European Journal of Biomedical and Pharmaceutical Sciences

REVOLUTION BY ENDOSCOPE IN DIAGNOSIS OF SINONASAL DISEASE

Dr. Ankur Gupta* and Dr. Shantanu Mandal

ABSTRACT

Introduction: Nasal endoscopy allows detailed and complete evaluation of intranasal anatomy and identification of pathology that was impossible to see using standard techniques with headlight or head mirror. The study was undertaken in order to ascertain the efficacy of endoscopy in diagnosing a spectrum of sinonasal pathology which otherwise remain unrevealed clinically. Aims and Objectives: To assess extent of disease by Diagnostic Nasal Endoscopy in case of sinonsasal disease & also compare them with patient symptoms. To correlate findings of Diagnostic Nasal Endoscopy with CT in cases of sinonasal disease and also stage the extent of disease on their basis. To assess the result of comparison with surgical findings. To find predictive value of Diagnostic Nasal Endoscopy in diagnosis of sinonasal disease. Materials and Methods: Total 50 patients were studied. Patients came with complaints of nasal blockage, nasal discharge, mass in nasal cavity, bleeding etc., included in study. Pre endoscopic assessment was carried out like history, examination, investigation. Endoscopy was done after consent under necessary local anesthesia. Endoscopy was done using rigid hopkins 0 degree and 30 degree endoscope with 3 standard passes. Result: Total 50 patients were studied. Male to female ratio was 3:2. Out of 50 patients maximum number of patients had septal deviation on nasal endoscopy examination (35); followed by nasal discharge (34) and nasal polyp (25) and inferior turbinate hypertrophy (13). Nasal endoscopy was an excellent diagnostic aid in condition like epistaxis, nasal mass, nasal obstruction, foreign body. Conclusion: Diagnostic nasal endoscopy is a gold standard tool which offers high diagnostic accuracy in patient with sinonasal complaints. It has High accuracy due to vision control, less bleeding, minimal complication, and early postoperative recovery. It’s a good tool for diagnosing anatomical variation.

Keywords: Anatomical variation, Diagnostic Nasal Endoscopy, Nasal Passes.