I truly feel more confident and prepared in my ability to perform nasal endoscopy and would absolutely recommend EndoSOM to other providers.
Ashley Mendoza, APRN, FNP-C
Allergy & ENT Associates
Bringing specialty diagnostics closer to the patient.
EndoSOM helps medical practices bring endoscopic visualization into the exam room, starting with nasal endoscopy in allergy care.
The EndoSOM Way combines our Adaptive Rhinoscopy™ clinical training approach with connected imaging, ENT specialist expertise, integrated workflows, and a complete operating model that helps practices integrate nasal endoscopy into everyday patient care.
THE ENDOSOM WAY IN PRACTICE
01 / CLINICAL METHOD
Adaptive Rhinoscopy™
Training & competency
Recognize · Adapt · Respond
02 / OPERATING MODEL
The EndoSOM Platform
Imaging · ENT expertise · Operations
Deploy · Connect · Sustain
01 / The challenge
Why isn’t nasal endoscopy routine in allergy care?
By the time patients see an allergist for persistent nasal congestion or sinus problems, many have already spent months trying over-the-counter medications and primary care visits
Yet at the allergist's office, directly visualizing what's happening deeper inside the nose often requires another referral to an ENT.
TRADITIONAL PATHWAY
Refer to ENT for visualization
Patients often face another referral, another appointment, and more waiting to find out what's causing their nasal issues.
WITH ENDOSOM
Bring nasal endoscopy into the practice
Trained allergy providers perform in-office nasal endoscopy with remote ENT specialists available for interpretation and consultation.
WhAT IT TAKES TO MAKE NASAL ENDOSCOPY ROUTINE
01 / CLINICAL READINESS
Training & competency
Hands-on instruction, procedural confidence, and clear clinical protocols.
02 / SPECIALIST SUPPORT
Interpretation & escalation
ENT input and defined pathways for consultation or referral.
03 / PRACTICE OPERATIONS
Workflow & reimbursement
Patient selection, documentation, scheduling, coding, and billing.
04 / SUSTAINABILITY
Utilization & ongoing support
Operational ownership, provider refreshers, and program performance.
From Training to Confidence
★★★★★
Highly recommended for any provider wanting to expand their diagnostic skills.
Hanieh Rotell, PA
Chacko Allergy
Dr. Shapiro’s expertise, patience, and clear instruction helped me feel confident and prepared by the end of the training.
Tosin Balogun, FNP-C
Allergy & ENT Associates
02 / The EndoSOM Way
A different way to perform nasal endoscopy
A complete way to support it.
01 / THE CLINICAL METHOD
Adaptive Rhinoscopy™
A structured, anatomy-adaptive training protocol that teaches clinicians to recognize patient-specific nasal anatomy, adjust their technique based on real-time procedural feedback, and make informed decisions about when to proceed, modify, pause, or escalate an examination.
01 /
Recognize — Identify anatomical variations and procedural cues
02 /
Adapt — Adjust technique to anatomy and patient response
03 /
Respond — Know when to proceed, pause, stop, or escalate
02 / THE OPERATING MODEL
The EndoSOM Platform
The examination happens in your practice. The EndoSOM Platform connects imaging technology, standardized workflows, ENT specialist expertise and ongoing operational support to help practices deliver nasal endoscopy without building the supporting infrastructure from scratch.
01 /
Deploy — Equip practices and establish clinical workflows
02 /
Connect — Integrate imaging, documentation, and ENT collaboration
03 /
Sustain — Support reimbursement, utilization, and ongoing operations
03 / HOW ENDOSOM WORKS
One connected workflow.
01 / PERFORM
Complete the exam in-office
A trained, qualified provider performs indicated nasal endoscopy during the patient visit.
02 / UPLOAD
Upload to the secure cloud
Exam images and video are securely uploaded to the EndoSOM platform for specialist access.
03 / REVIEW
Remote ENT review
An ENT specialist reviews the case asynchronously, with a target turnaround of 48 hours.
04 / REPORT
Findings back to the practice
Interpretation and recommendations are delivered back to the practice to guide appropriate follow-up.
THE DELIVERABLE
The images and interpretation, together.
A sample ENT interpretation report brings endoscopic images, documented findings, clinical assessment, and recommendations back to the treating practice.
THE ENDOSOM PLATFORM
Supporting every step.
Behind the clinical workflow: Adaptive Rhinoscopy™ training, standardized protocols, connected imaging, ENT collaboration, reimbursement readiness, and ongoing operational support.
04 / Who we serve
Allergy care
An allergy test doesn't visualize the nasal cavity.
Allergy testing identifies sensitization, but it doesn't reveal nasal anatomy, mucosal abnormalities or structural pathology. By incorporating nasal endoscopy into patient evaluations, Allergy professionals gain direct visualization and access to ENT expertise when needed.
Better diagnostic visibility. More informed treatment decisions. More efficient patient care.
05 / SUCCESS STORIES
What direct visualization revealed.
A clinical case review from an allergy practice using EndoSOM nasal endoscopy.
CHACKO ALLERGYALLERGY CARE
RETROSPECTIVE CLINICAL CASE REVIEW
20 SELECTED NASAL ENDOSCOPY ENCOUNTERS
What integrated nasal endoscopy revealed in an allergy practice.
Allergy testing identifies sensitization, but it does not visualize the nasal cavity. In a review of 20 selected encounters, nasal endoscopy documented polyps, evidence of chronic rhinosinusitis, and findings relevant to continued allergy care.
THE CLINICAL OPPORTUNITY
More information before the next treatment decision.
Direct nasal visualization complements allergy testing and helps clinicians characterize sinonasal findings that may inform patient management.
4/ 20
20% OF ENCOUNTERS
Nasal polyps
Four encounters were classified as primary nasal-polyp cases.
5/ 20
25% OF ENCOUNTERS
Objective CRS evidence
Five encounters had documented objective evidence of chronic rhinosinusitis.
10/ 20
50% OF ENCOUNTERS
Allergist-managed care
Ten encounters were classified as primarily appropriate for continued medical management by the allergist.
Clinical takeaway:Endoscopic findings can help distinguish nasal conditions that require different evaluation and management pathways.
Bring Specialty Diagnostics Into Your Practice