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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.

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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.

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.

Nasal Turbinate Hypertrophy

 

What Is Nasal Turbinate Hypertrophy?

Nasal turbinate hypertrophy occurs when the turbinates, small structures within the nasal passages that help filter and humidify the air we breathe, become enlarged or swollen. This condition primarily affects the inferior turbinates, which are located at the bottom of the nasal cavity. Normally, these turbinates regulate airflow and maintain healthy nasal function by controlling humidity and filtering out particles. However, when the soft tissue covering these turbinates becomes irritated due to allergies, infections, environmental factors, or other irritants, it can swell, leading to nasal blockage.

In cases of chronic irritation or inflammation, the turbinates can become permanently enlarged, significantly obstructing airflow. This condition can cause symptoms like persistent nasal congestion, difficulty breathing through the nose, snoring, and a reduced sense of smell. Turbinate hypertrophy can occur on one or both sides of the nose, and the severity of symptoms varies depending on the degree of enlargement.

If untreated, nasal turbinate hypertrophy can impact quality of life, as the ongoing nasal blockage may lead to disrupted sleep, sinus infections, and chronic mouth breathing.

What Are Inferior Turbinates?

Inferior nasal turbinates are located inside your nose on either side of your nasal septum. They are bone covered with erectile soft tissue that helps create turbulence inside the nose to warm, purify and humidify the air that we breathe. The soft tissue covering expands and contracts which can give you the sensation of congestion and clear breathing, respectively.

What Else Can Block My Breathing?

There are many conditions that can obstruct airflow in the nose. A deviated septum or enlarged inferior turbinates are two of the more common causes. You may also have nasal valve collapse which is an extreme narrowing of the already narrow areas inside the nose. Nasal polyps can block airflow as well.

Causes Of Nasal Turbinate Hypertrophy

Viral and bacterial infections including sinusitis can cause severe nasal congestion. Allergies cause the nose to swell also blocking breathing. Rare causes include tumors or autoimmune disorders. Your otolaryngologist can look inside your nose and let you know what is causing your congestion.

Common Signs And Symptoms

Some of the symptoms of nasal turbinate hypertrophy include:

  • Altered sense of smell
  • Forehead pressure and facial pain
  • Chronic nasal congestion
  • Runny nose
  • Snoring

Nasal Turbinate Hypertrophy Risk Factors

Common risk factors of nasal turbinate hypertrophy include:

  • Living in an urban dense population
  • Constant seasonal change
  • Constant temperature changes

How Can I Medically Treat Nasal Turbinate Hypertrophy?

Avoiding anything you are allergic to or taking antihistamines like Claritin may help reduce nasal congestion caused by allergies. Saline rinses can wash out dust and mucous from the nose that may make your breathing better. Discontinuing medications that cause nasal congestion can help you breathe better as well. Decongestant pills or sprays  can open the nose but may cause increased blood pressure or rebound congestion. Nasal steroids can also decrease swelling inside of the nose. Montelukast sprays can improve nasal congestion, as well.

How Can We Help?

Dr. Moustafa Mourad is a highly skilled specialist in nasal surgery, with extensive expertise in performing procedures like inferior turbinate reduction. This type of surgery is often recommended for patients suffering from chronic nasal obstruction caused by conditions such as turbinate hypertrophy, where the soft tissues inside the nasal passages become enlarged, blocking airflow. Dr. Mourad’s expertise in nasal surgery covers a wide range of procedures aimed at improving nasal function, resolving breathing issues, and enhancing the overall quality of life for his patients.

At Dr. Mourad’s Upper East Side practice, you will receive a personalized evaluation to identify the specific factors contributing to your nasal obstruction. The consultation begins with a comprehensive medical history review, focusing on any symptoms or conditions affecting your nasal passages, such as chronic congestion, allergies, or sinus infections. Dr. Mourad will listen closely to your concerns to gain a full understanding of how your nasal issues are affecting your daily life and well-being.

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