When can children have endoscopy of the nasopharynx? Refinements and restrictions. What is the procedure and when is it needed?
The accuracy of the diagnosis depends on the quality of the examination. Endoscopy of the nasopharynx greatly increases the efficiency of diagnosis.
What is endoscopy of the nose and nasopharynx
Unfortunately, a routine examination using a nasal mirror does not allow one to examine all the anatomical formations in the nasal cavity and nasopharynx, each of which carries a certain functional load.
Endoscopy of the nose and nasopharynx provides rich information about the state of the nasal cavity and paranasal sinuses, since with the help of a thin endoscope, the diameter of which is less than 3 mm, it is possible to examine hard-to-reach places invisible during normal examination under magnification. During an endoscopic examination, the condition of the mucous membrane of the turbinates, septum, sinus fistulas is assessed.
How is an endoscopic examination performed?
For endoscopic examination, rigid (in the form of a non-bending tube) and flexible endoscopes (in the form of a tube that can change direction when controlled) can be used. Inside the endoscopes is optical system and light source.
At the beginning of the examination, an endoscope with direct optics is used, then with different lateral optics (30, 45, 70 degrees) to increase the viewing angle.
Preparing for an endoscope examination
No special preparation is required for this study.
Before the start of the examination by the doctor, it is possible to irrigate the nasal mucosa vasoconstrictors, after the application of which the swelling of the mucous membrane decreases. Due to this, the view is increased, and the endoscope practically does not touch the structures of the nasal cavity.
Use of anesthesia
Endoscopy is possible without anesthesia (with a thin endoscope and with wide nasal passages) or with local irrigation of the mucous membrane with any anesthetic.
How is endoscopy of the nose and nasopharynx performed?
Inspection begins with the study of the lower nasal passage, the endoscope is carried out to the nasopharynx, the nasopharynx, the mouth of the auditory tube, and the choana are examined. Then the sphenoidal pocket, upper and middle nasal passages are examined (these are the areas where the fistulas of the paranasal sinuses open).
What can an endoscope see?
- with the development of an inflammatory process in the paranasal sinuses: with the help of endoscopy in the area of fistulas, it is possible to see pus or mucus
- with the development of a polyposis process in the sinuses: with the help of endoscopic examination in the area of fistulas, it is possible to detect polyps
- allows the doctor to detect neoplasms in the nasal cavity and nasopharynx
- mucosal hypertrophy
- set the degree of adenoid hypertrophy
Endoscopy of the nose and nasopharynx for children
In children, the condition of the adenoids is most reliably assessed using endoscopic examination. Since radiography of the nasopharynx does not give full information about the presence of an inflammatory process of the adenoids, the nature pathological discharge on their surface, the presence of edema of the mucous membrane of the adenoids, the condition of the mouths of the auditory tubes.
Nasal endoscopy at the Ear, Nose and Throat Clinic
A modern approach to examining a patient should include an endoscopic examination of the nasal cavity and nasopharynx to make an accurate diagnosis, choose the tactics of management and treatment of the patient.
In our clinic, endoscopic examination is the standard for diagnosis and treatment and included in the price initial appointment . Experienced ENT doctors of the clinic painlessly and quickly perform an examination using an endoscope.
The latest diagnostic and laboratory equipment
Highly qualified specialists
High quality standards
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Our doctors
Bolotova Irina Gennadievna
Specialization:
Work experience: 30 years
Education:
Scientific activity:
Kokina Olga Nikolaeva
Specialization: Endocrinologist
Work experience: 7 years
Education:
Area of professional interests:
Scientific activity:
Savlaev Vyacheslav Taimurazovich
Specialization: Anesthesiologist-resuscitator
Work experience: 9 years
Education: Area of professional interests:
Dashieva Elena Innokentievna
Specialization: endoscopist,
Work experience: 16 years
2004-2008 surgeon at the Muiskaya Central District Hospital of the Republic of Buryatia.
Education:
Area of professional interests:
Sidakov M.T.
Specialization:
Work experience: 17 years
Education:
Scientific activity:
Ryasova E.K.
Specialization: Dentist-therapist
Work experience: More than 5 years
Education:
Information:
Eremin D.S.
Specialization: Implantologist, dentist
Work experience: More than 5 years
Education:
Information
Lysyakova L.A.
Specialization:
Work experience:
Education:
Area of professional interests:
Kravtsova E.V.
Work experience: 12 years old / Doctor of Medicine
Education:
Area of professional interests:
Moisov Adonis Alexandrovich
Specialization: Surgeon-traumatologist, orthopedist
Work experience: More than 5 years
Education:
Scientific activity:
Malikova T.V.
Specialization: Otolaryngologist (ENT)
Work experience:
Education:
Area of professional interests:
Scientific activity:
Vereshchagina Natalya Sergeevna
Specialization: Dermatovenereologist
Work experience: 9 years
Education:
Area of professional interests:
Slabukha O.V.
Specialization:
Other specializations:
Work experience: More than 20 years
Education:
Area of professional interests:
Professional achievements:
Normatova Dilfuza Yashinovna
Specialization: Obstetrician-gynecologist
Work experience: More than 15 years
Education: TSMU named after Abuali ibn Sino
Armashova Olesya Yurievna
Specialization: Endoscopist, Surgeon
Work experience: 6 years
Education:
Area of professional interests:
Professional achievements:
Voytashevskaya N.V.
Specialization: Gastroenterologist-endoscopist
Work experience: 15 years
Education:
Gaponov M.V.
Specialization:
Work experience: More than 5 years
Education:
Area of professional interests:
Romanchenko A.I.
Specialization:
Work experience: 9 years
Area of professional interests:
Alasheeva Margarita Nikolaevna
Specialization:
Work experience:
Education:
Doctor's direct speech:
Scientific activity:
Professional achievements:
Komrakov Vladimir Evgenievich
Specialization:
Work experience: 32 years
Education:
Area of professional interests:
Scientific activity:
Professional achievements:
Shiukashvili Marina Borisovna
Specialization:
Work experience: More than 20 years
Education:
Area of professional interests:
Professional achievements:
- pregravid preparation;
- preparation for the IVF program
Professional achievements:
Khalitov Ranil Ravilevich
Specialization: Doctor urologist
Work experience: More than 15 years
Education:
Professional skills:
Minosyants Anna Arminakovna
Specialization: Ultrasound doctor
Work experience: 22 years
Education:
Graduated from the State medical University Turkmenistan (TSMU)
Certificates and awards:
"Ultrasound Diagnostics" Russian Scientific Center for Roentgen Radiology
Movsisyan Artur Grishaevich
Specialization: Ultrasound doctor
Work experience: 31 years
Higher education
Diploma in "General Medicine", Yerevan State Medical Institute
- Internship in the specialty "Ultrasound Diagnostics", Central Order of Lenin Institute for the Improvement of Doctors
"Radiology", Moscow Medical Academy named after I.M. Sechenov
"Radiology", Russian Medical Academy of Postgraduate Education
"Radiology", Kuban State Medical University
Additionally:
Owns the main methods of ultrasound diagnostics, including ultrasound of the abdominal cavity, retroperitoneal space, ultrasound of the prostate gland, ultrasound thyroid gland, Ultrasound of the mammary glands, Ultrasound of the pelvic organs, transvaginal examination, Ultrasound internal organs, Ultrasound of the joints, Ultrasound of the lymph nodes
Zashlyakhin Andrey Rafailovich
Specialization: Neurologist
Work experience: 33 years
Education: Chisinau Medical Institute 2016 - Kuban State Medical University, Krasnodar (Professional retraining, Coloproctologist)
2017 - Outpatient coloproctology ( Russian school colorectal surgery, Coloproctologist)
Outpatient appointment Diagnosis of diseases Prescription of treatment
Carrying out planned operations
Lipatova Veronika Evgenievna
Specialization: Therapist-cardiologist
Work experience: 22 years
Higher education
from 1987 - 1993 Russian State Medical University (Medicine)
Internship: from 1993 - 1994 (Therapy) medical unit No. 1 (GKB No. 12)
Specialist certificate in oncology since 2001
Certificate in functional diagnostics since 2003
Qualification confirmed in 2017
since 2004, the RAMS has been awarded the highest qualification category specializing in therapy;
Up-to-date confirmation of the qualification of a medical worker from. 13.03.2015
Additional education:
Professional skills::
Lenev Oleg Glebovich
Specialization: Neurologist, neurosurgeon
Work experience: 21 years
Education:
Area of professional interests:
Education:
Bolotova Irina Gennadievna
Specialization: Therapist, cardiologist / CMN
Work experience: 30 years
Odintsovo Central district hospital- Intern doctor, district doctor. Chief Military Clinical Hospital named after Burdenko - coordinator of the department of cardiology, head. endocrinology consulting center. Medical Center of the Bank of Russia - Head of the Department of Treatment of VIP Patients. Polyclinic of the Main Department of the Bank of Russia in Moscow.
Education:
Diploma in the specialty "General Medicine" PSU - 1987.
RUDN postgraduate study - defense of a dissertation for the degree of candidate medical sciences in 2001
Certification courses in therapy - the last in 2014, cardiology, endocrinology.
Area of professional interests:
Carries out diagnostics and treatment of diseases of the cardiovascular, respiratory, endocrine, digestive systems. Selection of therapy for patients with comorbidity.
Scientific activity:
Management of patients in the hospital and at the outpatient stage. Performs an initial comprehensive examination to determine the risk factors for development chronic diseases and compiling individual plan correcting them. Uses modern diagnostic methods with the interpretation of all types of laboratory, radiation and functional methods examinations.
Kokina Olga Nikolaeva
Specialization: Endocrinologist
Work experience: 7 years
Education: 2002-2008 – Volgograd State Medical University (VolGMU), Faculty of Medicine.
2009 – advanced course in clinical endocrinology at the workplace in the Department of Therapy and Pathology of Metabolism of the Federal State Institution of Energy Research Center under the program “Organization and conduct of schools for the education of obese patients”.
2010 - advanced course in clinical endocrinology at the workplace at the department of the Institute of Diabetes FGU ENTS under the program "Organization and conduct of schools for the education of patients with diabetes mellitus"
2008-2010 – clinical residency at the Federal State Institution Endocrinological Research Center (ESC), full course training in endocrinology. Upgrading, Access to Implementation medical activities in the specialty of endocrinology 05/26/2015 - 06/23/2015 on the basis of the RMAPE of the Ministry of Health of the Russian Federation. Advanced training "Examination of temporary disability and quality control of medical care" 24.02.2016 - 03.24.2016 on the basis of the First Medical State University named after I.M. Sechenov.
Area of professional interests:
Diagnosis of distal diabetic polyneuropathy (impaired sensitivity of the feet), diagnosis of the cardiovascular form of diabetic autonomic neuropathy. Prevention, diagnosis and treatment of endocrine pathology (thyroid diseases: nodular goiter, focal changes, autoimmune thyroiditis, hypothyroidism, thyrotoxicosis, observation after surgery, counseling patients before massage and physiotherapy of the cervical-collar zone, diabetes, including the development of an individual nutrition plan and selection optimal therapy, hypoparathyroidism, hyperparathyroidism, hormone-producing pituitary tumors, diabetes insipidus, tumors of the adrenal glands, arterial hypertension endocrine genesis, endogenous hypercortisolism, adrenal insufficiency, osteoporosis in women and men, age-related androgen deficiency in men, vitamin D deficiency, weight correction through the development of an individual nutrition plan, counseling women planning pregnancy and pregnant women with endocrine pathology, screening for the presence of endocrine pathology before and during pregnancy. Drawing up a "sex formula" for adolescents during medical examination. Primary consultation of children over 5 years of age with newly diagnosed endocrine pathology, prevention of thyroid pathology in children. Diseases treated by a doctor, at least 10 items Nodular goiter, hypothyroidism, thyrotoxicosis, autoimmune thyroiditis, gestational hypothyroidism, Basedow's disease (Graves' disease), hypoparthyroidism, hyperparthyroidism, osteoporosis, pheochromocytoma, aldosteroma, Itsenko-Cushing's disease, Itsenko-Cushing's syndrome, ACTH-ectopic syndrome, adrenal insufficiency, prolactinoma, stomatotropinoma, diabetes insipidus, diabetes mellitus, obesity, osteoporosis, osteopenia, hypopituitarism, hypogonadism. Does the doctor consult on the indicated diseases, if we are talking about the child Drawing up a "sex formula" for adolescents during medical examination. Initial consultation of children over 5 years of age with newly diagnosed endocrine pathology, prevention of thyroid pathology in children, prevention of vitamin D deficiency, development of a weight loss program.
Scientific activity:
Participation in professional associations, conferences regular participation in conferences and schools for endocrinologists.
Savlaev Vyacheslav Taimurazovich
Specialization: Anesthesiologist-resuscitator
Work experience: 9 years
2012-2014 Anesthesiologist-resuscitator in the department of anesthesiology and intensive care of the regional clinical hospital in Chita, 2014-2018. Anesthesiologist-resuscitator in Zaigraevskaya Central District Hospital. 2015. Advanced course in anesthesiology and intensive care in obstetrics and gynecology in Ivanovo. 2017 Advanced training on the course "anesthesiology-resuscitation and intensive care" on the basis of the Buryat State University in Ulan-Ude. 2018 In the State Clinical Hospital named after V.P. Demikhov, Moscow. 2018. To the present, an anesthesiologist-resuscitator at the Moscow Doctor Clinic.
Education: 2001 He graduated from the Chita State Medical Academy with a degree in general medicine. 2012 He completed an internship in the specialty of anesthesiology-resuscitation and intensive care. Area of professional interests: Anesthesiology and resuscitation
Dashieva Elena Innokentievna
Specialization: endoscopist,
Work experience: 16 years
2003-2004 Surgeon at the State Budgetary Institution of Healthcare Zaigraevskaya CRH Onokhoi District Hospital of the Republic of Buryatia.
2003-2004 Surgeon at the State Budgetary Institution of Healthcare Zaigraevskaya CRH Onokhoi District Hospital of the Republic of Buryatia.
2004-2008 surgeon at the Muiskaya Central District Hospital of the Republic of Buryatia.
2004-2008 surgeon at the Muiskaya Central District Hospital of the Republic of Buryatia.
2008-2012 endoscopist at the City Hospital No. 2, Chita.
2012-2013 endoscopist at the City Polyclinic No. 1, Ulan-Ude, Republic of Buryatia.
2013-2015 - Endoscopist at the Republican Oncological Dispensary of the Republic of Tuva.
2015-2016 endoscopist at the City Hospital No. 4, Ulan-Ude, Republic of Buryatia.
2016-2017 - Surgeon at the State Budgetary Health Institution Zaigraevskaya Central District Hospital Novo-Bryansk Hospital of the Republic of Buryatia.
2017 to present endoscopist at Moscow Doctor LLC, Moscow.
Education: 1996-2002 studying at the Chelyabinsk State Medical Academy, Chita, specializing in pediatrics.
2002-2003 internship in surgery in Ulan-Ude BSMP.
2008-2009 Faculty of advanced training and professional retraining of specialists of ChSMA, Chita, professional retraining in the specialty of an endoscopist.
2012 Certification cycle in surgery, Department of Postgraduate Education, Belarusian State University, Ulan-Ude.
2014 Certification cycle in endoscopy - Novokuznetsk state institute improvement of doctors of the Ministry of Health and social development Russian Federation - endoscopist.
2017 Certification cycle of surgery - Department of Postgraduate Education, BSU, Ulan-Ude.
Area of professional interests:
Operative treatment, endoscopic diagnostics of planned and emergency pathology (gastroscopy, sigmoidoscopy, colonoscopy, bronchoscopy, cystoscopy), maintaining medical records, monitoring the use of endoscopic equipment.
Sidakov M.T.
Specialization: "Orthopedic Dentistry"
Work experience: 17 years
Education: In 1998 he graduated from the Faculty of Dentistry of the Tver Medical Academy.
From 1998 to 1999 he completed a clinical internship.
From 2000 to 2002 completed residency at the base dental clinic TGMA by specialty doctor-stomatologist-orthodontist.
Passed specialized courses in endodontics, microinvasion and caries prevention, lingual orthodontic technique.
In 2013, he attended the Nobel Biocare course "Fundamentals of Decision Making in Implantology: Surgical and Prosthetic Aspects".
Scientific activity:
In 2012, he took part in a master class by Ph.D. Chikunova S.O. and master technician Nikonenko D.M. on the topic: Adhesive ceramic restorations. In 2013, he took part in a lecture by a professor at the University (UCLA), head of the Center Aesthetic Dentistry, member international group ART ORAL by Edward McLaren. DDS, MDC on the topic: "Aesthetic ceramic-the art of passion" (veneers, inlays, onlays).
Ryasova E.K.
Specialization: Dentist-therapist
Work experience: More than 5 years
Education:
2004 - Omsk State Medical Academy with a degree in dentistry, completed a one-year specialization in the specialty of dentistry Advanced training / courses.
2009-Course "Modern techniques in endodontic treatment, nickel-titanium technologies", Moscow.
2009-teeth whitening seminar and master class with the ZOOM clinical system, Discus Dental, Moscow
2010-Participation in the conference "Direct aesthetic restoration of the frontal group of teeth using composite materials" Moscow, Dentsply.
2010-Specialization in therapeutic dentistry GOU DPO RMAPO ROSZDRAVA 144 hours.
2010-Specialization in orthopedic dentistry at the FGOU Institute for Advanced Studies of the Federal Medical and Biological Agency of Russia, 576 hours.
2010-Master class - "Fiberglass reinforcement of composite restorations in everyday practice, adhesive splinting of teeth." Proteko, Moscow.
2011-Course "Retreatment, Clinical Solutions and Techniques", Solomonov, Moscow.
2011-Theoretical and practical course "Microscope, work with an endodontic microscope", Rome, Nicola Grande, Gianluco Plotino
Information:
I conduct a full-scale therapeutic reception - endodontic preparation for prosthetics, restorations, whitening, professional hygiene, simple removals, I work with an endodontic microscope.
Eremin D.S.
Specialization: Implantologist, dentist
Work experience: More than 5 years
Education:
2011-2013 - Clinical residency in the specialty "Surgical Dentistry" at the Department " Clinical Dentistry and implantology" of the Federal State Budgetary Educational Institution of Additional Professional Education "Institute for Advanced Studies of the Federal Medical and Biological Agency", Moscow.
2008 - Graduated from the Far Eastern State Medical University, Khabarovsk.
2008-2009 - Internship in the specialty "Dentistry" general practice"on the basis of MUZ SP No. 25 "Den-Tal-Iz", Khabarovsk.
2014 - Participant of the scientific and practical seminar " Bone grafting"Lecturer: Khabiev K.N. Moscow.
2015 - Features of working with the ANKYLOS DENTSPLY FRIADENT implantation system, certificate Lecturers: Shatarov D.M. and Dovbnev V.A. Moscow city.
2015 - Participated in the "round table" on the topic "Biological, physiological and mechanical causes pericervical tissue recession, which affects the reduction in the prognosis of prosthetics based on dental implants" Lecturer: Ilya Fridman, Moscow.
2015 - Practical course on the ASTRA TECH implant system, certificate Lecturers: Polyakov Kirill and Ayubov Renat, Moscow.
2015 - Passed the theoretical course "Difficult clinical situations in implantology and periodontal surgery, ways to solve them with the help of modern biomaterials" Lecturer: Dudin M.A. Moscow city.
2015 - Course on "Planning of implant operations 3D modeling. Manufacturing of surgical templates. Features and benefits of the CORTEX implant line. Installation of CORTEX implants. Lecturers: Filinov D, Ozhigov E, Rarov A, Pryadilshchikov A. Moscow.
2016 - Participant of the lecture-practical course "Achieving an aesthetic result in the elimination of gingival recession - a comparative analysis of surgical methods" Lecturer: Fevraleva A.Yu. Moscow city.
2016 - Took part in the practical and theoretical course "Bone grafting at a dental appointment" Lecturers: Urazbakhtin I.I. and Ponomarev O.Yu. St. Petersburg.
Information
Specialization: all types of outpatient surgical interventions: simple and complex tooth extractions; hemisection and amputation of the roots of the teeth, alveolotomy, resection of the root apex, cystectomy, removal of benign neoplasms. Implantology: installation of implants Astra Tech, Nobel, Straumann, Ankylos, Impro, Luna, BioHorizons, Alpha-Bio, Mis, Xive Friadent, Implantium, Adin, Biomet, Osstem. Open and closed sinus lifting, restoration bone tissue using titanium mesh, horizontal osteotomy, sauce technique, guided bone regeneration, splitting alveolar process using piezo instruments, application of a-prf, i-prf. Periodontal surgery: vestibuloplasty‚ frenuloplasty‚ gingivivoplasty‚ closed and open curettage‚ patchwork operations to close the recession of the gums in the area of the tooth and the implant, change the biotype of the gums, create a zone of attached gums.
Lysyakova L.A.
Specialization: Ultrasound doctor
Work experience: General medical experience of 22 years, including 8 years in the specialty of ultrasound diagnostics. The first qualification category in the specialty of ultrasound diagnostics.
Education: St. Petersburg Medical Institute named after Academician I.P. Pavlov, 1993, specialty "General Medicine". Internship in the specialty "dermato" RKVD, Nalchik. 1994. Professional retraining in the specialty "ultrasound diagnostics" RMAPE Moscow 2007 OU and TU in the specialties "dermato", "ultrasound diagnostics" 1999, 2004, 2007, 2012, 2013
Area of professional interests:
Adult Ultrasound: thyroid, salivary gland, mammary gland, heart (ECHO-KG), abdominal cavity, pleural cavity, liver, gallbladder, pancreas, spleen, kidneys, adrenals, bladder, prostate, scrotum, uterus, ovaries, duplex scanning blood vessels (arteries, veins, lower extremities, necks - sleepy and vertebral arteries), ultrasound procedure in obstetrics, 3D-4D, ultrasound examination of joints, soft tissues, lymph nodes.
Kravtsova E.V.
Specialization: Neurologist
Work experience: 12 years old / Doctor of Medicine
(Medical Rehabilitation Center under scientific leadership V.I.Dikul). Lecturer of the Department of Peoples' Friendship University of Russia. The highest medical category.
Education:
RUDN University Faculty of Medicine, specialty "Medicine". Honors Degree, International Honors Degree.
Area of professional interests:
Vertebroneurologist, Rehabilitologist, Possession of the technique of paravertebral blockades, pharmacopuncture, local injection therapy, massage on trigger zones. Residency at the Department of Neurology and Clinical Neurophysiology of the Peoples' Friendship University of Russia.
Moisov Adonis Alexandrovich
Specialization: Surgeon-traumatologist, orthopedist
Work experience: More than 5 years
Education:
In 2009 he graduated from the Yaroslavl State Medical Academy with a degree in general medicine.
From 2009 to 2011, he underwent clinical residency in traumatology and orthopedics at the Clinical Emergency Hospital named after. N.V. Solovyov in Yaroslavl.
Scientific activity:
From 2011 to 2012, he worked as a traumatologist-orthopedist at the emergency hospital No. 2 in Rostov-on-Don. Scientific and practical interests: foot surgery and hand surgery.
Malikova T.V.
Specialization: Otolaryngologist (ENT)
Work experience: 34 years old / Doctor of the highest category
Education:
Diploma in the specialty "Medicine (Medical and preventive care)", Moscow State Medical Academy (1981)
Internship in the specialty "Therapist", Moscow City Clinical Hospital No. 67 (1992)
Diploma in Otorhinolaryngology, City Clinical Hospital No. 67 (1993)
"Otorhinolaryngology", Moscow State Institute of Medicine and Dentistry (2012)
Area of professional interests:
spicy and chronic rhinitis(runny nose): including allergic, vasomotor rhinitis; acute inflammatory disease of the pharynx: acute tonsillitis, acute pharyngitis, paratonsillar abscess; sharp and chronic sinusitis: sinusitis, ethmoiditis, frontal sinusitis, sphenoiditis, nasal polyposis; sharp and chronic otitis media: otitis externa, otitis media; inflammatory diseases of the larynx: acute and chronic laryngitis, laryngeal angina; inflammatory diseases of the head, neck: boils, carbuncles of the face, neck; injuries of the external nose, ear; foreign bodies of the pharynx, larynx.
Scientific activity:
ENT doctor, City Polyclinic No. 195, Moscow (1983-2012) ENT doctor, City Polyclinic No. 139, Department of Otorhinolaryngology, Moscow (1983-1986) ENT Doctor, Our Clinic Medical Center, city of Moscow (2012-2016)
Vereshchagina Natalya Sergeevna
Specialization: Dermatovenereologist
Work experience: 9 years
Education:
Graduated from the Altai State Medical University (2002-2008) with a degree in General Medicine (Barnaul).
Passed specialization in Dermatovenereology (2008-2010). (Internship) on the basis of the Dermatovenerological Dispensary at the Altai State Medical University (Barnaul).
Passed advanced training in Dermatovenereology (144 hours) in 2015 in Moscow on the basis of the Federal State Budgetary Educational Institution of Additional Professional Education "Institute for Advanced Studies of the Federal Medical and Biological Agency".
Area of professional interests:
He has extensive experience in the removal of benign neoplasms using the Surgitron apparatus (electrocoagulation). He sees patients with various diseases of the skin and scalp, including chronic ones (fungal, viral, autoimmune, allergic, infectious lesions). Widely approaches the solution of various skin problems, based on the etiology and pathogenesis of diseases. He deals with the correction of trichological problems, the diagnosis and treatment of sexually transmitted diseases. Constantly improves his professional level of training.
Slabukha O.V.
Specialization: Dermatologist, trichologist / The highest medical category
Other specializations: Therapy, infectious diseases
Work experience: More than 20 years
Education:
Siberian State Medical University, Tomsk. "Medicine".
Pacific State University, Khabarovsk-jurisprudence.
Area of professional interests:
Extensive experience in the diagnosis and treatment of patients with diseases of the skin and subcutaneous fat: dermatitis of various etiologies, pyoderma, dermatoses (psoriasis, atopic dermatitis), dermatomycosis, onychomycosis, ectopariasitosis, viral skin diseases, diseases of the sebaceous glands, focal and diffuse alopecia, seborrhea , sexually transmitted diseases and STIs, emergency prevention of STIs, Trichoscopy, dermatoscopy, Individual selection of treatment regimens according to the diagnosis. Work with a Surgitron radio wave device: removal of benign skin and mucous membranes.
Professional achievements:
Member of the Russian Scientific Society of Dermato ovi Cosmetologists, the Union of Trichologists.
Normatova Dilfuza Yashinovna
Specialization: Obstetrician-gynecologist
Work experience: More than 15 years
Education: TSMU named after Abuali ibn Sino
2004 - Research Institute of A&P of the Ministry of Health of the Republic of Tajikistan Seminar "Promotion of effective perinatal care", Dushanbe
2005 - Tajik Institute of Postgraduate Training of Medical Personnel "Colposcopy", Dushanbe
2006 – The project simplemented by CARE Tajikistan - Training “STI Management”, Dushanbe
2007 - The project simplemented by CARE Tajikistan - training "Structures for the provision of services of a friendly attitude towards sexual and reproductive health of young people", Dushanbe; Ministry of Health of the Republic of Tajikistan, UNISEF, Association of Family Physicians of the Republic of Tajikistan Seminar “Promotion and introduction breastfeeding at the Child Friendly Hospital, Dushanbe
2009 - GTZ Parter for the Future. worldwide. Ministry of Health of the Republic of Tajikistan, training “Introduction of national standards for the provision and management of safe antenatal care”, Dushanbe
2010 - RMAPO Colposcopy, Moscow
2012 - FBSI "Central Research Institute of Epidemiology", 18th scientific and practical seminar "New foreign and domestic recommendations for the prevention and early detection cervical cancer. New developments of the Center for Molecular Diagnostics for screening pathology of the cervix, Moscow
2014 - CJSC "PENCROFT-PHARMA" seminar "The use of Dr. Arabin's pessaries in obstetrics and uro-gynecology"; FBSI TsNIIE 26th scientific and practical seminar “Florocoenosis – rational PCR diagnostics in gynecology. Experience in clinical practice”, Moscow; courses and trainings ZAO "PENCROFT-PHARMA" seminar " Safe abortion: manual vacuum aspiration, medical abortion, Moscow
He systematically improves the level of his knowledge and the level of medical skills in courses in his specialty, has a certificate of a specialist. Engaged in research activities, takes an active part in seminars, master classes, exhibitions on gynecology. Provides specialized care to patients gynecological profile at the clinic and hospital level. Conducts outpatient appointment, carrying out minor operations and manipulations (RDV, GS, hymo-, labioplasty, HSG ECHO, pneumo- and hydrotubation, intrauterine instillations, insertion and removal of IUDs, surgical and medical abortions), assisting in laparotomic and laparoscopic operations, diagnostics in gynecology, obstetrics, treatment, dispensary observation, owns the technique of colposcopy and methods of treatment of pathologies of the cervix, ultrasound in gynecology and obstetrics. Managed City Center Reproductive Health, Medical Counseling Center for Friendly Youth Services.
Armashova Olesya Yurievna
Specialization: Endoscopist, Surgeon
Work experience: 6 years
GBUZ MO "Vidnovskaya Regional Clinical Hospital" (Vidnoe)
07/2009 - present time (surgeon, endoscopist)
GOUVPO State Classical Academy named after Maimonid (Moscow), Faculty of Medicine
09/2008 - present time (Department Assistant topographic anatomy and operative surgery)
Education:
GOUVPO State Classical Academy named after Maimonid (Moscow)
08/2003 - 07/2009 Faculty social medicine, special "Medicine"
Clinical Residency GOUVPO State Classical Academy. Maimonides (Moscow)
09/2009 - 07/2011 Clinical intern in the specialty "general surgery"
GOUVPO Russian Medical Academy of Postgraduate Education (Moscow)
Department of Endoscopy, primary specialization 2011
Area of professional interests:
Acute treatment surgical pathology(panaritiums, purulent skin diseases, subcutaneous tissue, joints, perforated ulcer of the stomach and duodenum and other acute diseases of the abdominal cavity)
- Operations performed: hernia, cholecystitis, appendicitis, removal of skin formations, subcutaneous tissue, etc.
- Ability to work independently
- Knowledge current trends in surgical anatomy
- Conducting and interpreting studies: esophagogastroduodenoscopy (EGDS), colonoscopy, bronchoscopy, sigmoidoscopy,
- Therapeutic gastro-, broncho- and colonoscopy (removal of polyps, formations, NO-therapy, taking a biopsy, stopping gastrointestinal bleeding, sanitation of the bronchial tree, removal of colon formations, installation of stents for strictures, including burns).
Professional achievements:
Diploma "For personal contribution to the development of the health care system of the Leninsky district of the Moscow region" (2011)
Voytashevskaya N.V.
Specialization: Gastroenterologist-endoscopist
Work experience: 15 years
2001-2003 Moscow Polyclinic No. 106, endoscopist.
2004-2007 City Clinical Hospital No. 64 of Moscow, emergency endoscopist.
2004-2015 GP No. 5 DZM, general practitioner.
2012-2015 Children's City Polyclinic No. 118 DZM, endoscopist.
Education:
1993-2000 - Peoples' Friendship University of Russia, Faculty of Medicine, doctor's qualification, specialty "Medicine".
2000-2002 - Peoples' Friendship University of Russia, Faculty of Medicine, clinical residency at the Department of General Surgery in endoscopy and ultrasound diagnostics, specialty endoscopy.
2002-2005 - Peoples' Friendship University of Russia, Faculty of Medicine, postgraduate study at the Department of Faculty Surgery, PhD degree in Medical Sciences.
2011 - RSMU, advanced training courses, specialty endoscopy.
Gaponov M.V.
Specialization: Ultrasound diagnostics. Performs ultrasound diagnostics of the abdominal organs, urinary system, lymph nodes, mammary glands, thyroid gland, pelvic organs, prostate and scrotum. Ultrasound of the arteries and veins of the extremities, brachiocephalic vessels of the neck.
Work experience: More than 5 years
Education: 2008 Tashkent Medical Academy, Republic of Uzbekistan, specialty "Medicine" 2010 Tashkent Medical Academy, Republic of Uzbekistan, residency in Oncology, 2014 FSBI "National Medical and Surgical Center named after N.N. N.I. Pirogov, retraining in the specialty "Ultrasound diagnostics" 2014. UITs "Somet" on the basis of the Federal State Budgetary Scientific Institution "Scientific Center for Cardio- vascular surgery them. A.N. Bakuleva”, advanced training on the topic “Ultrasound diagnostics of the pathology of the heart and blood vessels”, 2014. GBOU VPO MGMSU named after A.I. Evdokimova, advanced training in the course "Palliative care"
Area of professional interests:
Ultrasound diagnostics of joints and spine. ECHO-KG, ultrasound diagnostics of superficial organs (soft tissues).
Romanchenko A.I.
Specialization: Obstetrician, gynecologist, ultrasound diagnostician.
Work experience: 9 years
Area of professional interests:
Professional goals: Obstetrics and gynecology consultation - outpatient visit, ultrasound; treatment of the cervix, radio wave treatment of the cervix with Fotec Surhydron devices, pelvic inflammatory disease, ovarian dysfunction, Bartholin's disease, menopause and climacteric condition, atrophic vaginitis, condition associated with artificially induced menopause, postmenopausal bleeding, endometriosis, adenomyosis, treatment of STDs , pipel biopsy, pregnancy management, colposcopy.
Alasheeva Margarita Nikolaevna
Specialization: Obstetrician-gynecologist, endocrinologist, ultrasound diagnostician
Work experience: Over 25 years / Doctor of the highest category
Education:
In 1989 she graduated with honors from the Turkmen Order of Friendship of Peoples State Medical Institute.
In 2013, she passed the final certification under the professional retraining program "Ultrasound Diagnostics"
Doctor's direct speech:
Currently, he continues to actively apply high-tech medical care to patients with urological pathology in the Moscow Doctor clinics.
Scientific activity:
While working at the Research Institute of Urology, he was engaged in scientific activities in the department - Inflammatory diseases of the kidneys, in the department - Efferent methods of treatment of urological diseases - accompanied by renal failure (hemodialysis, hemosorption, plasmapheresis). Is the author of 26 scientific works, including inventions on the topic "Latent infectious and inflammatory diseases genitourinary system- diagnosis and treatment. Simultaneously with scientific activity he was engaged in operational work. He performed more than 11,000 surgical interventions on the organs of the genitourinary system. Based on the genus house number 20 \ with urological pathology of pregnant women \, he treated a large number of patients with pyelonephritis of pregnant women. AT medical center"Marriage and the Family", n. house number 20 was engaged in the treatment of men with various forms infertility.
Professional achievements:
He is a member of the Association of Urologists of Russia, Andrologists of Russia, a regular participant in the All-Russian Urological Video Conference, constantly takes part in master classes at the Carl Storz School (Germany).
Komrakov Vladimir Evgenievich
Specialization: Professor / Doctor of Medicine
Work experience: 32 years
Education:
Graduated from the 2nd MOLGMI them. N.I. Pirogov (FGBOU VO Russian National Research Medical University named after N.I. Pirogov) in 1984 with a degree in General Medicine. After graduating from clinical residency and postgraduate studies, he worked as an assistant, associate professor, professor at the departments of surgical diseases, headed the departments of vascular surgery, was a consultant at the Main Military Clinical Hospital of the Internal Troops of the Ministry of Internal Affairs of the Russian Federation for vascular surgery, head of the emergency cardiovascular surgery course at the Faculty of Postgraduate Medical Education. While working at the Department of Surgical Diseases, he completed and defended in 1990 a thesis for the degree of Candidate of Medical Sciences: "Infection of vascular grafts (diagnosis, treatment, prevention)", in 1998 - a dissertation for the degree of Doctor of Medical Sciences: "Purulent- septic complications in reconstructive surgery of the aorta and limb arteries"
Area of professional interests:
Over the past 3 years, Professor Komrakov V.E. Head of the Department of Surgery of the network of clinics "Moscow Doctor" NPKF "Protek". He uses in his work high-tech innovative methods for the diagnosis and treatment of vascular diseases. The professor continues to actively work on the organization and implementation of high-tech medical care for patients in multidisciplinary clinic, introduction of modern innovative methods diagnosis and treatment various diseases of cardio-vascular system and surgical pathology, used in addition to state medical and economic standards, especially for patients with the elderly and old age with multifocal comorbidity.
Scientific activity:
For 5 years Komrakov V.E. combined work at the department with administrative work at the university: worked as dean for work with foreign students, acted as head of the international department of the university. He is the author of more than 140 scientific papers, including 3 monographs (co-authored), a manual on internal diseases edited by Academician E.I. Yarygin (editor, compiler, co-authorship in 16 chapters), inventions, methodological recommendations for students. For a number of years published (in co-authorship); monographs "Infection in vascular surgery", "Surgical sepsis", "Thromboangitis obliterans": in 2010 - a manual for physicians "Thrombotic conditions in obstetric practice".
Professional achievements:
For many years of contribution (more than 30 years) to the development of the medical industry, he was awarded the medal "For Services in Healthcare" of the Intersectoral Joint Committee for Awards of the Russian Federation.
Shiukashvili Marina Borisovna
Specialization: Doctor of ultrasound diagnostics, functional diagnostics, therapist
Work experience: More than 20 years
1993 - 2003 - a local therapist in the Primorsky Territory FGBT, since 2003 she was in charge of the therapeutic department of the Primorsky Territory FGBT.
2006 - 2008 - senior district physician-therapist in the polyclinic of the Primorsky Territory Federal State Budgetary Security Service.
2008 - 2011 - therapist, doctor of functional diagnostics of the Central District Hospital in the Moscow Region of the Mozhaisk district, Uvarovka settlement.
Since 2011 - therapist, doctor of functional diagnostics of JSC Russian Railways, Moscow.
2012 - 2017 - doctor of functional diagnostics, doctor of ultrasound diagnostics in the polyclinic of the North-East Administrative Okrug, Moscow.
Doctor of ultrasound diagnostics - 5 years, doctor of functional diagnostics - 13 years, general practitioner.
Education:
1993 - Vladivostok State Medical Institute(VGMI), Diploma in Medicine
1997 - Internship in therapy in Vladivostok
2004 - Professional training in functional diagnostics, Vladivostok
2005 - Far Eastern State Medical University, Khabarovsk, TU "Echocardiography"
2008 - MGMSU, Moscow, TU "Functional Diagnostics" Certification cycle
2009 - MONIKI, Moscow, certification cycle in therapy "Actual issues of cardiology and pulmonology"
2012 - Research Institute. Myasnikov Moscow, TU "Holter monitoring of ECG and blood pressure", TU "Echocardiography. Dilated cardiomyopathy"
2013 - IN them. Pirogov, Moscow "Angiology", TU "Dopplerography of blood vessels"
2014 - FMBA, Moscow, professional training "Ultrasound diagnostics", Institute named after. Sechenov - certification cycle in functional diagnostics, Moscow
2017 - FGBOU DPO RMANPO of the Ministry of Health of Russia, certification cycle in therapy. 1971 - 1973 - Residency in pediatric urology at the Research Institute of Urology, Kiev
Area of professional interests:
1973 - 1975 - worked as a urologist in Yerevan S.P. Botkin, Moscow, urologist (since 2005, outpatient work at the S.P. Botkin City Clinical Hospital, previous years he worked mainly in a surgical hospital).
Professional achievements:
Has the highest category. Has mastered and independently performs circumcision, operations for dropsy, varicocelectomy, removal of bladder stones, ureters, kidneys (including staghorn), TUR operations, adenomectomy, resection of the urethra, resection of the bladder due to oncological diseases, resection of kidney cysts, puncture of cysts, plastic surgery(on various methods). Assisted in kidney transplantation, radical prostatectomy due to oncological diseases. On an emergency basis, he performed dissection of the pinching ring in case of paraphimosis, puncture cystostomy, puncture nephrostomy, nephrectomy, and other emergency interventions.
Provides advice and ambulatory treatment patients with chronic prostatitis, urolithiasis, and patients with urinary incontinence, as well as sexually transmitted diseases. - management of pregnancy;
- diagnosis and treatment of infertility;
- diagnosis and treatment of inflammatory diseases of the female genital organs;
- diagnosis and treatment of ovarian dysfunction;
- diagnosis and treatment of diseases of the cervix;
- diagnosis and treatment of benign tumors of the female genital organs;
- diagnosis and treatment of dysfunctional uterine bleeding;
- diagnosis and treatment of mastopathy;
- family planning (consultation on contraception and selection of the optimal contraceptive);
- pregravid preparation;
- preparation for the IVF program
Professional achievements:
Doctor of Medical Sciences (he has more than two hundred scientific papers, including monographs).
Khalitov Ranil Ravilevich
Specialization: Doctor urologist
Work experience: More than 15 years
Education: Samara State Medical University
Professional skills:
He mastered surgical interventions: cystoscopy, tour and vaporization of the bladder, contact lithotripsy in the bladder, ureter and kidney, ureter catheterization, stent placement in the ureter, operations for hydrocele, adnexal cysts and spermatic cord, circumcision, Sapozhkov operation stage 1-2, epididymectomy, orchiectomy, orchifuniculectomy, freniculotomy, excision of the urethral polyp, Ivanissevich operation, Mar-Mar operation, cystolithomy, epicystostomy, trocar cystostomy, intravesical and retropubic adenomectomy, nephrectomy, resection nephrolithotomy, nephrolithotomy kidneys, CPNS, surgery for priapism, penile fracture.
Knowledge modern methods treatment and diagnosis of coloproctological diseases, rules for the preparation of medical documentation. 1. Assistance in operations on the abdominal cavity, laparoscopic operations. 2. Independent operations - hemorrhoidectomy (closed, open, ultrasound with a scalpel), excision of anal fissures (with pneumodivulsion, with sphincterotomy), excision of rectal fistulas (into the intestinal lumen, with latex ligature), excision of ECX (with suturing to the bottom, parallel sutures, sinusectomy) excision of perianal warts, sclerotherapy hemorrhoids, ligation of hemorrhoids with latex rings, opening and drainage of - subcutaneous, - submucosal, - ischiorectal, - pelverectal, paraproctitis, closing of a double-barreled - colo and - ileostomy. 3. Maintaining medical records 4. Maintaining medical documentation, electronic medical records, 5. Preparation of presentations, lectures
2016 - Kuban State Medical University, Krasnodar (Professional retraining, Coloproctologist) Actual confirmation of the qualification of a medical worker from. 13.03.2015
Certificate of a specialist in the specialty therapy (see a copy of the document in the appendix);
Certificate of Specialist in Cardiology from 2017.
Additional education:
Ministry of Health of the Russian Federation (Certificate of Specialist in Functional Diagnostics)
Ministry of Health of the Russian Federation (Certificate of Ultrasound Diagnostics Specialist)
Advanced training of echocardiography at the Department of Functional Diagnostics of City Clinical Hospital No 85
Professional skills::
Examination and consultation of patients with any therapeutic pathology;
Possession of the method of decoding the ECG of adults and children;
Possession of the method of deciphering spirometry of adults and children and extended spirographic study of diffusion and Body
Possession of the EEG decoding technique
Possession of the methodology for conducting stress tests (veloergometry, treadmill test);
Possession of the technique of echocardiography of the heart;
Possession of the methodology for decoding Holter monitoring of ECG and blood pressure;
Carrying out ultrasound examination of the abdominal organs, urology, heart diseases;
Lenev Oleg Glebovich
Specialization: Neurologist, neurosurgeon
Work experience: 21 years
Education: Dagestan Medical Institute
In the city of Moscow, he completed his clinical internship and residency at the Russian National Research Medical University. N.I. Pirogov. at the Department of Pediatric Neurology, Neurosurgery and Medical Genetics.
Certified physician specialist in functional diagnostics, radiology "neurovisualization", reflexologist.
Second higher education at the Department of Psychophysiology, Faculty of Psychology, Moscow State University named after M.V. Lomonosov with a degree in psychophysiology. I have permission to work with a polygraph "lie detector", electroencephalography "EEG", biofeedback "BOS-training" evoked potentials "auditory, visual, cognitive", psychology of stress.
2015-2018 family doctor clinic surgeon
Area of professional interests:
Conservative and Surgical treatment purulent diseases(boils, carbuncles, ingrown nails, abscesses, phlegmon, etc.), including with a radio wave scalpel
- Conservative and surgical treatment of neoplasms of the skin and subcutaneous tissue (atheromas, lipomas, fibromas, warts, corns and calluses, papillomas, etc.), including with a radio wave scalpel
- Plastic surgery of postoperative and keloid scars, ear urine, etc.
- Conservative treatment of joint diseases, intra-articular injections, therapeutic blockades
- Conservative treatment of arterial diseases (atherosclerosis, diabetic foot syndrome, etc.)
- Conservative and surgical (surgical) treatment of venous insufficiency and varicose veins (including radiofrequency and laser vein obliteration, sclerotherapy). Treatment of vein thrombosis n/a
- Emergency treatment of exacerbation of hemorrhoids and anal fissures (including acute thrombosis of hemorrhoids, paraproctitis, etc.), therapeutic blockade of hemorrhoids, Anoscopy
- Therapeutic and preventive consultations in all areas of surgery, incl. mammology, proctology, phlebology 2004 - Doctoral dissertation “Treatment and diagnostic strategy in patients with thyroid diseases”.
Education: In 2015 he graduated from the Faculty of Dentistry, Moscow State Medical and Dental University named after M.V. A.I. Evdokimova
2015-2016 passed an internship at the Department of Surgical Dentistry of the Oral Cavity, Faculty of Dentistry, Moscow State Medical and Dental University. A.I. Evdokimov. At the end of the qualification was awarded: dentist of general practice.
2017 - graduated from the primary specialization in therapeutic dentistry of the Russian Medical Academy of Continuing Professional Education of the Ministry of Health of the Russian Federation. Upon graduation, the qualification was awarded: dentist-therapist.
Also in 2017, he graduated from the primary specialization in surgical dentistry at the Moscow State Medical and Dental University named after I.I. A.I. Evdokomov. At the end of the qualification was awarded: doctor dentist-surgeon.
2016 - Fundamentals of tooth preparation for metal-ceramic and non-metal crowns (Rybalka E.I., Stomport)
2017 - Practical nuances of everyday endodontics (Solomonov M., Medical Consulting Group)
2017 - Review of modern methods of instrumentation and canal obturation (Solomonov M., Medical Consulting Group)
Endoscopy of the nasopharynx for children is the most effective and safe way diagnostics of diseases of the nasopharynx, which allows to examine all the distant parts of the nasal cavity and pharynx, which is impossible to do during a routine examination.
Contraindications:
- allergic reactions to the anesthetic used;
- with caution is carried out with frequent nosebleeds and problems with blood clotting.
Used equipment:
- rigid endoscope;
- light source for endoscopic examination of ENT organs;
- ENT combine ATMOS S 61.
Children are more likely to suffer from nasopharyngeal diseases than adults. Undeveloped immunity causes frequent runny noses and colds. Only timely diagnosis allows to identify the cause of the disease and recommend proper treatment. To correctly diagnose, 3 methods are used - standard examination, x-ray and endoscopy.
Thanks to endoscopy of the nose and nasopharynx, adenoids can be detected in a child, their size and degree of growth can be determined. Running adenoids reduce hearing, which can lead to speech delay. With the help of research, polyps and tumors are detected at an early stage, which is important for timely treatment. When a child often suffers from sinusitis, it is imperative to do an endoscopy of the nose, because. with the help of it, the ENT doctor will see the state of the fistulas of the sinuses, and the cause of frequent inflammation will immediately become clear.
Indications for endoscopy
- difficult nasal breathing;
- frequent runny nose;
- discharge or bleeding from the nose;
- causeless pain in the head;
- disturbed sense of smell;
- hearing problems;
- adenoids;
- overgrowth of polyps;
- foreign object in the nasal cavity.
Some parents believe that any intervention is not beneficial and refuse the procedure, which is fundamentally wrong: with untimely diagnosis and late treatment, the disease can develop into a chronic form. Endoscopy is safe and does not deliver little patient discomfort.
The procedure is performed by inserting an endoscope into the nasal passage. It looks like a flexible tube with an eyepiece at one end and a light bulb and a camera at the other. For children, a gentle tool is used, with a diameter of only 2.4 mm, while for adults 4 mm. As the tube advances, an enlarged picture of the child's nasopharynx is displayed on the screen. If necessary, before the procedure, the doctor performs anesthesia with lidocaine. If your child is allergic to lidocaine or other anesthetics, be sure to tell your doctor. Do not forget to say if the child has a tendency to frequent nosebleeds and if there are any problems with blood clotting. All this you need to know in order to carry out the procedure painlessly and non-traumatically.
Our doctors
Where to do an endoscopic examination
The choice of clinics where the treatment of ENT organs is carried out is great. But not all clinics accept small patients. Toddlers are often naughty and cry at the reception - many doctors prefer to work with adult patients. The prices in Moscow for endoscopy of the nasopharynx also differ from clinic to clinic. Parents are faced with the question: where to do a pediatric endoscopy of the nasopharynx in Moscow safely and at an adequate price?
Having established preliminary contact with the baby, our ENT specialist slowly begins to insert the endoscope into the patient's nostril to show that it will not hurt. To arouse interest in the procedure, the ENT doctor will let the baby look through the eye of the endoscope and see an unusual picture. Now we are not just a patient, but a real doctor's assistant participating in what is happening. You need to carry out the procedure quickly - 1-2 minutes is enough. Then the satisfied patient runs to have fun in our children's play area or drink tea with sweets, and the doctor will tell mom what he saw and determine further tactics treatment.
In the "Clinic of Dr. V.M.Zaitsev" we accept children from 3 years old. Little patients are often afraid of procedures and doctors, so the whole process takes place in a playful, relaxed way.
Patient examination methods are improved annually. Highly accurate way to diagnose diseases respiratory tract considered endoscopy of the nasopharynx. The reliability of the results often depends on how competently the procedure is carried out and whether the parent can prepare the child for it.
What is nasopharyngeal endoscopy?
This procedure is prescribed for suspected inflammatory disease respiratory system affecting the lower nasal cavity. Endoscopy of the nasopharynx allows you to see the changes that have occurred with diseased organs, which increases the accuracy of the diagnosis.
During the procedure, the child is examined. This device resembles a long tube of small thickness (2–4 mm). At the end of the device is a flashlight to increase visibility.
Next to the lighting device is a camera that allows you to display a picture on the monitor screen, behind which the doctor is sitting. Tubes are soft, very thin, rigid or bendable. The device consists of several parts:
- frame;
- connection cable;
- working part;
- working end control knob;
- monitor;
- lighting cable;
- lighting cable connector;
- power cable connector;
- distal end.
Nasal endoscopy is completely painless. The procedure is highly accurate and allows you to see the pathology in the early stages. This allows you to make a diagnosis with high accuracy.
Endoscopy is often combined with surgical procedures. This allows you to remove neoplasms quickly and least traumatically. Such an operation does not leave marks on the face, and blood loss with it is minimal. The patient is allowed to go home on the second day. This significantly reduces the number of days on sick leave.
Indications for carrying out
Nasopharyngeal endoscopy is sometimes called rhinoscopy. It is carried out for the purpose of diagnosis and for the removal of certain neoplasms.
There are several diseases, the presence of which suggests carrying out endoscopic examination:
- (inflammatory disease frontal sinus);
- (damage to the ethmoid labyrinth);
- (pathology of the sphenoid sinus).
Nasal endoscopy is used to diagnose diseases and as a therapy (in the treatment of polyps). But not only diseases are considered indications for endoscopic examination. Some of these symptoms include:
- decreased sensitivity of olfactory receptors;
- difficulty breathing;
- frequent bleeding from the nose;
- headache;
- an increase in the amount of separated mucus;
- feeling of pressure in the nose;
- a sharp deterioration in hearing;
- the presence of diseases of the nasopharynx of inflammatory etiology;
- sensation or tinnitus;
- snore;
- delayed speech development in children;
- in history;
- nose and skull injuries;
- preparation for rhinoplasty and control of the result.
The presence of one of the symptoms gives rise to a nasal endoscopy. Sometimes the cause of diseases of the nasopharynx is a staphylococcus infection localized in another organ. Then respiratory diseases will be only complications of the underlying disease.
But with the help of endoscopic examination, it is possible to see the smallest changes in the mucosa, which indicate the presence of inflammation. This helps prevent further spread of the infection and possible more serious complications.
Contraindications
Since endoscopy of the nasopharynx is painless and safe procedure, it does not have an extensive list of contraindications. But it can not be carried out in the presence of an allergic reaction to lidocaine. Since endoscopic examination involves local anesthesia to exclude discomfort at the patient.
For children and patients with sensitive mucosa or frequent nosebleeds, special ultra-thin tubes of the apparatus are used. This allows you to avoid injuries to the nasopharynx and carry out the procedure without complications.
What will endoscopy show?
Endoscopic examination allows you to look inside the nasopharynx and see its changes in the most detail. Especially often during the procedure revealed:
- injury to the nasopharyngeal mucosa;
- foreign bodies in the nasal cavity;
- pathology paranasal sinuses;
- deviated septum of the nose;
- neoplasms, including adenoids.
Conducting endoscopy of the nasopharynx, the doctor assesses the condition of the nasal mucosa, individual structures of the organs. The procedure allows almost without tissue injury to carry out surgical interventions removal of neoplasms in the nasal cavity. This kind surgical treatment effective only in the early stages. In more advanced cases endoscopy is not used.
With the help of an endoscope, the doctor determines the size of the neoplasm, the degree and rate of growth, the extent of the lesion. When conducting a study, it is possible to consider the nature of the adenoids (purulent, mucous, mucopurulent), which helps to correctly choose the tactics of treatment.
Endoscopy can identify the cause of hearing loss in children and the occurrence of speech problems. In such cases, the study is combined with tympanometry (diagnosis of the auditory tube).
Carrying out the procedure
Since the procedure is simple, it does not cause inconvenience due to local anesthesia and takes a little time, it does not require special preparation. For endoscopy, it is necessary to mentally prepare the child for the fact that you have to sit still for some time.
It is necessary to explain that this will not cause pain, so that the baby is not afraid of the procedure. Otherwise, parents will have to hold the child and reassure after the examination is completed.
Before the introduction of the tube, its end is treated with a gel with lidocaine. Sometimes a special one is used, which is sprayed into the nasal cavity. The child reports the onset of the drug as a tingling sensation in the nose.
During the procedure, parents hold the child to prevent jerky movements and not accidentally injure the nasal mucosa. Sometimes the doctor shows the baby what he sees on the screen in order to distract and interest the little patient.
The procedure for diagnostic purposes does not take more than 20 minutes. There should be no discomfort or pain afterwards. Materials filmed during endoscopy can be handed out to the patient. Sometimes the patient is given only a doctor's opinion.
The success of the procedure largely depends on how the preparatory stage goes. The results of the study can also be influenced by the patient's condition during endoscopy. Therefore, sometimes it is necessary to abandon the procedure if the child is under great stress, and it is better to prepare him for the next visit to a specialist.
Video: Endoscopy of the nose in children
In most cases, the following research methods are prescribed: rhinoscopy, radiography, ultrasound examination of the sinuses. If these methods do not provide comprehensive information, endoscopy of the nose and nasopharynx is prescribed. It has a budgetary cost and allows you to reduce the time and money for diagnosing pathology.
The essence of the method
This method is based on examining the inside of the nasal passages with a thin endoscope. Its diameter does not exceed 2-4 mm. At one end there is a camera and a flashlight, thanks to which the image is transmitted. The outer end is equipped with an eyepiece. Thanks to this structure, the doctor can examine in detail the relief of the mucous membrane and nasal passages.
Does it hurt?
To the question “does it hurt during the examination of the nasal cavity?” - the answer can be unequivocally - no. The procedure is absolutely painless and non-traumatic. Minor discomfort may be present in the presence of structural anomalies, such as a deviated septum.
Indications and contraindications
Examination of the nose with an endoscope is indicated in the following cases:
- Diseases of the nasal cavity -,.
- Inflammatory diseases of the paranasal sinuses - frontal sinusitis, ethmoiditis.
- Pathology of the upper respiratory tract - tonsillitis, pharyngitis.
- Allergic diseases - rhinitis, hay fever.
- Congenital or acquired developmental anomalies - curvature of the nasal septum.
- Frequent nosebleeds with no known cause.
- Respiratory failure, .
- Decrease or absence of smell, hearing, taste sensations.
- Facial trauma.
- Before rhinoplasty and during the recovery period.
- Persistent headache with an unexplained cause.
The procedure is not recommended if you are allergic to lidocaine. To relative contraindications include pathology of blood coagulation (coagulopathy, thrombocytopathy). For inspection with nosebleeds or mild mucosal vulnerability, a pediatric endoscope is used.
What can be seen with an endoscopy?
Examination with an endoscope allows you to determine accurate diagnosis, carry out control of treatment and some procedures. With endoscopy, the following pathology can be detected:
- Neoplasms (benign, malignant).
- Polyps.
- Thinning of the mucosa, ulcerative defects.
- Adenoids.
Endoscopy has advantages over others diagnostic procedures thanks to these features:
- the integrity of tissues is not violated;
- no special training is needed;
- can be performed at any age;
- allows you to evaluate the growth of adenoids in dynamics;
- it is possible to carry out differential diagnostics between the pathology of the nose and the upper throat;
- no recovery period.
How to prepare for research?
Before the procedure, it is not advisable to inject drops, ointments into the nasal cavity, carry out inhalations, smoke. It is not recommended to take stimulants (containing caffeine). During endoscopy, it is important to be in calm state and don't move. On the part of the doctor, it is necessary to explain to the patient all the stages and prevent any anxiety.
How to conduct?
The procedure has several stages:
- The patient is seated in a chair, tilting his head back a little.
- The nasal passages are cleared of mucus and vasoconstrictor drops are instilled.
- At the end of the endoscope, the doctor applies an anesthetic ointment or spray to the area being examined.
- The device is inserted into the nasal passage and examined.
- At the end, a conclusion is drawn up and treatment tactics are determined.
The image from the endoscope camera is displayed on the monitor, where it can be enlarged. If necessary, take a photograph of the affected area. The study takes 20 to 30 minutes. If identified benign tumor or a polyp, it can be removed directly in the otolaryngologist's office.
Endoscopy in children
Nasal endoscopy is performed at any age and has particularities when performed on a child. Inspection must be carried out in the presence of parents. Preschool children are placed on the lap of one of the adults. With one hand they fix the head in the forehead, with the second - they press their hands to chest. Common reasons for examining the nasal cavity in children are:
- foreign bodies;
- adenoids;
- polyps;
The anxiety of the child during the procedure is more related to the experiences of the parents than to the procedure itself. Therefore, it is so important for adults to maintain self-control.
Examination with an endoscope allows you to painlessly examine deep structures nose and accurately diagnose. It can be easily carried out in adults and children. A successful endoscopy requires modern equipment and a qualified otolaryngologist.
Useful video on how an endoscopic ENT examination is performed
