@vkzimmer50
Yes the nasal scope is an in office procedure. It starts with a nasal spray that numbs your nasal passages. You have to wait about 10 minutes for it to work.

At that point ENT will bring a catherter type camera (it is very small) that generates a video of your sinuses as they move in and into your sinus cavities. It is displayed on a large screen as ENT maunavers it. I can see it as it is being done.

Depending on your symptoms they will look for causes. At the end they will replay the video and show you any areas of concern and then discuss treatments. I have polpys but have been kept retarded by a nasal spray. The ENT could see my prior two surgeries where they opened up my sinus drainage.

They have noticed increased mucus and changed my nasal sprays to help with that and it did.

It is completely painless. The only thing I have felt is a funny tiggleing type feeling. I have one done every 6 months.