OtoRhinoLaryngology Portal

The Leading Online Gallery of Otolaryngology and Head & Neck Surgery Specialty

OtoRhinoLaryngology Portal Video Collections @

YouTube & MEDtube

Nasal Vestibule and Valve Area

V- vestibule, S- septum, IT- inferior turbinate, arrows- mucocutaneus junction.

Normal Nasal Cavity on Anterior Rigid Endoscopy

V- vestibule,, F- floor or nose, S- nasal septum,

IT- inferior turbinate, MT- middle turbinate.

 

Watch video of normal nasal cavity on endoscopic examination @ YouTube

Nasal Cavity Appearance after Topical Decongestion Spray

Topical nasal spray or drops which contains sympathomimetic agent causes vasoconstriction  of the underlying vessels typically found abundantly in the inferior turbinates.  It improves nasal patency and reduces airway resistance .  However, prolonged usage predisposes to rebound congestion and resultant blockage.

 

Other substances which cause similar decongestant effect include opiods and its derivatives such as cocaine and Co-Phenylcain which are frequently used in otolaryngology procedures and surgery (especially endonasal). 

 

Decongestion improves visibility and appreciation

of anatomical/pathological details and better tolerance by the patient.

 

[Note middle turbinate anomaly in above figure.  The middle turbinate

is not directly seen from this distance in most cases without prior decongestion]

 

 

Topical nasal spray or drops which contains sympathomimetic agent causes vasoconstriction  of the underlying vessels typically found abundantly in the inferior turbinates.  It improves nasal patency and reduces airway resistance .  However, prolonged usage predisposes to rebound congestion and resultant blockage.

 

Other substances which cause similar decongestant effect include opiods and its derivatives such as cocaine and Co-Phenylcain which are frequently used in otolaryngology procedures and surgery (especially endonasal). 

 

Decongestion improves visibility and appreciation

of anatomical/pathological details and better tolerance by the patient.

 

[Note middle turbinate anomaly in above figure.  The middle turbinate

is not directly seen from this distance in most cases without prior decongestion]

 

High definition endoscopic view of right nasal cavity.

 

 High definition endoscopic view of left nasal cavity.

Topical Nasal Decongestant Effect

                      Before spray.                                              After spray.

 

This topical nasal spray is commonly used before nasal endoscopy being performed in a patient.  It decongest the inferior turbinate and give better access and field of view upon endoscopic examination of the nasal cavity. 

[S - nasal septum, IT - inferior turbinate]

Nasolabial Cyst

Fullness and obliteration of left nasolabial fold (as outlined) due to underlying nasolabial cyst. 
 
Nasal endoscopy view of left nasal cavity of the same patient showing a swelling with a normal overlying mucosa.  [V - vestibular skin, S - nasal septum, NC - nasolabial cyst]
Intraoperative view of the cyst.
The cyst specimen removed from the patient.
 
Day 3 postoperative view showing regained nasolabial sulcus.  No scar is seen as the approach of surgery was via sublabial incision.

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