Know More About Ear, Nose and Throat Screening

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Know More About Ear, Nose and Throat Screening
Know More About Ear, Nose and Throat Screening

Ear, nose and throat screening is an initial examination of the ear, nose and throat (ENT). This examination is performed to detect diseases related to ENT

ENT screening is done by inspection and touch. In addition, the doctor will also use tools in the form of a headlight (headlight), a nose examiner (rhinoscope), an ear examiner (otoscope), a tongue depressor (tongue depressor), and a mouth mirror.

Know More About Ear, Nose and Throat Screening - Alodokter

ENT screening can be done at home or in a he alth facility. If it is done in a clinic or hospital, the doctor can also check the ENT using a small tube equipped with a camera.

ENT Screening Indications

ENT screening is divided into ear screening, nose screening, and throat screening. Ear screening is required to establish the diagnosis in the following complaints:

  • Hearing loss
  • Ear ringing
  • Itchy ears
  • Ear hurts
  • ear infection
  • ear wax
  • Disorders of the membrane of hearing (tympanic membrane)

While the nose screening aims to diagnose complaints, such as:

  • Stuffy nose
  • Snoring
  • Sneezing
  • Cold
  • Rhinitis
  • Facial pain due to sinusitis
  • Loss of smell (anosmia)
  • Foreign object in nose
  • crooked nose
  • Nasal polyps

Meanwhile, throat screening is performed to determine the diagnosis in the following conditions:

  • Sore throat
  • Difficulty swallowing
  • Inflammation of the tonsils
  • Inflammation of the vocal cords (laryngitis)
  • Prolonged (chronic) cough
  • Coughing up blood
  • Bad breath (halitosis)
  • Respiratory disorders
  • Hoarseness that lasts more than 3 weeks

ENT Screening Alert

ENT screening should not be performed on people with the following conditions:

  • Under 1 year old
  • The mouth cannot be opened wide (trismus), for example due to tetanus
  • Infection or swelling of the epiglottis, the valve that lines the digestive tract and the respiratory tract in the throat
  • ear pain (otalgia)

Before ENT Screening

No special preparation should be made before ENT screening. However, patients will be advised to fast a few hours beforehand if they are concerned that they will feel uncomfortable or nauseous during the examination.

Before the ENT screening is carried out, the patient will be asked to sit upright in a still position.

ENT Screening Procedure

First of all, the doctor will first explain what the ENT screening procedure looks like. The goal is for the patient to feel comfortable during the examination and know what to do during the examination.

The ENT screening procedure is divided into three, namely ear screening, nose screening, and throat screening. Here is the explanation:

1. Ear screening procedure

Child patients will be placed on the examination table in a reclining position with their head facing the side, or leaning on an adult's chest.

Meanwhile in adult patients, the examination can be performed in a sitting position with the head tilted towards the shoulder opposite the side of the ear to be examined.

The next steps the doctor will take are as follows:

  • Examine the outer ear, such as seeing the size and shape of the earlobe, detecting injuries or sores on the earlobe, and detecting signs of infection or inflammation in the outer ear
  • Gently pull the earlobe back to straighten the ear canal
  • Inserting the tip of the otoscope into the patient's ear
  • Observing the inside of the ear and eardrum

If needed, the doctor will first clean the earwax so that the inside of the ear canal and eardrum can be seen more clearly

2. Nose screening procedure

First, the doctor will examine the nose as a whole, such as looking at the size and shape of the nose, lumps, or deformities of the nasal bones. After that, the next step is:

  • Lift the nostrils up to get a deeper view of the nose
  • Ask the patient to inhale and exhale while closing one nostril to detect obstruction
  • Check for signs of inflammation of the inner lining of the nose, nasal polyps, and foreign bodies in the nose

3. Throat screening procedure

The doctor will first examine the condition of the oral cavity as a whole, namely the lips, lining of the mouth, teeth, gums, palate, tongue, and throat. Next, the doctor can perform the steps below:

  • Checking the patient's throat with the help of a mouth flashlight and holding the patient's tongue with a tongue depressor
  • Using a mirror to see the condition of the vocal cords

After ENT Screening

The doctor will tell the patient the results of the examination to the patient. The doctor will also notify the patient if further ENT examination is needed.

To relieve symptoms, the doctor may suggest certain treatments and prescribe medications, especially if the screening results are abnormal.

ENT Screening Complications

ENT screening is a safe procedure. However, sometimes ENT screening can be uncomfortable and a little painful, especially when the probe is inserted into the ear, nose, or throat.

In some cases, the pointed tip of the otoscope can irritate the lining of the ear canal and cause bleeding. However, this is very rare. Meanwhile, throat examination also sometimes triggers the urge to vomit (gag reflex).

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