Today I have seen and used the future. In the form of a flexible rhinolaryngoscope (nose/throat endoscope). Here it is pictured wrapped up with its screen behind. The wrapped bit is the scope and it is recycled after use on one patient only. So it is never used on another patient and comes out of the wrapper sterile. So almost no chance of nosocomial (hospital acquired) infection. Cost £130. Cost of sterilising a digital HD rhinolaryngoscope £7. View: Bearable as against bril
Large, red tonsils like these are not normal and are likely to be causing quite a few symptoms. These range from chronic fatigue to tonsillitis, tonsil stones, bad breath, catarrh, sleep apnoea and snoring. To remove them completely is dangerous with a high bleeding risk, and very painful (NHS/dissection tonsillectomy). To shrink them right back by removing >90% by sequential intracapsular laser vapourisation under local anaesthetic spray is far nicer.
Postnasal drip, when patients have the sensation of fluid going down the back of the nose and into the throat, is quite a common symptom in the clinic. Often caused by allergy and/or sinus disease, the diagnosis is often one of exclusion since there is not much to be seen on examination. However, with the new High Definition digital endoscope we have, it is possible to directly inspect the postnasal space from below, revealing the posterior ends of the inferior turbinate far