Sinus endoscopy

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Infobox Medical Procedure
Name	Sinus endoscopy
ICD	[[International Classification of Diseases|]]
ICD-9-CM	[[ICD-9-CM|]]
MeSH	[[Medical Subject Headings|]]
OPS-301 code
MedlinePlus	[[MedlinePlus|]]
eMedicine	[[eMedicine|]]
Other codes
Specialty	[[]]
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Sinus endoscopy is a minimally invasive medical procedure used to diagnose and treat conditions affecting the sinuses. It involves the use of an endoscope, a thin, flexible tube with a light and camera attached to it, which allows the physician to visualize the inside of the sinuses.

Procedure

The procedure is typically performed by an otolaryngologist (ear, nose, and throat specialist) in an outpatient setting. Before the procedure, the patient is usually given a local anesthetic to numb the nasal passages and minimize discomfort.

During the sinus endoscopy, the physician inserts the endoscope into the nostril and advances it through the nasal cavity to reach the sinuses. The camera on the endoscope transmits real-time images to a monitor, allowing the physician to examine the sinus passages in detail.

The endoscope can be maneuvered to explore different areas of the sinuses, including the frontal, ethmoid, sphenoid, and maxillary sinuses. The physician may also use specialized instruments to take biopsies, remove polyps, or perform other necessary procedures.

Indications

Sinus endoscopy is commonly used to evaluate and diagnose various sinus conditions, including:

• Chronic sinusitis
• Nasal polyps
• Sinus tumors
• Sinus infections
• Sinus cysts
• Deviated septum

The procedure helps the physician identify the underlying cause of symptoms such as nasal congestion, facial pain, headaches, and difficulty breathing. It also aids in planning appropriate treatment strategies.

Benefits

Sinus endoscopy offers several advantages over traditional diagnostic methods, such as CT scan or MRI. These include:

• Minimally invasive: The procedure is performed through the nostrils, eliminating the need for external incisions.
• Accurate diagnosis: The direct visualization provided by the endoscope allows for a more accurate diagnosis compared to imaging studies alone.
• Targeted treatment: If abnormalities are detected during the procedure, the physician can perform therapeutic interventions immediately, such as removing polyps or draining infected sinuses.
• Faster recovery: Since the procedure is minimally invasive, patients typically experience less pain, have shorter hospital stays (if any), and recover more quickly compared to traditional surgery.

Risks and Complications

While sinus endoscopy is generally considered safe, there are some potential risks and complications associated with the procedure. These may include:

• Nasal bleeding
• Infection
• Damage to the nasal structures
• Allergic reactions to anesthesia or medications used during the procedure

It is important for patients to discuss these risks with their physician before undergoing sinus endoscopy.

See Also

• Otorhinolaryngology
• Sinusitis
• Nasal polyps
• Deviated septum