nose examination paranasal sinus eamination ent 3rd year mbbs antroscopy cheif complaints

1. EXAMINATION OF
NOSE AND PNS
Sravani kommuru
6th sem
Rims srikakulam

2. EXAMINATION OF NOSE -SYMPTOMATOLOGY
 Nasal obstruction
 Nasal discharge
 Post-nasal drip
 Sneezing
 Epistaxis
 Headache or facial pain
 Disturbances of smell
 Nasal twang of voice
Onset,duration,progression,severity

3. EXAMINATION OF NOSE
 Examination of External Nose:
inspection and palpation.
 Skin : inflammation
scar
sinus
swelling
new growth
 Osteo cartilaginous framework :
deformity

5. Examination of External Nose:
inspection

6. Examination of External
Nose: inspection [cont’]

7. EXAMINATION OF NOSE-
vestibule
 Furuncle
 Fissure
 Crusting
 Caudal dislocation
 Tumor

8. EXAMINATION OF NOSE-
vestibule

9. EXAMINATION OF NOSE
Anterior rhinoscopy Technique
Look for a) Nasal passage-Narrow
Roomy
b)Nasal septum-Deviation
spur
ulcer
perforation
swelling
growth

11. Anterior rhinoscopy

13. Anterior rhinoscopy-contd…
c) floor of the nose- defects
swelling
discharge
d) roof
e) lateral wall – Color of the mucosa -
congested/pale
Size of the turbinates-
hypertrophy/atrophy
Discharge

14. INFERIOR TURBINATE

15. MPD IN MIDDLE MEATUS
ANT RHINOSCOPY DNE

16. NASAL POLYP
ANT RHINOSCOPY DNE

17. Posterior rhinoscopy
 Posterior rhinoscopy : technique
 Structures seen on posterior rhinoscopy

18. FUNCTIONAL EXAMINATION OF
NOSE
 PATENCY OF NOSE :
spatula test
cotton-wool test
 SENSE OF SMELL :
done with clove oil, peppermint,
coffee and essence of
rose.

19. cottle’ s test

20. EXAMINATION OF PNS
 Examination of maxillary sinus :
inspection, palpation,transillumination
 Examination of frontal sinus :
External examination,
anterior rhinoscopy
transillumination
 Examination of ethmoidal sinus :
External examination,
anterior rhinoscopy
Examination of sphenoid sinus : Anterior

21. maxillary sinus tenderness

22. frontal sinus , ethmoidal sinus tenderness

23. transillumin
ation

24. DNE

25. DNE

26. RADIOLOGY X RAY NASAL BONE

27. X –ray PNS
Water’s view Caldwell view

28. X –RAY PNS LATERAL

29. CT PNS

30. CT PNS

31. OMC

32. ONODI CELL

33. CT PNS [sagital]

34. CT PNS
CONCHA BULLOSA AC POLYP

35. polyps
DNE CT PNS

36. ANTROSCOPY