Nasopharyngoscopy: What to Expect During Your ENT Exam - Otolaryngology

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Questions about nasopharyngoscopy?


Hello, I would like to ask the doctor about my discomfort in the throat.
I went to an ENT specialist for an examination (which included the use of an endoscope), and the doctor said there were no issues with my throat.
My question is, when a nasopharyngoscopy is performed, is the nasopharyngeal area also examined, or is it only the throat that is assessed when there is throat discomfort? The doctor indicated that everything was fine, but since I did not ask whether the nasopharynx was examined, I am still a bit concerned.
Thank you for your response!

Niming, 30~39 year old female. Ask Date: 2019/11/15

Dr. Zheng Jueyi reply Otolaryngology


Hello: During a nasopharyngoscopy examination, the nasopharynx, oropharynx, and hypopharynx are typically examined simultaneously.
If you have any concerns, you may return to the clinic for further evaluation.
Wishing you safety and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2019/11/15

More Info


When undergoing a nasopharyngoscopy, it is common for the ENT (Ear, Nose, and Throat) specialist to examine both the throat and the nasopharynx. This procedure typically involves the use of a flexible endoscope, which allows the physician to visualize the nasal passages, nasopharynx, and throat in detail.
During the examination, the doctor will insert the endoscope through the nose, which provides a clear view of the nasopharynx, the area located behind the nose and above the throat. This is particularly important because many conditions can affect both the throat and the nasopharynx, and symptoms such as discomfort or pain in the throat may sometimes be related to issues in the nasopharyngeal area.

If your doctor indicated that there were no issues found during the examination, it is likely that they assessed both areas. However, if you are still feeling uncertain or anxious about whether the nasopharynx was thoroughly examined, it is perfectly reasonable to follow up with your physician. You can ask for clarification on what specific areas were examined and whether any findings were noted in the nasopharynx.

In terms of what to expect during a nasopharyngoscopy, patients may experience some discomfort due to the insertion of the endoscope, but this is generally minimal. The procedure is usually quick, lasting only a few minutes, and many patients tolerate it well. Some practitioners may use a local anesthetic to numb the nasal passages, which can help reduce discomfort.
It is also important to note that while the procedure is generally safe, there can be some minor side effects, such as a temporary sore throat or nasal irritation. These symptoms typically resolve quickly.
If you have ongoing symptoms such as throat discomfort, it may be beneficial to discuss further diagnostic options with your ENT specialist. They may recommend additional tests or treatments based on your specific symptoms and medical history.
In summary, during a nasopharyngoscopy, both the throat and nasopharynx are usually examined. If you have lingering concerns about your examination, do not hesitate to reach out to your healthcare provider for more information. Communication with your doctor is key to ensuring your health and peace of mind.

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