Nasal Cavity Revision: Accurate Endoscopic Diagnosis and Treatment

The complex anatomy of the nasal cavity often prevents the doctor from seeing deep problems during a routine examination with a reflector. If a patient is bothered by frequent nosebleeds, complications after injuries, or a suspicion of a deep foreign body, ENT doctors at St. Luke’s Clinic use endoscopic nasal cavity revision.

This is a modern, highly accurate, and minimally invasive procedure that combines detailed diagnosis and simultaneous surgical treatment of detected pathologies.

When is nasal cavity revision prescribed?

An otolaryngologist recommends this procedure to identify and immediately eliminate hidden problems. The main indications are:

• Recurrent nosebleeds: searching for a bleeding vessel deep in the nasal cavity for its immediate “sealing” (coagulation).
• Suspicion of a foreign body: detection and removal of small objects that have entered deep into the nasal passages (especially relevant for children).
• Post-surgical control: examination of the nose after polyp removal, operations on the nasal septum or sinuses to clean crusts, blood clots, or adhesions (synechiae).
• Chronic purulent processes: detection of hidden foci of infection that do not respond to treatment with drops or antibiotics.
• Assessment of nasal injuries: detailed examination of damage to the mucous membrane and cartilage after blows or falls.

Advantages of endoscopic revision at St. Luke’s Clinic

We use advanced ENT equipment to make the procedure as informative and comfortable as possible for the patient:

• Video control (Endoscopy): An ultra-thin tube with a miniature HD camera and illumination (endoscope) is inserted into the nasal cavity. The image is displayed on a large monitor, allowing the doctor to examine every millimeter of the mucous membrane under multiple magnification.
• Jeweler’s precision: The doctor does not act “blindly” but clearly sees the problem. This allows for targeted removal of a polyp or coagulation of a vessel without traumatizing healthy tissues.
• Safety and painlessness: Thanks to modern local anesthesia and ultra-thin instruments, the procedure is painless.

How is the procedure performed?

The manipulation is performed on an outpatient basis and takes from 15 to 30 minutes, depending on the complexity of the task.

1. Anesthesia and preparation: The nasal mucosa is irrigated with an anesthetic spray (or tampons with painkiller are inserted). Vasoconstrictor drugs are also used to relieve swelling and expand the nasal passages.
2. Endoscopic examination: The doctor carefully inserts the endoscope and performs a step-by-step examination of all parts of the nasal cavity.
3. Treatment stage (if necessary): If a problem is detected (polyp, crusts, bleeding vessel), the surgeon inserts micro-instruments through the endoscope and immediately eliminates the pathology. The wound is treated with an antiseptic.

Recovery after revision

Immediately after the procedure, you can return to your usual activities. If cauterization of a vessel or removal of crusts was performed, the doctor may place a small hemostatic (blood-stopping) tampon in the nose for several hours.

For quick healing of the mucous membrane, it is recommended for 3-5 days:

• Avoid physical exertion and heavy lifting.
• Do not visit saunas, baths, or take hot baths (to avoid provoking bleeding).
• Moisturize the nasal mucosa with saline solutions and use ointments as prescribed by your ENT doctor.

Modern diagnostics is the key to free breathing. Book an appointment for an endoscopic nasal cavity revision with the experts at St. Luke’s Clinic.