
For both physician and the patient, the diagnosis and management of chronic sinonasal disease is frustrating and challenging. With an appropriate history, nasal endoscopy and proper imaging of the sinuses, a diagnosis can be made and proper treatment initiated.
Nasal endoscopy is a method for diagnosing sinonasal symptoms and disease. It is done after instilling local anesthetic and decongestant nasal spray.
It can be recorded or shown to the patient on the monitor.
Nasal endoscopy provides an illuminated view into the nasal cavity so that chronic sinusitis and sinonasal polyposis which can be managed with high success for alleviation of symptoms and improvement of disease with negligible morbidity.
CT imaging of the sinuses give more details of all the paranasal sinus pathology. The plain X ray of the sinuses is of no value and gives very little information. It is outdated.

Dr Paulose is an ENT Consultant Plastic and Laser Surgeon with over 32 years of experience covering in Ear, Nose and Throat procedures, specializing in Laser Surgery and conventional medicine across India, U.K. and Middle East. He is currently engaged with the SUT Hospital, in Kerala, India. You can contact him today for help.
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I had a ct scan last week and am now mulling my options – balloon sinuplasty or sinus surgery?
Trying to find more info on balloon but like what I have seen so far. Less invasive, quicker recovery, etc.
Thank you for the additional info.