Nasal endoscopy: What have we been missing?

IF 7.2 2区 医学 Q1 OTORHINOLARYNGOLOGY International Forum of Allergy & Rhinology Pub Date : 2024-06-27 DOI:10.1002/alr.23394
Edward D. McCoul MD, MPH, Vinayak Ganeshan MD, Thinh Nguyen MD
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Abstract

Despite the widespread adoption of nasal endoscopy (NE) in the evaluation of sinonasal disease, its diagnostic potential may still be underutilized. Developments in endoscopic technology have led to significant improvements in video quality and maneuverability. However, there is concern that NE continues to be used primarily for the identification of gross pathology, with relative neglect of more subtle findings such as surface features of inflammation and mucus. With fewer technical limitations to perceive these abnormalities, there is potential to greatly improve the diagnostic value of NE. The reader is herein asked to consider several important visual nuances encountered during NE, with the hope that this engenders an appreciation of the versatility of NE as a diagnostic tool.

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鼻内窥镜检查:我们错过了什么?
尽管鼻内窥镜(NE)被广泛用于鼻窦疾病的评估,但其诊断潜力可能仍未得到充分利用。内窥镜技术的发展使视频质量和可操作性有了显著提高。然而,令人担忧的是,内窥镜仍主要用于识别大体病变,而相对忽视了更细微的发现,如炎症和粘液的表面特征。如果能减少感知这些异常的技术限制,就有可能大大提高 NE 的诊断价值。在此,我们要求读者考虑在 NE 过程中遇到的几个重要的视觉细微差别,希望这能使读者对 NE 作为诊断工具的多功能性有所了解。
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来源期刊
CiteScore
11.70
自引率
10.90%
发文量
185
审稿时长
6-12 weeks
期刊介绍: International Forum of Allergy & Rhinologyis a peer-reviewed scientific journal, and the Official Journal of the American Rhinologic Society and the American Academy of Otolaryngic Allergy. International Forum of Allergy Rhinology provides a forum for clinical researchers, basic scientists, clinicians, and others to publish original research and explore controversies in the medical and surgical treatment of patients with otolaryngic allergy, rhinologic, and skull base conditions. The application of current research to the management of otolaryngic allergy, rhinologic, and skull base diseases and the need for further investigation will be highlighted.
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