Nasal Endoscopy: What Are Evolutionary Remnants in Your Nose? - Otolaryngology

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Hello, doctor. Regarding nasal endoscopy?


Hello Doctor, recently I noticed blood in my nasal mucus and visited an otolaryngologist.
Upon the doctor's recommendation, I underwent a nasal endoscopy.
The doctor mentioned that he observed a small mass in my nasal cavity, but he said it was a remnant of human evolution and that it was not a concern.
I would like to ask what that is.
He mentioned that the endoscopy results were normal, but I am curious about the so-called "evolutionary remnant" in my nasal cavity.
Is there a medical term for that? I really don't quite understand.

Shandi, 30~39 year old female. Ask Date: 2020/08/04

Dr. Zheng Jueyi reply Otolaryngology


Hello: Based on the description, it is not possible to determine the exact issue and can only speculate that it may be adenoid tissue.
Since the physician indicated that the endoscopic results are normal, you may observe the situation for now.
If you have concerns, you can return for a follow-up and ask the physician for more details.
Wishing you peace and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2020/08/04

More Info


Understanding the findings from your nasal endoscopy, particularly regarding the "evolutionary remnants" mentioned by your doctor, can be quite intriguing. The term "evolutionary remnants" generally refers to anatomical structures that are considered vestigial, meaning they have lost most or all of their original function through the course of evolution. In the context of the nasal cavity, these remnants can include various anatomical features that may not serve a significant purpose in modern humans but are remnants of our evolutionary past.

One common example of such remnants in the nasal cavity is the presence of small structures known as "conchae" or "turbinates." These are bony structures covered by mucous membranes that help to warm, humidify, and filter the air we breathe. While they are functional, variations in their size and shape can sometimes be seen as remnants of more complex nasal structures that may have been more prominent in our ancestors.

Another possibility is the presence of small cysts or mucosal folds that can occur in the nasal cavity. These can sometimes be mistaken for abnormal growths but are often benign and do not require treatment unless they cause symptoms. The term "evolutionary remnants" could also refer to small, benign growths or polyps that can develop in the nasal passages, which may not have a clear function but are not necessarily harmful.

In your case, since the endoscopy results were deemed normal and the doctor indicated that the small lump is not a cause for concern, it is likely that what you are experiencing is a benign anatomical variation. These variations are quite common and can often be found in many individuals without causing any health issues.

It's important to note that while these remnants are generally harmless, any changes in your nasal symptoms, such as increased bleeding or obstruction, should be monitored. If you experience persistent issues, follow-up consultations with an ENT specialist are advisable to ensure that there are no underlying conditions that require attention.

In summary, the "evolutionary remnants" in your nasal cavity could refer to benign anatomical variations that are common and typically do not pose any health risks. If you have further questions or concerns about your nasal health or the specific findings from your endoscopy, it would be beneficial to discuss them directly with your ENT specialist, who can provide more personalized insights based on your medical history and examination results.

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