Examination of the Nasal Cavity and Paranasal Sinuses

Prior to instrumental examination, the nasal pyramid and maxillae should be inspected and palpated. Nasal deformities of the dorsum, tip or columellae may indicate internal alterations. Crepitation or pain on palpation will disclose fractures of nasal bones. Skin colour and texture and scars or wounds should be assessed. Nasal flapping and alar collapse should also be examined.