Anterior rhinoscopy
Anterior nasal examination is a method of observing the nasal cavity through the anterior nasal orifice. The light reflected by the frontal mirror is used to peek into the color of the mucosa of the nasal cavity, the size of the middle and lower turbinate, the shape of the nasal septum, the nasal secretions and the presence or absence of tumors or foreign bodies. In order to achieve the purpose of diagnosing the disease. The normal nasal mucosa is reddish and the surface is smooth, moist and shiny. In acute inflammation, the mucous membrane is bright red with sticky secretions. In chronic inflammation, the mucosa is dark red, the front of the inferior turbinate is sometimes mulberry-like, and the secretion is mucopurulent. The mucosa of allergic rhinitis is pale edema or lavender, and the secretion is watery. Atrophic rhinitis mucosa shrinks, dries, loses normal luster, is covered with purulent sputum, the lower turbinate shrinks, and the middle turbinate occasionally has hypertrophy or polypoid changes. Doctors often ask for a front nose. Basic Information Specialist Category: Otolaryngology Examination Category: Endoscope Applicable gender: whether men and women apply fasting: not fasting Analysis results: Below normal: Normal value: no Above normal: negative: The normal nasal mucosa is light red, and the surface is smooth and moist; if the turbinate is lightly touched, the mucous membrane is soft and elastic, and no secretions accumulate in each nasal passage. Positive: Atrophic rhinitis mucosa shrinks, dries, loses normal luster, is covered with purulent sputum, the lower turbinate shrinks, and the middle turbinate occasionally has hypertrophy or polypoid changes. The middle nasal passage is caused by sinus lesions in the anterior group of purulent secretions, and the purulent discharge in the olfactory sulcus is caused by sinus lesions in the posterior group. Tips: Pay attention to the movements to be light and avoid rough operation. The nose should not be too deep. When removing the nose, do not completely close the double leaves to avoid pain caused by clamping the nose hair. For children who are not cooperative, they can be cuddled by their parents, holding their hands on the head, holding their arms in one hand, holding the children's legs on both knees, and checking with a small nose. Normal value The normal nasal mucosa is light red, and the surface is smooth and moist; if the turbinate is lightly touched, the mucous membrane is soft and elastic, and no secretions accumulate in each nasal passage. Clinical significance Abnormal results: The mucous membrane is bright red and has a viscous secretion during acute inflammation. In chronic inflammation, the mucosa is dark red, the front of the inferior turbinate is sometimes mulberry-like, and the secretion is mucopurulent. The mucosa of allergic rhinitis is pale edema or lavender, and the secretion is watery. Atrophic rhinitis mucosa shrinks, dries, loses normal luster, is covered with purulent sputum, the lower turbinate shrinks, and the middle turbinate occasionally has hypertrophy or polypoid changes. The middle nasal passage is caused by sinus lesions in the anterior group of purulent secretions, and the purulent discharge in the olfactory sulcus is caused by sinus lesions in the posterior group. People who need to be examined: patients with nasal polyps or rhinitis. Positive results may be diseases: vasomotor rhinitis, chronic rhinitis, rhinitis, pharyngitis, chronic dry rhinitis, nasal vestibulitis, maxillary sinusitis, ethmoid sinusitis, epistaxis, maxillary sinus nasal polyps precautions Taboo before inspection: Pay attention to the movements to be light and avoid rough operation. Requirements for examination: The nose should not be too deep to avoid pain or damage to the nasal septum mucosa. Do not completely close the double leaves when removing the nose to avoid pain caused by clamping the nose hair. For children who are not cooperative, they can be cuddled by their parents, holding their hands on the head, holding their arms in one hand, holding the children's legs on both knees, and checking with a small nose. Inspection process The examiner holds the nose with the left hand, and holds the joint of the front nose with the thumb and forefinger. One handle is placed on the palm of the hand, and the other three fingers are held on the other handle. The front nose of the two leaves is extended into the nose parallel to the bottom of the nose. The vestibule is gently opened. The nose should not be too deep to avoid pain or damage to the nasal septum mucosa. Do not completely close the double leaves when removing the nose to avoid pain caused by clamping the nose hair. Not suitable for the crowd For children who are not cooperative, they can be cuddled by their parents, holding their hands on the head, holding their arms in one hand, holding the children's legs on both knees, and checking with a small nose. Adverse reactions and risks There are no related complications and hazards.
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