Nose Examination

The examination of the nose includes inspection of external and internal structures. Inspection of the nasal passage through an otoscope allows only for examination of the vestibule, anterior portion of the septum, and the inferior and middle turbinates.

Note any deformities or asymmetry of the nose.
When inspecting the nasal vestibule, note the color of the nasal mucosa as well as the presence of any bleeding, discharge, or swelling of the mucosa.
Note the presence of ulcers, or polyps.

Occasionally evaluation of sense of smell is performed.

Click on the video icon to see a demonstration of this portion of the examination.

Sinus Examination

In the healthy adult, the sinuses are not usually examined. However in patients with complaints that might indicate sinusitis, the examiner may evaluate the sinuses by palpation, percussion or sinus transillumination.