Nasal Obstruction Surgery

It’s all about your breathing. At every moment you are breathing through your nose. If a problem occurs and your nasal passages begin to narrow or become obstructed, your body has to exert more effort in order to breathe properly.  For this reason, nasal obstruction can significantly affect your quality of life, as it will cause fatigue, tiredness, loss of energy, and snoring.

 Breathing Problems 300x199 Nasal Obstruction Surgery

What causes nasal obstruction?

There are many structures in the nose that may contribute to nasal obstruction and each can be treated to make breathing easier:

  • Deviated septum
  • Collapsing nose
  • Narrow valves in the nose
  • Bony spurs inside the nose
  • Nasal septal perforation

 

Why choose Dr. Kulbersh to treat your nasal obstruction?

The most critical part of the treatment for nasal obstruction is a thorough examination by a specialist in either ENT or facial plastic surgery. ENT and facial plastic surgeons are the only doctors that spend their entire training focused on the anatomy, physiology, and function of the structures of the face.  Dr. Kulbersh not only completed his fellowship training in facial plastic surgery, but also did a 5-year residency training in ENT.  His specialty training provides the patient with the highest level of nasal obstruction expertise.

 

How do you fix a deviated septum?

The septum is composed of cartilage and bone that separates the right and the left nasal passageway.  If it is not properly centered, it can narrow the nasal passageway.

The septum can be deviated in many locations: the front, back, middle, upper or lower.  In many cases, a deviated septum can be fixed with a short surgical procedure called septoplasty. The incisions for this surgery are hidden inside of the nose.

Deviations that are closer to the front of the nose will require a more specialized technique to adequately correct this issue.

 

How do you correct a collapsing nose?

Think of your nose as a house. The part you see is like the roof of a house and is supported by the underlying bones and cartilage.  If the underlying support has been damaged, the roof caves in and obstructs the nose and the air passages. A collapsed nose often occurs after a previous rhinoplasty or after facial trauma.

If the nose is collapsed from previous surgery or trauma, Dr. Kulbersh performs a “reverse rhinoplasty.” During a normal rhinoplasty, cartilage is being removed in some places and added to other areas for support.  In a “reverse rhinoplasty” cartilage is taken from the nose, ear, or possibly the rib to reconstruct and properly support the collapsing nose. Adding new cartilage rebuilds a strong foundation to create a nose that will last a lifetime.

 

What is the treatment for narrow valves in the nose?

There are 2 valves in the nose, the internal and external nasal valves.  During your examination, these valves are inspected to see if there is narrowing causing a nasal obstruction.

If your valves are narrowing, a septorhinoplasty is preformed to place grafts, or spreader grafts in the region to enlarge the area and allow you to breathe more easily again.

 

How do you remove bony spurs inside of the nose?

The septum has a bony component that can develop an extension that budges into the airway.  This can cause obstruction to the nasal airway.

These bony spurs can be corrected with a short surgical procedure, septoplasty, with incisions hidden inside of the nose.  The bony spur is removed with a small chisel to open the airway.

 

How do you treat nasal septal perforation?

A septal perforation is a hole in the septum.  The hole changes the normal flow of air in the nasal passageway causing turbulence. This change in the flow of air into your nose creates a feeling of nasal obstruction.

A complete medical exam is completed to identify the cause of your septal perforation.  The likely causes are trauma, injury from previous surgery, cocaine, or an autoimmune disease.  If Dr. Kulbersh suspects an autoimmune disease, he will refer the patient to a specialist.  As in all cases, if there is a non-surgical treatment option, Dr. Kulbersh will attempt it first.  In this case, simply humidifying the nose with nasal saline may be all that is needed.  If this is unacceptable, then the hole can either be closed with insertion of a small plastic button or with a surgical procedure to close the hole.

 

How is turbinate hypertrophy treated?

Each nasal passageway has 3 sets of turbinates.  They are long curved cylinders that run from the front to the back of the nose.  They swell and shrink during the day to regulate nasal breathing.  This is referred to as the nasal cycle. Turbinates can become abnormally enlarged and obstruct your breathing for a variety of reasons, such as allergies, trauma, or genetics.

Turbinate hypertrophy is initially treated with nasal sprays in an attempt to shrink the tissues.  If this non-surgical approach is unsuccessful, then the turbinates can be conservatively reduced in a minor surgical procedure.

Watch Dr. Kulbersh Discuss the Best Procedures to Enhance Nasal Breathing


Nasal Obstruction Frequently Asked Questions

 

Q: What is a deviated septum?

The nasal septum separates the right and left nasal cavities. It is made of cartilage and bone. Deviated or bent portions of the nasal septum can be caused by traumatic injury to the nasal structure or by a congenital abnormality. When the septum is significantly deviated it can block the nasal airway. A deviated septum can also block the outflow of the sinus passages, leading to chronic sinusitis.

 

Q: Will rhinoplasty surgery help me breathe better?

Yes. Rhinoplasty surgery can improve your breathing. Dr. Kulbersh can use techniques so that your airways are open and you are able to breathe through your nose more easily.

 

Q: What is recovery like after nasal obstruction surgery?

This varies depending on the cause of nasal obstruction and the required procedure to correct the problem. During your consultation and examination with Dr. Kulbersh, he will explain what you should expect in terms of recovery.

 

Q: What are some of the newest procedures Dr. Kulbersh learned in Beverly Hills to treat a deviated septum or treatment of nasal obstruction?

While in Beverly Hills for his fellowship, Dr. Kulbersh learned cutting edge procedures and the best way to utilize superior products, which he brought to the Charlotte region to correct the deviated septum.  One of these products is a thin dissolvable plate, the PDS plate, which is attached to the crooked septum to support and straighten it.

 

If you are suffering from nasal obstruction, schedule a consultation with Dr. Kulbersh today so he can help you breathe with ease again.