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Endoscopy is a modern, informative and painless method for diagnosing diseases of the nasopharynx, which allows us to examine hard-to-reach areas of the nasopharynx that are not visible during a standard examination.

Contraindications:

allergic reactions to the anesthetic used;
with caution if you are prone to nosebleeds;
problems with blood clotting;
neurotic disorders.

Equipment used:

rigid endoscope;
light source for endoscopic examination of ENT organs;
ENT processor ATMOS S 61.

Not a single modern examination of ENT organs is complete without endoscopic examination. Endoscopy of the nasopharynx in Moscow is one of the most advanced and safe examination methods in ENT practice. With this procedure, the doctor will be able to examine the ENT organs and look into those areas of the nasopharynx that are not visible to the human eye during a normal examination. Endoscopic examination helps to identify pathology of the nasopharyngeal mucosa even at early stage and, accordingly, carry out the necessary medical procedures in a timely manner.

Nasopharyngeal endoscopy for adults can be done in any ENT clinic or medical institution that has an ENT office equipped with an endoscopic unit.

This diagnostic method is very popular and is used for many diseases of the ear, nose and throat. Endoscopy is indicated for frequent nosebleeds, nasal pain, headaches, impaired nasal breathing, sense of smell, adenoids and snoring. With the help of endoscopic examination, inflammation in the nasopharynx and sinuses can be detected. An experienced ENT doctor will use the procedure to “see” enlarged adenoids, which are often found in children, polyps and tumors.

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How the research works

To perform endoscopy, a special instrument is used - an endoscope. It resembles a flexible tube 4 mm in diameter for an adult. For a child, a thinner instrument is used - 2 mm. A camera and a light source are built into the tube, and an eyepiece is at the other end of the tube. What the doctor sees with an endoscope inside the nasopharynx can be displayed on a screen using a camera.

The whole procedure takes no more than 2 minutes and proceeds according to the following scenario:

To prevent the patient from experiencing pain, the ENT doctor uses an anesthetic (usually lidocaine);
the patient sits comfortably in a chair with his head thrown back a little (almost like at a dentist appointment);
the doctor carefully inserts the instrument into the nasal passage, and immediately after the procedure the clinical picture becomes clear.

There are no absolute contraindications to endoscopy. If the nasal mucosa is prone to bleeding, you have poor blood clotting or an allergy to lidocaine, be sure to tell your ENT specialist about this.

How much does the procedure cost?

The price in Moscow for nasopharyngeal endoscopy for adults depends on the pricing policy of the clinic and the status of the medical institution. Of course, every patient strives to undergo endoscopic diagnostics at an adequate price. In our clinic, the cost of the study has remained unchanged for several years now. Considering the economic situation, our price list has not changed for three years, and the quality of service remains at the highest level.

Endoscopic examination is performed by ENT specialists with extensive experience. Experience of the chief physician of the clinic V.M. Zaitsev for more than 19 years. The procedure is painless, non-traumatic and as comfortable as possible for the patient.

The price of nasopharyngeal endoscopy performed in our clinic in Moscow is 2,500 rubles. A video endoscopy procedure is also available. The difference between this procedure and the standard one is the ability to connect a camera and record the nasal cavity for submission to the hospital. During the examination, our ENT doctor will show on the screen and comment on everything he sees, talk about the causes of the disease and possible treatment methods.

In this way, a trusting relationship with the patient is formed, and the patient realizes that there is nothing terrible in the manipulations being performed. The cost of video endoscopy is 3000 rubles.

Certificates and licenses

You can make an appointment for an endoscopic examination by calling the clinic’s reception desk or using a special appointment form on the main page of the website. We will select a convenient time for you. Please, come. We will be happy to help you!

Content

Thanks to development modern medicine endoscopic techniques have become one of the most informative examination methods that help the doctor establish an accurate diagnosis. This method also appeared in otolaryngology. Endoscopy of the nasal cavity and upper pharynx is performed when a simple examination of the patient’s nasopharynx using speculum is not enough to make an accurate diagnosis. Thanks to an endoscopic device, the doctor can examine the parts of the respiratory tract of interest in great detail.

What is nasopharyngeal endoscopy

Endoscopic examination is a diagnostic procedure that is performed on an outpatient or inpatient basis. Examination of the nasopharynx with an endoscope involves taking biological material for bacteriological analysis, assessing the condition of the mucous membrane, the presence or absence of neoplasms in the cavity. The procedure is performed from various angles with the ability to greatly enlarge the image, which makes it easier for the doctor to make a diagnosis.

No preparation is required to perform an endoscopic examination of the nasopharynx. This is an absolutely painless manipulation, after which there is no rehabilitation period. The procedure lasts only a few minutes, after which the patient can immediately go home. Endoscopy of ENT organs among doctors is considered the most minimally traumatic diagnostic method. It is often used for surgical intervention on the nasopharynx.

Indications

More often, endoscopy of the nasal cavity is performed for diseases such as sinusitis, pharyngitis, frontal sinusitis, tonsillitis, hay fever, and inflammation of the ethmoid labyrinth. Often, an endoscopic examination is prescribed to determine the extent of the spread of lymphoid tissue and for a number of other diseases, in order to clearly see the clinical picture. Indications for endoscopic examination include:

injury or feeling of pressure in the face;
deterioration of sense of smell;
impaired vascular tone due to prolonged use of local vasodilators;
deviated nasal septum;
preoperative and postoperative diagnostics;
labored breathing;
deterioration of sense of smell, constant discharge from the nasal cavity;
frequent migraines;
nosebleeds;
inflammation of the nasopharynx of various etiologies;
tinnitus, hearing loss;
snore;
delay speech development The child has;
adenoiditis;
ethmoiditis;
suspicion of the presence of tumors.

Preparation

Endoscopic examination of the nasopharynx does not require a special preparatory period. Patients are often nervous before undergoing the procedure due to fear of pain. In this case, the doctor may irrigate the nasal mucosa with a local anesthetic. If minimally invasive surgery is performed, general anesthesia is used. If the patient's nasal passages are wide, the doctor examines the patient with an endoscope without using any anesthesia. Also, pain relief is not used for severe allergic reactions for anesthetics.

When an endoscopy is performed on a child, a conversation is held before the procedure. Parents or a doctor explain the following points:

with the assistance of a doctor, examining the nose with an endoscope will take only a few minutes;
If the baby does not twitch or struggle, the procedure will take place without pain.

To make the procedure painless for the child, a gel containing lidocaine is used. The flexible tip of the endoscope tube is treated with the drug. When exposed to an anesthetic, the nasal mucosa becomes numb, allowing the tube to enter the nasal passage unnoticed by the baby. A doctor may use an anesthetic spray to numb the nasal passage.

How is endoscopy done?

Examination of the nose with an endoscope is carried out in a sitting position. The chair in which the patient is seated is similar to a dentist's seat. With the head slightly thrown back, the doctor injects a vasoconstrictor into the nasopharynx to eliminate excessive swelling of the mucous membrane. Afterwards, the cavity is irrigated with a local anesthetic solution. A spray or solution in which a cotton swab is moistened can be used as an anesthetic drug.

After some time, the anesthesia begins to take effect, which is reflected in the appearance of a slight tingling sensation on the nasal mucosa. At this stage, an endoscope is inserted, after which the doctor begins to examine the condition of the nasopharyngeal cavity. The image is displayed on the computer monitor. For a more thorough examination, the doctor slowly moves the endoscope tube from the nasal cavity to the nasopharynx.

Endoscopy of the sinuses and nasopharynx includes several stages:

panoramic examination of the general nasal passage and vestibule of the nose;
checking the mouths of the auditory tubes, the condition of the nasopharyngeal vault, the posterior ends of the inferior concha, the presence of adenoid vegetations;
the device moves to the middle nasal concha, after which the condition of its mucosa and the middle nasal passage is assessed;
The upper nasal passage, the condition of the excretory openings of the ethmoidal labyrinth cells, the olfactory fissure and the superior nasal concha are examined.

On average, the procedure takes from 5 to 15 minutes. If necessary, diagnosis is supplemented with therapeutic or surgical procedures (for example, removal of polyps). After completing the examination of the nasopharynx, the doctor prints out the resulting images and draws up a conclusion. The endoscopy results are given to the patient or sent to the attending physician. During an examination of the nasopharynx, the specialist evaluates:

the presence of inflammatory processes or hypertrophy;
color of the mucous membrane;
the nature of the discharge (transparent, liquid, purulent, thick, mucous);
the presence of anatomical disorders of the nasopharynx (deviated nasal septum, narrowing of the passages, etc.);
the presence of tumor formations, polyps.

If you do not feel unwell after completing the session, the patient is sent home. If endoscopy was supplemented by surgical manipulations (surgery, biopsy), then he is placed in a ward, where he is under the supervision of medical personnel throughout the day. After the procedure, the patient is advised to refrain from intensive nose blowing for several days so that it does not provoke the development of nosebleeds.

Endoscopy of the nasopharynx for children

The procedure is a standard diagnosis in ENT practice. Its implementation for children and adults is not much different. In pediatric practice, in most cases, anterior rhinoscopy is performed, since the posterior one is more complex in its technique. If a child has hypertrophy of the palatine tonsils or swelling of the mucous membrane, then difficulties during endoscopy cannot be ruled out.

Before starting the procedure, the doctor examines the nasopharynx cavity for the presence of ulcers or inflammatory processes. Anterior endoscopy is performed in two positions of the head - straight or tilted back. In the first case, it is possible to examine the anterior and posterior parts of the nasal cavity and the septum. If the head is tilted back, then the middle parts of the nose and the nasal passage are examined. If the doctor is highly qualified, the child will not feel any discomfort during an endoscopic examination.

To perform posterior rhinoscopy, the doctor uses a special spatula, which is pre-treated with an antiseptic solution. With its help, the front part of the tongue is moved back and a mirror is inserted into the nasopharynx. The mirror surface is preheated so that it does not fog up during the procedure. If polyps or a benign tumor are detected, they are removed directly in the otolaryngologist's office.

What does endoscopy show?

Examination of the nasopharynx with an endoscope is carried out mainly to make an accurate diagnosis. If foreign objects are detected in the maxillary sinus, benign or malignant neoplasms, the doctor decides on immediate surgery. Using endoscopy initial stage You can identify inflammatory processes accompanied by mucus, pus, redness, swelling, and other pathologies of the nasopharynx and maxillary sinuses, including:

proliferation of adenoid tissue;
pathologies of the maxillary sinuses;
polyps of different sizes;
disturbed structure of the walls of the nasopharynx.

Contraindications

As a rule, endoscopic examination of the nasopharynx does not cause side effects or complications, therefore there are only two contraindications to the procedure: an allergy to the local anesthetic and a tendency to nosebleeds. If such conditions are present, the patient should notify the doctor before the examination. If you are prone to bleeding, the doctor will perform an endoscopy with a thin device designed for examining children. The procedure is performed with great care if the mucous membrane is overly sensitive.

Sometimes ENT doctors do not resort to examining the nasopharynx with an endoscope in case of certain neurological disorders, so as not to provoke an attack in the patient. If the presence of an allergy has not been declared, then the occurrence of allergic intolerance to the anesthetic during the procedure is accompanied by the following symptoms:

swelling of the larynx and pharynx;
hyperemia of the mucous membrane;
increased body temperature;
itchy feeling in the throat;
watery eyes and sneezing;
labored breathing.

If signs of an allergy appear, the patient needs urgent help. The doctor must provide access fresh air, unbutton your clothes, administer an antihistamine intravenously. If the case is severe, then additional hormone therapy is performed. After first aid is provided, the patient is hospitalized in a hospital under the supervision of medical staff for several days.

Price

An endoscopic examination of the nasopharynx is performed by an otolaryngologist in the treatment room. Endoscopy is performed in medical centers or specialized clinics equipped with special equipment and licensed to provide such services. The price of the procedure varies depending on the region where the medical institution is located, the complexity of the procedure, the professionalism of the doctor and other factors. Average cost of endoscopic examination of the nasopharynx in medical centers in Moscow:

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