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The diagnosis may rely solely on a given patient's history and a physical examination, including nasal endoscopy, since it is not always possible to address the posterior extent of a rhinolith by anterior rhinoscopy alone.
Rarely, where a diagnosis of CRS is strongly suspected but with normal anterior rhinoscopy or endoscopy findings.
After anterior rhinoscopy and endoscopic examination, patients were assessed with the use of the Mladina classification system, (1) which categorizes septal deformities into seven types:
Polyps are better identified in Diagnostic Nasal Endoscopy (21) than in anterior rhinoscopy (18).
In the present study after considering anterior rhinoscopy examination, X-ray PNS, diagnostic nasal endoscopy and haemogram, the following results were obtained (Table 19).
Anterior rhinoscopy showed a deviated septum to the right side with no anomalies detected in the nasal cavity.
Anterior rhinoscopy revealed purulent discharge in the floor of the right nasal cavity with a thickened nasal vestibule.
Anterior rhinoscopy with Bull's eye lamp was done to all the patients of the study group in Outpatient Department.
Physical examination and anterior rhinoscopy revealed that a whitish, friable mass had completely filled the left nasal cavity (figure 1).
On anterior rhinoscopy, nasal septum was observed to be deviated to left.
On examination, anterior rhinoscopy revealed that the septum was mildly deviated to the right.
Bilateral greyish multiple polyps and mucinous discharge was seen on anterior rhinoscopy.
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