Skip to main content
SpringerLink
Log in

Anterior Rhinoscopy and Nasal Endoscopy in the Diagnosis of Sinonasal Disease

  • Chapter
  • First Online:
Diseases of the Sinuses

  • 2154 Accesses

Abstract

Nasal exam techniques allow for the proper diagnosis of rhinosinusitis and other nasal diseases in conjunction with proper historical details. This chapter details the necessary examination components for a proper nasal and sinus examination in the setting of a comprehensive head and neck examination. Anterior rhinoscopy with an otoscope can be adequate, but a nasal speculum with an external light source provides superior visualization for anterior rhinoscopy. Specially trained subspecialists often employ flexible and rigid endoscopy, which permits a complete examination of the nasal cavities and beyond. We describe in this chapter the relevant anatomic landmarks visualized during each type of nasal examination. Common pathologies of the nasal mucosa, nasal septum, turbinates, nasopharynx, and sinonasal cavities are reviewed. Additionally, tips on examination techniques and positioning, including pediatric-specific advice, provide the practitioner with enhanced diagnostic capabilities.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Lal D, Stankiewicz JA. Primary sinus surgery. In: Flint PW, Haughey BH, Lund VJ, et al., editors. Cummings otolaryngology head and neck surgery. 5th ed. Philadelphia: Elsevier; 2010. p. 597–623.

    Google Scholar 

  2. Walsh WE, Kern RC. Sinonasal anatomy, function, and evaluation. In: Bailey BJ, Johnson JT, Newlands SD, editors. Head and neck surgery – otolaryngology. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2006. p. 307–18.

    Google Scholar 

  3. Stankiewicz JA, Chow JM. Nasal endoscopy and the definition and diagnosis of chronic rhinosinusitis. Otolaryngol Head Neck Surg. 2002;126:623–7.

    Article  PubMed  Google Scholar 

  4. Marple BF, Stankiewicz JA, Baroody FM, et al. Diagnosis and management of chronic rhinosinusitis in adults. Postgrad Med. 2009;121(6):121–39.

    Article  PubMed  Google Scholar 

  5. Benninger M, Hadley J, Osguthorpe J. Diagnosing acute bacterial rhinosinusitis. Arch Intern Med. 2004;164:568–70.

    Article  PubMed  Google Scholar 

  6. Tahamiler R, Canakcioglu S, Ogreden S, et al. The accuracy of symptom-based definition of chronic rhinosinusitis. Allergy. 2007;62:1029–32.

    Article  CAS  PubMed  Google Scholar 

  7. Melroy CT, Dubin MC, Senior BA. The role of nasal endoscopy in the diagnosis and medical management of chronic rhinosinusitis. Clin Allergy Immunol. 2007;20:227–40.

    PubMed  Google Scholar 

  8. Casiano RR. Correlation of clinical examination with computer tomography in paranasal sinus disease. Am J Rhinol. 1997;11(3):193–6.

    Article  CAS  PubMed  Google Scholar 

  9. Lanza D, Kennedy D. Adult rhinosinusitis defined. Otolaryngol Head Neck Surg. 1997;117(3 Pt 2):S1–7.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Otolaryngology, A.I. duPont Hospital for Children, Jefferson Hospital, 1600 Rockland Rd., Wilmington, DE, 19803, USA

    Douglas R. Johnston MD

  2. Department of Otolaryngology Head and Neck Surgery, Thomas Jefferson University, 925 Chestnut Street, Philadelphia, PA, 19107, USA

    Marc R. Rosen MD

Authors
  1. Douglas R. Johnston MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Marc R. Rosen MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Douglas R. Johnston MD .

Editor information

Editors and Affiliations

  1. Division of Allergy and Immunology, Department of Pediatrics, Thomas Jefferson University, Wilmington, Delaware, USA

    Christopher C. Chang

  2. Division of Rheumatology, Allergy and Clinical Immunology, University of California School of Medicine, Davis, California, USA

    Gary A. Incaudo

  3. The Jack and Donald Chia Distinguished Professor of Medicine, Division of Rheumatology, Allergy and Clinical Immunology, University of California School of Medicine, Davis, California, USA

    M. Eric Gershwin

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Science+Business Media New York

About this chapter

Cite this chapter

Johnston, D.R., Rosen, M.R. (2014). Anterior Rhinoscopy and Nasal Endoscopy in the Diagnosis of Sinonasal Disease. In: Chang, C., Incaudo, G., Gershwin, M. (eds) Diseases of the Sinuses. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-0265-1_16

Download citation

  • DOI: https://doi.org/10.1007/978-1-4939-0265-1_16

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-0264-4

  • Online ISBN: 978-1-4939-0265-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation