DIAGNOSTIC NASAL ENDOSCOPY IN CHILDREN

Djakhangir F, Shamsiev MD

Department of ORL Tashkent Medical Institute, Tashkent, Uzbekistan

OBJECTIVE: To assess the efficacy and indications for endoscopic investigation of nasal cavity in children.

METHODS: Investigation was carried out on 23 children aged from 5 to 14 years. Endoscopic investigation was performed under the local anesthesia with rigid endoscopes of 4mm diameter and with angle of 0,30, and 70 degrees. The examination is performed on a patient in the recumbent position preferably after applying topical anesthesia combined with a mild vasoconstrictor. For difficult cases with children, general anesthesia may be re-cured.

RESULTS: It was found that indications for endoscopic investigation of nasal cavity included respiration disorders, damage of oflaction, head ache of unclear origin, prolonged nasal discharge, repeated nasa bleeding, unilateral hearing loss. We also consider nose endoscopy is necessary in cases of nasal cavity neoplasms, biopsy taking, post-operative control and for photo- and videodocumentation. Endoscopic diagnosis is designed to recognize chronic and acute inflammation or possible underlying anatomical variations and other predisposing factors in lateral nasal wall, and allow an early treatment. Further, the effect of a therapy can endoscopically be controlled and, if necessary, a surgical procedure may be indicated.

CONCLUSION: Endoscopic investigation of nasal cavity in children is proved to be high informative method with minimum invasion. The technique requires thorough training and corresponding practice.

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