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LETTERS TO EDITOR
Year : 2020  |  Volume : 14  |  Issue : 4  |  Page : 544-545

Point-of-care nasal ultrasonography: A novel technique using “hockey stick” probe


1 Department of Truma and Emergency, All India Institute of Medical Science, Bhubaneswar, Odisha, India
2 Department of Anaesthesia and Critical Care, PGIMER, Chandigarh, India
3 Department of Anaesthesiology and Critical Care, All India Institute of Medical Science, Bhubaneswar, Odisha, India

Correspondence Address:
Dr. Chitta R Mohanty
Department of Trauma and Emergency, All India Institute of Medical Science, Bhubaneswar - 751 019, Odisha
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sja.SJA_152_20

Rights and Permissions
Date of Submission25-Feb-2020
Date of Acceptance26-Feb-2020
Date of Web Publication24-Sep-2020
 


How to cite this article:
Mohanty CR, Saini V, Sethi S, Bellapukonda S. Point-of-care nasal ultrasonography: A novel technique using “hockey stick” probe. Saudi J Anaesth 2020;14:544-5

How to cite this URL:
Mohanty CR, Saini V, Sethi S, Bellapukonda S. Point-of-care nasal ultrasonography: A novel technique using “hockey stick” probe. Saudi J Anaesth [serial online] 2020 [cited 2020 Nov 30];14:544-5. Available from: https://www.saudija.org/text.asp?2020/14/4/544/295993



Sir,

Ultrasonography of upper airway has evolved in recent years but there is no mention of any technique for nasal ultrasonography to determine the nasal patency. Although a case was reported by Shah et al., there was no mention of the type of ultrasound probe and the position of the probe during ultrasonography.[1] In the present study, we describe a novel technique for an ultrasound of the nose with the help of the “hockey stick” probe (HSP) to obtain exact image during a routine examination in human volunteers. The small-footprint linear array transducer is also called a hockey-stick transducer and has a higher frequency compared with other transducers.[2] This transducer is used for evaluating small superficial structures as it has better image resolution.[2] It is not used for deeper structures because of its small field of view and limited depth penetration. The position of the probe and parts of the nasal cavity during ultrasonography using HSP is shown in [Figure 1] and [Figure 2]. This technique can be helpful for selecting correct nostril for nasotracheal intubation and nasogastric tube insertion. Thus, we have found HSP to be more effective for obtaining better quality image than the linear probe for point-of-care nasal ultrasonography. It can also help to diagnose deviated nasal septum in patients who should not be exposed to radiation.[3],[4]
Figure 1: Figure depicting the position of “hockey stick” probe for the nasal ultrasound and the corresponding image

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Figure 2: Figure depicting the ultrasound visualized nasal anatomy

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Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Shah SB, Pahade A, Chawla R, Goel N. Ultrasound for predicting the suitable nostril for nasotracheal intubation: Look before you leap! Saudi J Anaesth 2019;13:145-7.  Back to cited text no. 1
    
2.
Saini V, Samra T. Ultrasound guided supraclavicular subclavian cannulation: A novel technique using “hockey stick” probe. J Emerg Trauma Shock 2015;8:72-3.  Back to cited text no. 2
[PUBMED]  [Full text]  
3.
Chi SI, Park S, Joo L-A, Shin TJ, Kim HJ, Seo K-S. Identifying the more suitable nostril for nasotracheal intubation using radiographs. J. Dent Anesth Pain Med 2016;16:103-9.  Back to cited text no. 3
    
4.
Gossner J. Sonography of the nasal cartilage: Technique and normal anatomy. J Ultrasound 2014;17:317-9.  Back to cited text no. 4
    


    Figures

  [Figure 1], [Figure 2]



 

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