should be done in all suspected cases and when there is a foul-smelling nasal discharge.
Repeat flexible nasal endoscopy
showed only soft tissue swelling and minor asymmetry of the left valeculla.
and a bipolar diathermy probe have been found effective in localising the source of bleeding in the outpatient clinic, in the hands of an expert and dedicated nasal endoscopist.
All patients underwent bilateral flexible nasal endoscopy
after the application of a topical anesthetic and a decongestant.
The diagnosis and treatment of CS, based on the history, nasal endoscopy
and CT scan of the sinuses, remains challenging.
However, nasal endoscopy
detected a small pulsatile bulge in the right pharyngeal wall.
After removal of packing, nasal endoscopy
was performed, demonstrating a right-sided pedunculated mass arising from Little's area (figure).
Historically, the diagnosis of CS has been made based on a doctor's subjective assessment of a combination of the patients' symptoms, nasal endoscopy
, and CT scan of the sinuses.
In each case, nasal endoscopy
and computed tomography clinched the diagnosis, and endoscopic surgery was performed to successfully remove the polyp.
showed a large structure in the left middle meatus between the middle turbinate and lateral wall of the nose (figure, B) The patient was taken for endoscopic sinus surgery for ventilation and drainage.
identified polypoid tissue in the left middle meatus that had arisen from somewhere behind the left uncinate process (figure, B).
Examination by nasal endoscopy
revealed an excessively patent left nasal airway with extreme loss of the normal anatomy of the left lateral nasal wall (figure, A).