53054 - Nasopharynx Endoscopy

The need for nasendoscopy, sinoscopy, or fibreoptic examination of the nasopharynx arises when a patient exhibits symptoms suggestive of nasopharyngeal or sinus issues—such as nasal obstruction, chronic sinusitis, or unexplained throat symptoms—requiring one or more endoscopic examinations under anesthesia to visually assess the nasal passages, sinuses, or nasopharynx for pathology like tumours, infections, or structural abnormalities. This procedure is indicated for diagnostic evaluation in the maxillofacial region, critical where these areas influence breathing, sinus drainage, and overall respiratory health.

Specific conditions driving this need include:

• Nasal obstruction: Persistent blockage might indicate polyps, a deviated septum, or a mass, necessitating endoscopic visualization to pinpoint the cause.
• Chronic sinusitis: Recurrent sinus infections unresponsive to treatment could require sinoscopy to inspect sinus openings for blockages or inflammation.
• Nasopharyngeal symptoms: Symptoms like nasal speech, hearing loss, or throat pain might suggest a nasopharyngeal lesion, prompting fibreoptic examination to assess the area directly.
• Screening or follow-up: Patients with a history of nasal or sinus pathology might need periodic checks to monitor for recurrence or progression.

For example, a patient with chronic nasal congestion and facial pain might undergo nasendoscopy to identify polyps or sinus inflammation, performed under anesthesia for comfort and clarity. In an aged care setting, an elderly patient with unexplained hearing loss could benefit from fibreoptic nasopharyngoscopy to check for a blocking mass, adjusted for their frailty and tolerance. By using flexible or rigid endoscopes, this service provides detailed visual insight into the nasal and nasopharyngeal anatomy, facilitates accurate diagnosis, and guides subsequent treatment, making it an essential diagnostic procedure within the maxillofacial framework.

Provides clear diagnosis, identifies pathology, and guides treatment effectively.

Recovery of a few hours with mild nasal irritation; minimal downtime typically outpatient.