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Nasopharyngoscopy

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A nasopharyngoscopy is a surgical procedure performed to examine the nose and throat. It is performed using a fiberoptic[1] instrument called a flexible fiberoptic nasopharyngoscope,[2] that is inserted through the nose in order to examine both it, and the back of the throat.[3] It is typically used to identify a variety of conditions including nasal septal deviation, polyps, and edema,[4] and the causes of conditions including nosebleeds and sore throat.[5] This procedure can be combined with the intentional application of intrathoracic pressure to perform a procedure known as Müller's maneuver.[6] It is often used to examine cases of obstructive sleep apnea, and is often favorable to other procedures as it does not require exposure to radiation, can be performed while the patient is sitting or in the supine position, can both be performed while the patient is asleep or awake, and is inexpensive. However, it is an invasive procedure, which may make it unfavorable to some.[7] It is also often used to evaluate children with stridor.[8] In other cases, it can be used to evaluate and diagnose cases of nasopharyngeal cancer, often in addition to a biopsy.[9][10][11]

See also

References

  1. ^ "What is Nasopharynx Endoscopy: Overview, Benefits, and Expected Results". DocDoc.
  2. ^ Anand, Vinod, MD, FACS (1993). "Nasopharyngoscopy" (PDF). noseandsinus.net. American Academy of Otolaryngology - Head and Neck Surgery, Inc., Alexandria, VA.{{cite web}}: CS1 maint: multiple names: authors list (link)
  3. ^ "Flexible Nasopharyngoscopy/Laryngoscopy". Nationwide Children's Hospital. Retrieved 23 December 2020.
  4. ^ Alvi, Sirhan; Harsha, Pooja (October 27, 2020). Flexible Nasopharyngoscopy. National Center for Biotechnology Information. PMID 30969562.
  5. ^ Goldberg, Jeffrey E. (2020). "Fiberoptic Nasopharyngoscopy". jgoldbergmd.com. Retrieved 23 December 2020.
  6. ^ Gregórioa, Marcelo Gervilla; Jacomellib, Márcia; Figueiredo, Adelaide C.; Cahali, Michel Burihan; Juniore, Wilson Leite Pedreira; Filho, Geraldo Lorenzi (7 February 2006). "Evaluation of airway obstruction by nasopharyngoscopy: comparison of the Müller maneuver versus induced sleep". Brazilian Journal of Otorhinolaryngology. 73 (5): 618–622. doi:10.1016/S1808-8694(15)30121-X. PMC 9445644. PMID 18094802.
  7. ^ Shneerson, J.; Smith, I. (9 August 1997). "Rapid Response: Flexible nasopharyngoscopy". The BMJ. 315 (367): 367–369. doi:10.1136/bmj.315.7104.367. PMC 2127235. PMID 9270464.
  8. ^ O'Sullivan, Brian; Finger, Lenna; Zwerdling, Robert G. (2004). "Use of Nasopharyngoscopy in the Evaluation of Children With Noisy Breathing". Chest. 125 (4): 1265–1269. doi:10.1378/chest.125.4.1265. PMID 15078733.
  9. ^ Goldberg, Jeffrey (2020). "Nasopharyngeal Tumors". jgoldbergmd.com. Retrieved 23 December 2020.
  10. ^ "Nasopharyngeal Cancer". WebMD. Retrieved 23 December 2020.
  11. ^ Yang, Shujuan; Wu, Siying; Y. Chen, Xiao (6 November 2015). "Screening for nasopharyngeal cancer". Cochrane Database of Systematic Reviews. 2015 (11): CD008423. doi:10.1002/14651858.CD008423.pub2. PMC 6486300. PMID 26544798.