Components of the nasal examination

Area of Science:

• Otolaryngology
• Rhinology
• Evidence-Based Medicine

Background:

• The physical examination is crucial in patient encounters, alongside patient history.
• Defining the essential components of a nasal examination is critical for effective practice.
• Evidence-based medicine integrates provider expertise, patient needs, and current literature.

Purpose of the Study:

• To present survey results on current nasal examination practices.
• To provide an evidence-based review of these practices.

Main Methods:

• A questionnaire was distributed to attendees of the 2011 Rhinoplasty Society meeting.
• The survey focused on components of the nasal examination for functional cases.

Main Results:

• 49 out of 60 attendees completed the questionnaire.
• Anterior rhinoscopy is routinely used for nasal function assessment.
• Commonly used methods include patient questionnaires, response to decongestant spray, nasal endoscopy, CT scans, rhinomanometry, acoustic rhinometry, Cottle maneuver, and nasal strips.

Conclusions:

• Survey results and literature review support specific components for nasal examinations.
• Recommended components include anterior rhinoscopy, patient questionnaires, endoscopy, decongestant spray, rhinomanometry, and nasal strips.