Antroscopy in outpatient management: a prospective study

Diagnostic nasal endoscopy

Endoscopy has gained wide popularity due to its protean applications and efficacy in many surgical specialties. Diagnosis and treatment of nasal diseases have advanced in the process. However, proper training in nasal endoscopy is critical. The nose is an intricate organ fundamentally and has such proximity to other vital structures that procedural miscues can cause serious complications. This paper traces the historical development of nasal endoscopy, explains its rationale, reviews anatomic and diagnostic issues, and describes the selection of equipment and correct application of technique, emphasizing the potential for advanced diagnostic skills.

Mucosal antral cysts observed within a London inner-city population

Mucosal antral cysts(MACs) appear as dome-shaped soft-tissue opacities and have prevalences of between 1.6% and 8.7% on otherwise normal panoramic radiographs. The aim of this survey was to define the prevalence in the inner-city population in London. A 14% prevalence for MACs was observed in the panoramic radiographs of 1000 consecutive patients attending King's College Hospital dental casualty department sited in inner London, which is higher than those reported for other populations. MACs were not significantly associated with the presence of signs and symptoms of periapical areas of bone loss. The differential diagnosis and management of these lesions are discussed.