
  • pathologies of the paranasal sinuses;
  • deviated nasal septum;
  • neoplasms, including adenoids.

When performing an endoscopy of the nasopharynx, the doctor assesses the condition of the nasal mucosa and individual organ structures. The procedure makes it possible to perform surgical interventions to remove tumors in the nasal cavity with virtually no tissue trauma. This type of surgical treatment is effective only in the initial stages. In more advanced cases, endoscopy is not used.

Using an endoscope, the doctor determines the size of the tumor, the degree and rate of growth, and the extent of the lesion. When conducting a study, it is possible to consider the nature of the adenoids (purulent, mucous, mucopurulent), which helps to correctly choose treatment tactics.

Endoscopy allows us to identify the cause of hearing loss in children and the occurrence of speech problems. In such cases, the study is combined with tympanometry (diagnosis of the auditory tube).

Carrying out the procedure

Since the procedure is simple, does not cause inconvenience due to local anesthesia and takes little time, it does not require special preparation. To conduct an endoscopy, it is necessary to mentally prepare the child for the fact that he will have to sit still for some time.

It is necessary to explain that this will not cause pain so that the baby is not afraid of the procedure. Otherwise, parents will have to hold and comfort the child after the examination is completed.

Before inserting the tube, its end is treated with lidocaine gel. Sometimes a special anesthetic spray is used, which is sprayed into the nasal cavity. The child reports the onset of the drug as a tingling sensation in the nose.

During the procedure, parents hold the child to prevent sudden movements and not accidentally injure the nasal mucosa. Sometimes the doctor shows the baby what he sees on the screen in order to distract and interest the little patient.

The procedure for diagnostic purposes does not take more than 20 minutes. There should be no discomfort or pain afterwards. Materials filmed during endoscopy can be given to the patient. Sometimes the patient is given only the doctor's report.

The success of the procedure largely depends on how the preparatory stage goes. The results of the study can also be influenced by the patient's condition during endoscopy. Therefore, sometimes you should refuse the procedure if the child is experiencing a lot of stress, and it is better to prepare him for the next visit to the specialist.

Video: Nasal endoscopy in children

→ Types of rhinoscopy: how the nose is examined

→ Endoscopic rhinoscopy: why is it used?→ How is rhinoscopy performed on a child?→ Video: Rhinoscopy

Most often, a diagnostic tool such as a rhinoscope is used to examine the nasal cavity. But for rhinoscopy, that is, examination of all parts of the nose, only a rhinoscope is not always necessary. In some cases, diagnosis of the upper respiratory tract is carried out using a spatula and a mirror, and an endoscope is used to examine the accessory cavities.

Rhinoscope and endoscope can be used not only for diagnostic purposes. These instruments are also used for medical procedures and surgical procedures.

Types of rhinoscopy: how the nose is examined

The most common is an anterior examination of the nasal cavity using a rhinoscope. Any type of examination must be carried out if the patient has the following pathological conditions:

  • Nosebleeds that appear for no specific reason
  • Sinusitis, sinusitis, sinusitis
  • Chronic or acute runny nose
  • Allergic reactions in the nose
  • Anatomical disorders of bone and cartilage structure
  • Injuries to the nose, face, skull
  • Headache
  • Preventive examination of the nose after ENT surgery

Anterior rhinoscopy of the nose begins with an examination of its vestibule. In this case, the doctor will be able to detect the appearance of ulcers, boils or an inflammatory process on the mucous membrane. This procedure does not cause much discomfort.

The examination is carried out using a rhinoscope and a mirror. The patient's head should be positioned vertically, without tilting. During diagnosis, the ENT sees the condition of the nasal septum, passages, and the posterior wall of the nasopharyngeal area. If the patient tilts his head back, anterior rhinoscopy will allow the ENT to evaluate changes in the middle region of the nose.

Posterior rhinoscopy is the most difficult diagnostic procedure. It is especially difficult to examine the nasopharynx if patients have severe swelling of the mucous membrane or enlarged tonsils. It is very difficult for a child to carry out this type of rhinoscopy because he is afraid of the procedure itself and begins to worry, not giving the ENT specialist the opportunity to fully or at least partially examine the nasal sections in the back.

During rhinoscopy, the ENT lowers the tongue with a spatula, trying not to touch its root. And after that, a mirror rhinoscope is inserted through the nasopharynx. To avoid bouts of vomiting, the patient may be given topical anesthesia, which will make the area of ​​the root of the tongue insensitive. This procedure is carried out to examine inflammation, tumors of the sphenoid sinus, and the sella turcica.

A posterior examination of the nasopharynx is not performed for the following pathologies:

  • Severely enlarged tonsil
  • Narrow throat
  • Allergy to anesthetics
  • Pharyngeal tumors, inflammation
  • Vomiting reflex
  • Scarring of the soft palate
  • Cervical lordosis

Average rhinoscopy of the nose is performed using a rhinoscopic mirror with elongated branches. It is not as unpleasant as a posterior nasal diagnosis, but can cause significant discomfort. If the examination procedure is carried out correctly, there are no complications. Sometimes, before the middle rhinoscopy, the patient is given a vasoconstrictor drug to relieve swelling of the mucous membrane and open access to examination of the middle part of the nose.

The patient is first given local anesthesia. Using the mirror doors, the middle concha is slightly moved aside, the anastomosis of the frontal sinuses, the ethmoidal labyrinth, the maxillary cavities, and the cleft semilunaris are examined. When inserting a mirror deep into the middle part of the nose, the doctor sees the opening of the wedge-shaped void, the olfactory zone.

Endoscopic rhinoscopy: why is it used?

An endoscope is a diagnostic device equipped with a micro-camera, which can be used to carry out various types of examinations and surgical procedures. Modern tools allow you to display images from the camera on a computer monitor, so the ENT can diagnose as accurately as possible.

Endoscopic rhinoscopy provides extensive information about the nasal tract. It is used to diagnose the following pathologies:

  • Inflammation in any paranasal sinuses
  • Abnormal structure of the septum
  • Presence of tumors, wounds
  • Bacterial exudate (pathological flora is collected)
  • Postoperative complications (most often used to prevent them)
  • Obstacles to the drainage of mucus from the sinuses (all pathologies of the mucous and cartilaginous tissue are eliminated surgically)

Surgery using an endoscope allows you to remove tumors, polyps and hypertrophied mucosal areas in the nasal cavity. Due to the miniature built-in camera, surgery is carried out without damaging healthy tissue or causing severe blood loss.

How is rhinoscopy performed on a child?

Rhinoscopic examination in children is carried out after their fixation. For diagnosis, small instruments designed for the child’s narrow nasal passages are used. Rhinoscopy methods do not differ from how they are performed in adult patients. The only difference is creating contact with the baby.

Before making a diagnosis, the ENT specialist must explain to the child what sensations he may experience, so that the little patient knows about the future procedure and is not too worried. In infants, diagnosis can be carried out not with a rhinoscope, but with a small-diameter ear funnel.

Posterior rhinoscopy in children can cause fear of suffocation, since not all children know how to breathe through their nose with their mouths open. In this case, before the procedure, the child is told how to learn to breathe through the nose during manipulations in the nasopharynx.

Palpation of the nasopharynx cannot replace rhinoscopy, so if the child has a strong gag reflex, the child’s throat is lubricated with an anesthetic. And only after posterior rhinoscopy can the doctor use his fingers to feel the necessary parts of the nasopharynx to identify the location of the tumor or polyps.

The price of an endoscopic examination in children or adults differs depending on the clinic where the diagnosis will be carried out. In addition, the cost of the procedure is influenced by the degree of complexity of the diagnosis: whether only the nasal cavity is examined or the contents of the paranasal sinuses need to be examined. But for patients, the price of endoscopic rhinoscopy should not be as important as the qualifications of the specialist, on whom the accuracy of the diagnosis and the patient’s comfort during manipulations depend.

Source: http://medic-03.ru/endoskopiya-nosa-rebenku-video/