Nasal Examination Procedure

Overview

Nasal examination is a crucial diagnostic procedure in otorhinolaryngology (ENT) to assess nasal patency and airflow.

Importance of Nasal Examination

• Helps diagnose nasal obstruction, polyps, and septal deviations.
• Evaluates conditions like allergic rhinitis and chronic sinusitis.
• Guides treatment planning for ENT disorders.

Procedure

1. Patient Preparation

Ensure the patient is seated comfortably with good lighting.

2. External Nasal Examination

Assess nasal symmetry, deformities, and skin conditions.

3. Nasal Patency Test

Conduct the Cottle test or Rhinomanometry to evaluate airflow.

4. Anterior Rhinoscopy

Use a nasal speculum to inspect the nasal mucosa, turbinates, and septum.

5. Additional Diagnostic Tests

• Nasal endoscopy for detailed visualization.
• CT scan for sinus evaluation.
• Allergy testing if needed.

Common Findings

Conditions that can be diagnosed include:

• Deviated nasal septum
• Nasal polyps
• Chronic rhinitis
• Sinus infections

Conclusion

A thorough nasal examination is essential in diagnosing and managing nasal and sinus disorders.