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Home Knowledge Center Wellness Library Endoscopic Sinus Exam

Endoscopic Sinus Exam

Overview

An endoscopic sinus exam allows the doctor to see all the structures inside the nose and the sinuses.

Before inserting the endoscope, the passages inside the nose are opened up with a decongestant medicine and numbed with an anesthetic. The endoscope is guided up through a nostril and into the sinus opening, but it is not able to be inserted into the sinus itself.

The test is usually done by an ear, nose, and throat (ENT) specialist (also called an otolaryngologist or otorhinolaryngologist). It can be done in the doctor's office and takes 5 to 10 minutes.

Why It Is Done

Why It Is Done

An endoscopic sinus exam may be used if:

  • The diagnosis of sinusitis is still in doubt after a CT or MRI scan is performed.
  • Initial medical treatment of sinusitis has failed to solve the problem.
  • Surgery is being considered. An endoscopic sinus exam may be used to evaluate the structures inside the nose where the surgery will be performed.
 Results

Results

Normal

Bones and soft tissues appear normal.

Abnormal

  • Swelling and redness (inflammation) of the mucous membrane are present.
  • The nasal passages are blocked or have an abnormal size or shape.
  • Discolored, thick mucus is draining from a sinus opening.
  • Growths (nasal polyps) or foreign bodies inside the nose are seen.
  • The partition between the nasal cavities is crooked (deviated nasal septum) and is causing obstruction.

Current as of: October 27, 2024

Author: Ignite Healthwise, LLC Staff

Clinical Review Board
All Ignite Healthwise, LLC education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

This information does not replace the advice of a doctor. Ignite Healthwise, LLC, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content.

To learn more about Ignite Healthwise, LLC, visit webmdignite.com.

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