Endoscopic biopsy of the nasopharynx.docVIP

 PAGE \* MERGEFORMAT 5 Endoscopic biopsy of the nasopharynx Of: Zhou Yongsen, Caixing Wen, Zhang Xianfei [Keywords:] nasal endoscopy, biopsy With the endoscopic system in otorhinolaryngology increasingly widespread application of endoscopic examination under direct vision for the diagnosis of nasopharyngeal provides a reliable method for the endoscopic biopsy of the nasopharynx, has drawn accurate positioning drawn large and difficult to missed diagnosis, the patient less pain and many other advantages. now 20 patients in our hospital endoscopic nasopharyngeal biopsies reported as follows. 1 Clinical data 1.1 General information on hospital outpatient endoscopic ENT 2007, 160 patients of nasopharyngeal examination, of which 51 patients with abnormal nasopharynx, to biopsy in 20 cases, 12 males and 8 females, aged from 15 to 74 years average 42.5 years old. which 8 cases of persistent nasal congestion, back to the suction tears the blood in 4 cases, ear stuffiness, ear swelling in 7 cases, neck mass in 1 case. 1.1 The patient was sitting inspection methods, first with 1% tetracaine adrenaline 1:1000 piece of cotton line convergence and surface anesthesia of nasal mucosa, taken before the mirror the nose into the 0 , since the end of the nose into the nasopharynx, check the posterior wall of nasopharynx , the top wall, pharyngeal recess, eustachian tube round pillow, pharyngeal opening of eustachian tube, and then edge back mirror, the first side of the upturned nose after observing the upper edge of butterfly screen recess, olfactory groove, hidden parts can be used on 30 or 70 microscope. will have diagnostic significance of the image lock, print out the graphic diagnostic report. the discovery of new biological or suspicious sites that use the endoscope in the nasal sinus biopsy forceps, bite than to send biopsy. drawn when Deep in the bite as much as possible under direct vision to the organization, if unsuccessful take a bite, bite can be