By: Dr. Madeleine Samuelson Herman, MD, MPH, FAAOA
If you’ve been experiencing persistent nasal congestion, sinus issues, or other concerns related to your nasal passages, your ENT doctor may recommend a nasal endoscopy. While the idea of having a small camera inserted into your nose might sound intimidating, it’s actually a quick and simple procedure that provides valuable insight into your nasal and sinus health.
Why Do You Need a Nasal Endoscopy?
A nasal endoscopy allows your ENT specialist to get a detailed, up-close view of your nasal passages and sinuses. It helps diagnose and evaluate conditions such as:
Chronic sinusitis – Frequent sinus infections or long-lasting congestion
Nasal polyps – Small, non-cancerous growths that can block airflow
Deviated septum – A condition where the nasal septum is misaligned, causing breathing issues
Nasal tumors – Unusual growths that may require further evaluation
Persistent nosebleeds – To identify the source and cause
Loss of smell – To assess any blockages or nerve issues
This procedure helps your doctor create a targeted treatment plan and, in some cases, may prevent the need for more invasive testing or surgery.
What Happens During a Nasal Endoscopy?
A nasal endoscopy is quick and well-tolerated, usually lasting just 5–10 minutes. Here’s what to expect:
1. Preparation
Your ENT doctor may spray a topical decongestant and numbing agent into your nose to minimize discomfort and help open your nasal passages for a clearer view.
2. The Procedure
The doctor will gently insert a thin endoscope (a small tube with a light and camera) into your nostril. They will guide it through your nasal passages, examining your sinuses and structures in real time on a screen.
3. What You May Feel
Most patients describe the sensation as mild pressure or tickling rather than pain. You may feel like you need to sneeze or have a slight urge to cough, but the procedure is generally very tolerable.
4. Post-Procedure
Once the endoscopy is complete, you can resume normal activities immediately. If a biopsy or treatment was performed, your doctor will provide aftercare instructions.
Is a Nasal Endoscopy Painful?
Most patients report minimal to no pain, thanks to the numbing spray. While it may feel unusual or slightly uncomfortable, it’s a safe and low-risk procedure.
What Happens After the Exam?
Your ENT specialist will discuss their findings with you right away. If any abnormalities are detected, they may recommend imaging, medication, or further tests. For some conditions, they may be able to treat or remove blockages during the procedure.
Final Thoughts
A nasal endoscopy is a simple, effective way for your ENT doctor to assess and diagnose nasal or sinus conditions with minimal discomfort. If you’ve been struggling with persistent nasal issues, schedule an appointment with our clinic to discuss whether a nasal endoscopy could help identify the cause and get you on the path to relief.
Have questions about nasal endoscopy? Contact us today to speak with one of our ENT specialists!
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