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Nasal Valve Collapse

What is Nasal Valve Collapse?

Nasal valves, crucial areas within the nose, can sometimes become narrow, leading to breathing difficulties. There are two main types of nasal valves: the “internal” and “external” nasal valves. 

  • The external nasal valve corresponds to the nostril and is composed of the ala, the round fleshy area on the sides of the nose, supported by cartilages located in the nose tip. 
  • The internal valve resides inside the nose, between the nasal septum and the lowest section of the upper lateral cartilage, which are cartilages located on the sides of the nose.

Understanding Nasal Valve Issues

Numerous factors can cause nasal congestion and blockage, including a deviated septum, enlargement of nasal tissues (known as inferior turbinate hypertrophy), nasal polyps, allergies, and inadequate support on either side of the nose during inhalation. Ideally, the nasal valves should resist airflow when breathing in. However, weakened cartilages can cause one or both nasal valves to collapse inward, resulting in blockages and nasal congestion.

It’s not uncommon for blockages to be a combination of these factors. Accurate diagnosis and effective treatment options for nasal valve collapse require a comprehensive evaluation by a specialist.

Consult a Specialist

 

Recognizing the Symptoms of a Collapse

CAUSES OF EXTERNAL NASAL VALVE COLLAPSE

External nasal valve collapse is evident when one or both nostrils partially or completely close when inhaling. On the other hand, internal valve collapse may be less noticeable externally but causes significant narrowing in the upper middle portion of the nose during inhalation. To aid in diagnosis, lifting the skin around the nose or using common aids like “Breathe-Rite” strips can alleviate blockages caused by the internal nasal valve. Additionally, you might observe an upside-down triangle under the nasal bones on the outside of your nose, indicating an “inverted-V deformity,” which is more common after nasal trauma or aggressive nasal surgery.

CAUSES OF INTERNAL NASAL VALVE COLLAPSE

Weakness or an upward orientation of the cartilages in the nasal tip can lead to narrowing of the external valves during inhalation, causing an internal nasal valve collapse. If you’ve undergone previous rhinoplasty, the lower lateral cartilages may have been partially removed, weakening the external valves. Conditions such as widening of the skin and cartilage between the nostrils or a deviated septum into one nostril can also contribute to external valve narrowing.

TREATMENT OPTIONS FOR A COLLAPSED NASAL VALVE

Several treatments can alleviate nasal valve collapse symptoms. Medications, such as nasal steroids like Flonase and antihistamines like Claritin and Zyrtec, may reduce swelling inside the nose and improve breathing. Nasal saline rinses can cleanse the nose and enhance the feeling of openness. Decongestants, like pseudoephedrine, can reduce nasal swelling. For immediate relief, Breathe-Rite strips can open the valves by exerting outward pressure on the nose.

NASAL VALVE REPAIR BY A SPECIALIST

If over-the-counter and prescription medications prove ineffective, nasal valve surgery may be necessary to improve breathing. If you’re experiencing symptoms of Nasal Valve Collapse in NYC and seeking expert care, contact us today to regain the quality of life you deserve.

REPAIR OF NASAL VALVE COLLAPSE IN NEW YORK – CONSULT A SPECIALIST

Nasal Valve Collapse Surgery Before and After

In Need of a Nasal Valve Collapse Surgery?

Learn More About A Collapsed Nasal Cavity

How serious is a valve collapse?

How serious is a valve collapse?

Nasal valve collapse can range in severity from mild to more serious cases. Patients with nasal valve collapse may experience chronic nasal obstruction, which can significantly impact their nasal breathing. The condition can be caused by various factors, including weakened cartilage in the nasal structure or enlarged turbinates. It’s crucial to seek treatment for nasal valve collapse, as it can affect the overall quality of life for individuals with this condition.

What happens if a collapsed nose is left untreated?

What happens if a collapsed nose is left untreated?

Leaving nasal valve collapse untreated can lead to persistent symptoms of nasal obstruction, restricted airflow through the nasal passages, and increased pressure within the nasal cavities. Patients with nasal obstruction may find it challenging to breathe comfortably, affecting their daily activities and overall well-being. Without intervention, the condition may worsen over time, making treatment for nasal valve collapse a critical consideration.

How long does it take for a collapse to heal?

How long does it take for a collapse to heal?

The healing time for a collapsed internal nasal valve can vary depending on the severity of the condition and the chosen treatment approach. While some individuals may experience relief from symptoms relatively quickly, others may require more extensive interventions such as nasal valve repair or cartilage grafting. A patient’s outlook for nasal valve collapse treatment should be discussed with a healthcare professional, taking into account the specific case and treatment plan.

Can you live with a collapsed nasal valve?

Can you live with a collapsed nasal valve?

Patients with nasal valve collapse can continue to live their lives, but the condition can significantly impact their quality of life. Chronic nasal obstruction and breathing difficulties can be challenging to manage on a daily basis. Seeking treatment for nasal valve collapse can help improve nasal airflow and alleviate these symptoms, ultimately enhancing the overall well-being and comfort of individuals with the condition.

How common is nasal valve collapse?

How common is nasal valve collapse?

Nasal valve collapse is not uncommon, and it can affect people of various backgrounds and ages. It may be more prevalent in individuals who have had previous nasal surgery or those with certain nasal structural issues. The condition’s indication often becomes apparent through symptoms such as chronic nasal obstruction, making it essential for patients with nasal valve collapse to explore treatment options, including surgery for nasal valve repair or other appropriate interventions.

Are there different types of collapsed valves, and do they require different treatments?

Are there different types of collapsed valves, and do they require different treatments?

Yes, there are different types of nasal valve collapse, including external and internal collapse. External valve collapse affects the nostrils’ outer portions, often due to weakened cartilage or previous nasal surgery. Internal valve collapse occurs within the nasal structure and can be caused by factors like a deviated septum or enlarged tissues. Treatment of nasal valve collapse varies based on the type and severity of the collapse, with options ranging from non-surgical approaches like nasal valve dilators to surgical interventions like cartilage grafts or plastic surgery.

What role does nasal valve function play in overall nasal airflow and breathing?

What role does nasal valve function play in overall nasal airflow and breathing?

Nasal valve function is pivotal in regulating the flow of air through the nasal airway during inspiration. The nasal valves act as gatekeepers, ensuring efficient and controlled airflow. When functioning correctly, they facilitate comfortable breathing. However, if there’s nasal valve collapse or dysfunction, it can impede the flow of air, leading to symptoms such as chronic nasal obstruction and difficulty breathing.

Is nasal valve collapse linked to previous nasal surgeries or trauma?

Is nasal valve collapse linked to previous nasal surgeries or trauma?

Yes, nasal valve collapse can be linked to previous nasal surgeries or trauma. Procedures like rhinoplasty may involve altering the nasal structure, potentially affecting the nasal valves: nasal valve collapse after rhinoplasty is always a potential complication. Trauma, such as nasal fractures, can also lead to nasal valve issues. Scar tissue formation, changes in cartilage, or weakened nasal structures due to surgery or trauma can contribute to nasal valve collapse.

Can nasal collapse be diagnosed through nasal endoscopy or other tests?

Can nasal collapse be diagnosed through nasal endoscopy or other tests?

Yes, nasal valve collapse can be diagnosed through various tests, including nasal endoscopy. During a nasal endoscopy, a thin tube with a camera is inserted into the nasal passages to visualize the nasal structure. This allows healthcare professionals to assess the nasal valves and determine if collapse is present. Other tests, such as rhinomanometry or prospective studies, may also be used to evaluate nasal valve function and diagnose nasal valve collapse. These diagnostic tools help inform the treatment of nasal valve collapse and the selection of appropriate interventions.

Sinus Infection

What Is A Sinus Infection (Sinusitis)?

Sinus Infection

Inside your nose, there is a series of connected spaces that drain mucus into the nasal cavity. When these spaces swell they can become blocked and infected. Causes of a sinus infection include; the common cold, allergic rhinitis, or a  deviated septum. Symptoms may include, facial pain and pressure, headaches, green or yellow nasal discharge, severe nasal congestion, and fatigue. Sinusitis will usually go away within a few days with rest, hydration and Vitamin C. However, when your symptoms last more than one week or suddenly worsen, chances are you have a bacterial sinus infection and it is time to see your doctor for antibiotics.

Is A Deviated Septum or Nasal Congestion The Same As Sinusitis?

No. But having a deviated nasal septum or nasal congestion can both cause your nose to become more congested and make you more likely to get sinus infections. Every nasal septum is a little crooked but when they are severely deviated enough to block your breathing or plug your sinuses then they are termed a “deviated nasal septum”. You can have nasal congestion from allergies, generalized swelling of your nasal tissue or a common cold.

If I Have A Headache, Do I Have A Sinus Infection?

Most headaches are unrelated to the sinuses. Although, sinus infections can cause headaches. Sinusitis headaches are usually accompanied by facial congestion, fatigue, and discolored nasal discharge. There are situations where the only sign of a sinus infection can be a headache. In these situations, a sinus CAT scan (detailed X-rays of the sinuses) may be needed to look for obstruction or inflammation of the sinuses.

How Do I Treat My Sinus Infection?

For the first few days you can hydrate, get plenty of rest, avoid caffeine and alcohol, rinse your nose with saline (Neti pot), and take Vitamin C. If your symptoms continue for greater than one week or suddenly your headaches worsen or your nasal discharge becomes thicker and more discolored, you most likely have a bacterial sinus infection requiring antibiotics. Your doctor can prescribe an antibiotic that targets the most likely causes of your sinusitis. Your physician may also prescribe a topical or oral steroid to help speed the decrease of inflammation inside your sinuses. An otolaryngologist has the highest amount of training inside the nose and has endoscopes to actually look inside your nose at the sinuses.

Sinus Infection

When Do I Need Surgery?

Acute sinusitis is when you have a sinus infection that lasts less than one month. Chronic sinusitis is when you are having a constant sinus infection that doesn’t go away with antibiotics and steroids. Either of these can significantly decrease your quality of life. Having multiple episodes of acute sinusitis per year or having chronic sinusitis that has failed medical treatment are both good reasons to consider sinus surgery. Decreased quality of life would include missing school or work, suffering frequently or through long periods with sinusitis symptoms, depression or constant fatigue.

Preparation For Sinus Surgery

You will meet with Dr. Mourad where he usually spends an hour going over everything related to your surgery. He will evaluate and make sure that he can specifically tailor a custom care plan to your exact needs. During the consultation, Dr. Mourad will determine the exact nature of your complaints and the exact causes. He may prescribe medications that will assist in your complaints. Once a tailored plan is made, Dr. Mourad and his staff will take you through all the necessary information needed to make sure that your surgery happens without issue. We take care of the details so that you can have the most enjoyable experience.

Dr. Mourad views treating his patients to be nothing short of a privilege and an honor and enjoys taking the time to get to know his patients and fully understand their issues. Dr. Mourad’s office provides a boutique experience that takes you out of the mindset of being at the doctor’s office. It is a warm, comfortable environment, providing a bespoke experience.

Schedule A Consultation With Dr. Mourad

What Is Sinus Surgery?

The spaces inside of your nose have tiny openings and channels that connect to each other and to both sides of the nose. Sinus surgery widens the channels and removes most of the walls of these spaces which prevents your sinuses from obstructing and allows them to drain more freely. Having more open spaces prevents the pressure from building up in your nose and decreases the frequency and severity of your sinus infections. Sinus surgery also allows saline rinses and topical medications to better access the open areas inside of your sinuses.

Chronic Sinusitis

What is Chronic Sinusitis?

Chronic sinusitis, also known as chronic rhinosinusitis, is a prolonged inflammation of the sinus and nasal passages. This condition typically lasts more than 12 weeks, resulting from persistent inflammation that causes the sinus cavities to swell and obstruct the normal drainage of mucus. Sinusitis can be classified into three types based on duration:

  • Acute Sinusitis: Lasts less than 6 weeks and is characterized by sudden onset symptoms like nasal congestion, facial pain, and a runny nose.
  • Subacute Sinusitis: Lasts between 6 and 12 weeks, with symptoms that are less severe than chronic sinusitis.
  • Chronic Sinusitis: Lasts more than 12 weeks and involves prolonged inflammation, recurrent sinusitis, and recurring infections.

Common Symptoms of Chronic Sinusitis

Patients with chronic sinusitis often experience a range of symptoms that can significantly impact their quality of life:

  • Nasal Congestion: Persistent stuffy nose and difficulty breathing.
  • Facial Pain and Pressure: Especially around the eyes, forehead, and cheeks.
  • Reduced Sense of Smell: A common sign of nasal blockage and inflammation.
  • Postnasal Drip: Mucus drainage down the back of the throat.
  • Runny Nose: Continuous nasal discharge, often thick and discolored.
  • Ear Pain: Resulting from pressure changes or inflammation spreading to the ears.
  • Headaches: Frequent headaches due to sinus pressure.
  • Dental Pain: Pain in the upper teeth due to maxillary sinus pressure.

What Causes Chronic Sinusitis?

Chronic sinusitis is typically caused by conditions that narrow or block the drainage channels between the sinuses and the nasal cavity, leading to mucus buildup and bacterial infections.

Primary causes and risk factors include:

  • Allergies: Especially to pollen, animal dander, and dust mites, which can trigger inflammation in the nasal passages, leading to swelling and obstruction of the sinus drainage pathways.
  • Asthma: Patients with asthma are more prone to developing chronic sinusitis due to the persistent inflammation associated with asthma.
  • Nasal Polyps: Noncancerous growths in the nasal passages that can block sinus drainage, contributing to chronic inflammation.
  • Structural Abnormalities: Such as a deviated nasal septum or narrow sinus outflow tracts, which can impede mucus drainage, creating an environment conducive to bacterial growth and infection.

In addition to allergies, other factors that can contribute to chronic sinusitis include:

  • Fungal Infections: Less common but can occur in patients with weakened immune systems or chronic respiratory conditions, leading to fungal sinusitis.
  • Bacterial Infections: Often secondary to viral infections, these can cause inflammation and lead to chronic bacterial sinusitis.
  • Viral Infections: Frequently the initial trigger for sinus inflammation, which can then become chronic if not properly managed.
  • Underlying Health Conditions: Autoimmune diseases and other chronic respiratory conditions that cause chronic inflammation in the nasal and sinus passages.

How are Chronic Sinus Infections Treated?

The treatment of chronic sinusitis aims to reduce inflammation, eliminate the infection, and restore normal sinus drainage. Medical treatment is usually the first line of defense and involves a combination of medications to address both the bacterial infection and the inflammation.

Medical Treatment Approaches for Sinus Infections

  • Antibiotics: Commonly prescribed to reduce the bacterial load within the sinuses and clear bacterial infections. This is crucial in cases of bacterial sinusitis.
  • Nasal Corticosteroids: Available as nasal sprays, these help reduce swelling in the nasal passages, improving mucus drainage and alleviating symptoms like nasal congestion and postnasal drip.
  • Oral Corticosteroids: Used for more severe symptoms or when nasal polyps are present to manage chronic inflammation.
  • Antihistamines: Effective in managing allergy-related symptoms by blocking the body’s allergic reaction, reducing nasal inflammation, and preventing further complications.
  • Nasal Irrigation with Saline Solutions: Helps clear mucus and allergens from the nasal passages, reducing inflammation and promoting mucociliary clearance.
  • Management of Allergies: Including allergy testing to identify specific triggers and allergy shots (immunotherapy) to build resistance to those allergens.

Effective management of chronic sinusitis involves addressing underlying conditions and lifestyle factors. This includes dealing with nasal blockage caused by structural abnormalities, such as a deviated septum, which is crucial for effective sinusitis management. Allergy management is also essential, involving allergy testing and shots to reduce inflammation by minimizing exposure to allergens. Additionally, treatment plans should consider the possibility of fungal sinusitis or bacterial infections, which may require specific medications to effectively address these underlying causes.

What is Sinus Surgery?

When medical treatment fails to provide relief, sinus surgery may be necessary to address chronic sinusitis. The main goal of sinus surgery is to improve sinus drainage by widening the natural channels within the sinuses and removing any obstructions, such as polyps or scar tissue.

There are several types of sinus surgery that can be performed depending on the severity and location of the sinusitis:

  • Functional Endoscopic Sinus Surgery (FESS): FESS is a minimally invasive procedure performed using a high-powered camera on the end of a lighted tube called an endoscope. During FESS, the surgeon can magnify the sinus cavities onto a video monitor, allowing precise removal of infected or inflamed tissue. This surgery is typically performed under general anesthesia, ensuring that the patient remains comfortable and relaxed. FESS is highly effective in opening blocked sinus passages, improving drainage, and reducing the frequency and severity of sinus infections.
  • Balloon Sinuplasty: Balloon Sinuplasty is another minimally invasive procedure used to treat chronic sinusitis. During this procedure, a small balloon is inserted into the sinus openings and then inflated with water. The inflation of the balloon widens the sinus passages, allowing for better drainage of mucus and reducing sinus pressure. Balloon Sinuplasty is particularly effective for patients with less severe forms of sinusitis and is often performed under local anesthesia. However, this procedure is not suitable for patients with nasal polyps or more complex sinus conditions like ethmoid sinusitis.
  • Image-Guided Surgery: In some cases, especially in revision surgeries or when the sinuses adjacent to the brain and eyes are involved, image-guided surgery may be used. This technique utilizes a 3D visualization system based on the patient’s CT scans to guide the surgeon during the procedure. Image guidance provides enhanced accuracy, particularly in delicate areas like the frontal sinuses, ethmoid sinuses, and sphenoid sinuses, where the risk of complications is higher.

Meet Dr. Moustafa Mourad in NYC about Chronic Sinusitis

Chronic sinusitis is a complex condition requiring careful diagnosis and a comprehensive treatment approach. While medical treatment is effective for many patients, surgery may be necessary when symptoms persist despite conservative measures. Functional Endoscopic Sinus Surgery and Balloon Sinuplasty offer minimally invasive options to improve sinus drainage and reduce chronic inflammation, significantly enhancing the quality of life for those suffering from chronic rhinosinusitis.

Working closely with a healthcare provider to develop a personalized treatment plan is essential for managing chronic sinusitis and preventing recurrent infections. With proper management, patients can achieve significant relief from symptoms and prevent future complications.