Nasal Endoscopy: Why No Screen Display During Your Exam? - Otolaryngology

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Nasal endoscopy confusion


Hello doctor, I would like to ask about the nasal endoscopy I had the day before yesterday.
I found online that nasal endoscopies usually have a screen output for the patient to see, but why did my procedure not have a screen? The doctor first sprayed a local anesthetic and then used a long, dark tube with a light, which was inserted through my nose while the doctor looked at the tube to perform the examination.
Is this also considered a nasal endoscopy?

WW, 10~19 year old female. Ask Date: 2012/06/28

Dr. Hu Kexin reply Otolaryngology


It should be a nasal endoscopy; your concerns may need to be addressed with the original attending physician for clarification.

Reply Date: 2012/06/28

More Info


Nasal endoscopy is a common procedure used by ENT (ear, nose, and throat) specialists to examine the nasal passages and sinuses. It involves the use of a thin, flexible tube called an endoscope, which is equipped with a light and a camera. This allows the doctor to visualize the nasal cavity and sinuses in detail. The confusion regarding the absence of a screen display during your nasal endoscopy is understandable, as there are different methods and technologies used in this examination.

In your case, it seems that the procedure you underwent was indeed a form of nasal endoscopy, even though there was no screen display for you to see the images in real-time. The doctor likely used a traditional nasal endoscope, which does not necessarily have a video output feature. Many ENT specialists still perform nasal endoscopies using a direct visualization technique, where the doctor looks through the eyepiece of the endoscope while inserting it into your nasal passages. This method is effective and allows the physician to assess the condition of your nasal mucosa, detect any abnormalities, and diagnose conditions such as sinusitis, nasal polyps, or other issues.

The use of a screen display during nasal endoscopy is more common in modern practices where video endoscopes are utilized. These systems provide a live feed of the examination on a monitor, allowing both the doctor and the patient to see what is happening inside the nasal cavity. This can enhance patient understanding and engagement during the procedure. However, not all clinics or hospitals may have access to this technology, and many practitioners still rely on traditional methods.

Regarding your experience with the anesthetic spray and the insertion of the endoscope, this is a standard practice to minimize discomfort during the procedure. The anesthetic helps to numb the nasal passages, making it easier for the doctor to perform the examination without causing significant pain or discomfort to the patient.

If you have concerns about the procedure or the lack of visual feedback, it is always a good idea to discuss these with your doctor. They can explain their approach and the reasons behind the techniques they use. Additionally, if you prefer a procedure with a screen display in the future, you can inquire whether that option is available at other facilities.

In summary, the absence of a screen display during your nasal endoscopy does not diminish the effectiveness of the examination. It was still a valid procedure, and the doctor was able to assess your nasal health. If you have ongoing concerns about your nasal symptoms or the examination process, consider scheduling a follow-up appointment to discuss your questions and explore any further evaluations that may be necessary.

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