When is Nasal Scopy Recommended?

1. Nasal Obstruction or Chronic Congestion

To identify causes such as deviated septum, turbinate hypertrophy, or polyps.

2. Recurrent or Chronic Sinusitis

To assess sinus openings, inflammation, and presence of pus or polyps.

3. Nasal Bleeding (Epistaxis)

To locate bleeding source and evaluate vascular areas.

4. Suspicious Lesions or Masses

To inspect, biopsy, and plan further management for tumors or polyps.

5. Postoperative Follow-up

To monitor healing after sinus or nasal surgery and perform suction/cleaning.

6. Evaluation of Smell Disorders

To check for obstruction or mucosal disease affecting the olfactory region.

Symptoms That May Require Nasal Scopy

• Persistent nasal blockage or congestion
• Recurrent sinus infections or purulent nasal discharge
• Nosebleeds or unexplained nasal crusting
• Facial pain/pressure or postnasal drip
• Unilateral symptoms (one-sided blockage or discharge)

How the Procedure Is Performed

Diagnostic nasal scopy is quick, generally well tolerated, and often performed in an outpatient clinic:

• Topical nasal decongestant and local anaesthetic spray or gel is applied to reduce discomfort
• A thin rigid or flexible endoscope is gently inserted into the nostril under direct vision
• The surgeon inspects the nasal floor, septum, turbinates, sinus ostia, and nasopharynx; samples or biopsies can be taken if needed
• Findings are discussed immediately and images may be shown to the patient

The procedure usually takes 5–15 minutes and most patients resume normal activities immediately afterward.

Common Endoscopic Findings

• Nasal polyps or mucosal polyposis
• Deviated septum or septal spur
• Purulent discharge from sinus ostia indicating active infection
• Enlarged turbinates or allergic mucosal changes
• Masses, crusting, scarring, or evidence of tumor

Benefits of Diagnostic Nasal Scopy

• Direct, magnified view of nasal and sinus anatomy for accurate diagnosis
• Ability to take targeted samples or biopsies during the same visit
• Guides targeted treatment plans and avoids unnecessary imaging in many cases
• Quick, safe, and performed without general anesthesia in most patients

Preparation & Aftercare

Preparation

• No special fasting required for in-clinic scopy
• Inform the doctor about blood thinners, allergies, or recent infections

Aftercare

• Minor nasal irritation or mild bleeding may occur briefly
• Saline sprays can soothe the nose if advised
• Follow-up plan or further tests will be arranged based on findings

Risks & Limitations

• Rare mild nosebleed or transient discomfort
• Extremely rare risk of infection or vasovagal reaction
• May not fully replace need for CT imaging when detailed sinus anatomy is required

Why Choose Dr. Shrekha Padmakshan?

Dr. Shrekha Padmakshan offers expert nasal endoscopy with modern endoscopes and immediate, practical guidance based on real-time findings to plan medical or surgical care efficiently.

• Office-based, painless diagnostic nasal scopy using high-definition endoscopes
• Ability to perform sampling, suction, or in-clinic suction-cleaning when indicated
• Clear explanation of findings and tailored treatment planning
• Timely follow-up and integration with imaging or surgery if required

If you have persistent nasal symptoms, recurrent sinus infections, or unexplained nosebleeds, schedule a diagnostic nasal scopy for a focused, accurate evaluation and a clear plan for treatment.