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    Anterior Rhinoscopy-Hanan Bakri

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    Madalina Dutan
    The document discusses the anatomy of the nose and the procedure of rhinoscopy. The nose has an osseocartilaginous framework consisting of bony and cartilaginous parts that support the external nose shape. Rhinoscopy uses a nasal speculum and light source to examine the nasal cavity through the nose or mouth. It allows visualization of structures, collection of samples, and treatment of nasal issues. Risks are minimal but may include brief bleeding.

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    Anterior Rhinoscopy-Hanan Bakri

    Uploaded by

    Madalina Dutan
    59 views15 pages
    The document discusses the anatomy of the nose and the procedure of rhinoscopy. The nose has an osseocartilaginous framework consisting of bony and cartilaginous parts that support the external nose shape. Rhinoscopy uses a nasal speculum and light source to examine the nasal cavity through the nose or mouth. It allows visualization of structures, collection of samples, and treatment of nasal issues. Risks are minimal but may include brief bleeding.

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    anterior rhinoscopy-Hanan Bakri

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    The document discusses the anatomy of the nose and the procedure of rhinoscopy. The nose has an osseocartilaginous framework consisting of bony and cartilaginous parts that support the external nose shape. Rhinoscopy uses a nasal speculum and light source to examine the nasal cavity through the nose or mouth. It allows visualization of structures, collection of samples, and treatment of nasal issues. Risks are minimal but may include brief bleeding.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    59 views15 pages

    Anterior Rhinoscopy-Hanan Bakri

    Uploaded by

    Madalina Dutan
    The document discusses the anatomy of the nose and the procedure of rhinoscopy. The nose has an osseocartilaginous framework consisting of bony and cartilaginous parts that support the external nose shape. Rhinoscopy uses a nasal speculum and light source to examine the nasal cavity through the nose or mouth. It allows visualization of structures, collection of samples, and treatment of nasal issues. Risks are minimal but may include brief bleeding.

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    Anatomy of the nose

     External nose is shaped like a


    pyramid with it’s root up and
    base directed downwards.
     Consists of osseocartilaginous
    frameworks covered by
    muscle and skin .
    Anatomy of the nose
     Ossteocartilagino
    us framework:
     The upper 1\3rd _
    boney
     The lower 2\3rd _
    cartilaginous.
    the bony parts
    The cartilages parts
    The nasal cavity
    Rhinoscopy
     Rhinoscopy is used to examine
    the nasal cavity. Rhinoscopy
    includes two procedures: Anterior
    rhinoscopy and Posterior
    rhinoscopy. In anterior
    rhinoscopy, the rhinoscope is
    advanced through the nose to
    examine the nasal cavity. In
    posterior rhinoscopy, the
    rhinoscope is advanced through
    the mouth to examine the back
    of the nasal cavity above the soft
    palate.
    Anterior Rhinoscopy
    is an examination of the nasal cavities enabling to note
    nasal secretions, swelling of the turbinates , properties of
    the mucosal surface, position of the nasal septum,
    ulcerations or presence of foreign bodies.
    Nasal speculum

    Nasal speculum is a
    metalic or plastic
    instrument resembling
    pliers with a built-in
    source of light, which
    is led into the nasal
    cavity.
    Anterior Rhinoscopy
    Anterior rhinoscopy is only carried out after inspection without
    instruments. The observer should note properties of the
    overlying skin, externally visible changes in shape of the
    cartilaginous or bony structures, nasal vestibule, e.c.
    Anterior Rhinoscopy
    Then, the speculum is introduced into the nasal vestibule with its blades
    together. The point of the speculum is directed somewhat laterally in the
    nasal vestibule and the speculum is then opened out. The patient´s head is
    initially in vertical position, allowing the examiner to observe inferior
    turbinate and the inferior meatus. The patient´s head is then tilted slightly
    backward to allow the upper part of the nasal cavity to be examined.
    Uses of Rhinoscopy
    Rhinoscopy is often performed in conjunction with CT scan and dental examination to further
    evaluate patients with nasal, sinus or nasopharyngeal disease and to increase the probability
    that lesions are not missed. Rhinoscopy can be used to diagnose inflammation, foreign
    bodies, tumors, and fungal infections.
    In addition to allowing visual examination of nasal cavity, rhinoscopy can be used to:

     Identify the cause of clinical signs such as sneezing, nasal discharge, epistaxis
    (nosebleeds), stertor (snoring sounds) and stridor (inspiratory noise and wheezing).
     Obtain tissue samples (biopsy) for cytologic and histologic evaluation. Samples are
    evaluated for inflammation, infection, fibrosis and cancer. Biopsy can aid in
    characterization the extent of disease. This generally takes three to five days.
     Obtain samples for culture.
     Treat nasal, sinus or nasopharyngeal problems, such as removal of foreign body or nasal
    polyps, and introduction of medication into the nasal cavity or sinus to eradicate fungal
    infections.
    Risks and Limitations
     Rhinoscopy is generally considered a safe
    procedure. In addition to risks or
    limitations of endoscopy in general, the
    most common finding is that bleeding
    may persist for a short while after the
    procedure but it should stop on its own. In
    the rare event of severe bleeding, dilute
    epinephrine is instilled into the nose to
    stop the bleeding.

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