How to Diagnose NOSE Polyps ? How to Cure Nose Polyps at Home ?
To diagnose nose polps, a fiberoptic rhinoscopic examination is essential to diagnose the Nose Polyps phenotype before initiating medical treatment. Anterior rhinoscopy only visualizes the anterior one- third of the nasal cavity and is inadequate to visualize the posterior nasal cavity and nasopharynx. Rhinoscopy is a simple, low-risk, cost-effective procedure that should be performed routinely in subjects with persistent upper airway problems.
Just as office spirometry is a routine procedure to assist in the diagnosis of airflow obstruction, so too should rhinoscopy be used regularly for Nose Polyps. The primary objective outcome of phase III clinical trials of dupilumab and phase II clinical trials of other biologic agents is based on the Nose Polyps scores as determined by rhinoscopy. ’
Rhinoscopy is also important to identify other abnormalities of the nasal cavity, pharynx, and larynx. These abnormalities may include enlarged adenoids, often associated with sleep apnea in children, clinically relevant nasal septal deviation, laryngopharyngeal acid reflux, and upper airway malignancy. Rhinoscopy may also be useful to isolate offending organisms in RS by endoscopy- guided culture.
A CT scan of the paranasal sinuses may also be obtained to assess potential reasons for lack of symptomatic improvement, anatomical abnormalities, the likelihood of fungal sinusitis, and potential complications. Although a sinus CT can detect unusual structural alterations, such as a concha bullosa, Haller cell, or a paradoxical middle turbinate (lateral convexity), these structural alterations are usually not the cause of Nose Polyps.
There is a concern for the overuse of CT scans as a source of radiation exposure and increased cancer risk in all age groups. Two or three conven¬tional CT scans result in radiation doses in the range of 30 to 90 mSv, and such imaging is sometimes ordered for pre- and postsurgical evaluation, even in children.15 Many institutions now use cone beam CT scanners with lower radiation exposure. An additional concern is that CT scans are commonly misinterpreted.

Nhận xét
Đăng nhận xét