On examination of osteocartilagenous framework and the skin
of the nose, it looks normal in shape and size (Mid face). No gross deformity like
hump nose, depressed or deviated nose visible on examination from lateral
profile. There is no widening of nasal dorsum. No swelling or lump in the area adjacent
to the nose. No scars, sinus, change in color of skin and any ulceration
On palpation of nose, there is no local rise in temperature
or tenderness. No fixity of skin, no thickening of soft tissue and No
crepitation.
On performing the spatula test, mist formation is equally present
bilaterally suggestive of bilateral nasal patency.
There is equal movement of cotton on performing cotton wool
test.
There is no furuncle, fissure, crusting, and there is no
caudal dislocation of nasal septum. No grossly visible pathology with in nasal
cavity.
The opening of nasal cavity is wide/narrow or adequate. The
mucosa looks normal pink and moist. There is no discharge or any other mass. On
examination of nasal septum there is no deviation, no perforation, no septal
bulging and no any ulceration or growth.
The Mucosa of the nasal turbinate looks pink and moist. The turbinates
are not hypertrophied/ atrophied. There is no discharge from the middle meatus.
On performing posterior rhinoscopy, the normal structures
like opening of ET tube, Choana, posterior end of the septum and turbinates can
be visualized. There is no mass on anterior side. There is no post nasal discharge.
PARANASAL SINUS
The area over the soft tissue of cheek, lip, lower eyelid, Upper eyelid,
forehead, root of nose, orbital margin and its content look normal. There is no
swelling or redness. There is no proptosis.
On palpation over the canine fossa, medial aspect of the
root of the orbit and deep to medial canthus, there is no tenderness.
