Friday, April 19, 2024

Nasal Valve Collapse Treatment Without Surgery

What Is External Nasal Valve Surgery

Nasal Dilator to Treat Nasal Obstruction without Meds, Surgery, or Breath Right Strips

External valve surgery involves strengthening the cartilage and fleshy sides of the nostril with cartilage. This cartilage can be from your own septum, from your own rib, ears, or harvested from an organ donor. Using an open or closed nasal surgery, the cartilage is reshaped and reinforced to hold the external valves from collapsing.

How Is Inferior Turbinate Hypertrophy Treated

  • Medical treatment involves nasal sprays that help reduce the size of the turbinates such as nasal steroids or nasal antihistamines.
  • In- Office Procedures can be used to help shrink the turbinates such as coblation or radiofrequency ablation.
  • Surgical Procedures such as microdebrider or partial resection can be used for more dramatic and long lasting improvement.
  • Deviated Septum Treatment Without Surgery

    If your ENT has informed you that you have a deviated septum that needs to be dealt with, you might be considering nasal passage surgery . In the typical septoplasty, the nasal septum is straightened and repositioned in the center of the nose.

    What does it look like?

    You should always consult your otorhinolaryngologist/ENT for a complete list of of the risks, benefits, and alternatives to deviated septum surgery.

    But is there an alternative to this type of surgery? Yes!

    Thousands of people have used the Nasal Valve Support to resolve the issues with their nasal passages and, if surgery is not the right choice for them, have avoided ever having surgery.

    The Nasal Valve Support is a custom designed, discreet, effective, and reusable nasal insert that enables you to breathe comfortably through your nose. Developed, patented, and manufactured in the USA, it is highly effective for eliminating obstruction in the front part of the nose and thereby establishing a satisfying airflow, without causing any discomfort, irritation, or aesthetic embarrassment. It may actually improve your facial appearance by redefining the contours of your nose. No surgery or medication is needed. The Nasal Valve Support is absolutely free to try, with 100% money back guarantee and a two year warranty. It has been reimbursed by insurance, including medicare. It is reusable, durable, and lasts years.

    Here are just some of what Nasal Valve Support can help with:

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    Contact Us Today To See If You Are A Candidate For Latera


  • Value calculated based on 2014 US population estimate from US Census and World Bank data in conjunction with incidence numbers cited in Stewart et al. Epidemiology and burden of nasal congestion. Intl J Gen Med 2010 2010:3 37-45.
  • Crawford-Brown, Theoretical and Mathematical Foundations of Human Health Risk Analysis 1997, Page 103.
  • Rhee et al. Nasal Valve Surgery Improves Disease-Specific Quality of Life. Laryngoscope 115: March 2005.
  • Benefits Of The Latera Implant

    The Tripod Theory of Nasal Tip Support Revisited: The Cantilevered ...

    LATERA showed significant quality of life improvement for nasal obstruction patients with lateral wall of nasal valve collapse. While individual results may vary, LATERA patients saw the following improvements in:

    • Reduced nasal congestion or stuffiness
    • Less trouble breathing through the nose
    • Improved ability to get enough air through nose during exercise or exertion
    • Reduced nasal blockage or obstruction
    • Less trouble sleeping

    Patients experienced a reduction in nasal obstruction symptoms of 56% at 6 months, as measured by the NOSE survery. Patients got these results without negative cosmetic effects.

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    How Is Nasal Valve Collapse Diagnosed

    A comprehensive medical history and physical exam with close examination of the outside and inside of your nose is undertaken to properly diagnose any issues with the nasal valves. Furthermore, to properly identify any issues within the nose, a small endoscope is used to properly visualize the small structures within the nose, front to back, in addition to identifying any other issues that may be present and causing nasal blockages such as a deviated septum, enlarged turbinates, nasal polyps, discharge, or inflammation suggestive of allergies. A common examination technique used during the consultation is the Cottle Maneuver. Here, an instrument known as a Cottle or long cotton swab is used to manually widen the internal or external nasal valve by pulling it to the side. If this maneuver results in improved nasal breathing, then it is a sign for nasal valve collapse.

    Nasal Valve Collapse: Symptoms And Treatment Options

    Breathing Difficulties May Be a Sign of Airflow Obstruction

    The nasal valve is the narrow area in the nasal cavity through which air passes. It refers to the opening from the middle to the bottom of the nose. When this passage becomes blocked, its a condition known as nasal valve collapse.

    The nasal valve is the narrowest part of the nasal airway, and theres naturally a great deal of airflow resistance. If any weakness or further narrowing of the nasal valve occurs, it can block airflow and cause shortness of breath. A nasal valve collapse can be treated surgically and non-surgically to prevent or correct breathing problems.

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    How Can A Cartilage Graft Help A Nasal Valve Collapse

    The use of graft material is common in the treatment of nasal valve collapse. This may be referred to as a spreader or spacer that is placed to fortify the nasal structure. A spreader graft is made of cartilage. It is inserted between the septum and the upper lateral cartilage in the nasal passage.

    This new structure widens the narrowed area to allow better airflow through the nasal valve. In addition to improving respiration, the cartilage graft may improve the symmetry and appearance of the nose.

    How Can Dr Harounian Help

    How To Fix A Collapsed Nasal Valve | Dr Moustafa Mourad | Mourad NYC

    Dr. Johnathan Harounian is an expert in all types of nasal conditions and nasal surgery including nasal valve collapse. An evaluation at one of our upper east side practices will let you know what is obstructing your nose and what can be done to improve your health and airway. Dr. Harounian will take a comprehensive history and perform a thorough examination of the inside and outside of your nose. Our staff will check your benefits and let you know what your responsibilities are.

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    What Causes Nasal Valve Collapse

    There are several different causes that include nasal trauma, prior nasal surgery and congenitally weak nasal cartilages.

    Typically, the most common cause is a rhinoplasty, although it can also be caused by continued inflammation or scar tissue.

    However, it is possible for a patient to have nasal valve collapse without any obvious causes.

    Latera Implant For Nasal Valve Collapse

    Recent years have seen the rise of minimally-invasive office-based procedures for the treatment of isolated nasal valve collapse. One such procedure involves placement of the Latera nasal valve implant. The implant which is FDA approved for treatment of nasal obstruction is placed trans-cutaneously over the nasal valve area to support and stent open the lateral nasal wall and provide for an unimpeded nasal airway. The stent lasts for approximately 18 months during which time scar tissue is created to keep the valve area open after the implant absorbs and dissolves. In October, 2017 24-month data was presented from the first in-human study of the implant. Using the Nasal Obstruction Evaluation Survey , patients were asked to rate their symptoms. Compared to pre-procedure survey results, 57.7 percent of patients reported significant NOSE score reduction at 24 months. After the Latera implant, patients report decreased nasal congestion and stuffiness, improved nasal airflow, less trouble sleeping.

    Why Choose Our Specialists?

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    What Causes Nasal Airway Obstruction

    Even slight narrowing of the nasal passage can lead to significant reduction in airflow. Structural blocklages in three areas are common:

    • 1. Lateral wall: The upper/lower cartilage in the side of your nose can flex or collapse inward when your breathe.
    • 2. Septum: The cartilage wall between the nostrils can bend and block the nasal passage.
    • 3. Turbinates: Ridges of bone and tissue inside your nose can limit airflow when enlarged.

    Internal Nasal Valve Collapse

    Comparative Study of Functional Nasal Reconstruction Using Structural ...

    Internal valve collapse may be less visible on the outside, but the upper middle portion of the nose may narrow significantly with inspiration on either side. Weakening or narrowing of the upper lateral cartilages can cause a collapse of the internal valve while breathing in. The narrowing can occur if the septum deviates towards the valve.

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    Treatment For Nasal Valve Collapse

    Nasal valve collapse can be treated conservatively and surgically. Treatments may vary according to the severity. Mild symptoms can be treated using conservative measures, whereas severe symptoms would require surgical procedures.

    Nasal valve collapse is typically treated by clearing obstructed airways through nose surgery. However, if symptoms are minor, then sufferers may not need treatment at all. Proper nasal hygiene may help alleviate the symptoms.

    Treating nasal valve collapse is a complex process and most often involves surgery. However, there are some alternative treatment options available to avoid surgery.

    Will A Nasal Valve Collapse Worsen If Untreated

    The collapse of the sides of the nose can worsen over time. However, this does not happen to every person with nasal valve collapse. Nasal valve collapse can significantly affect your quality of life. Specifically, nasal valve collapse can disrupt the depth and quality of sleep and also exercise tolerance.

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    What Is The Valve Surgery Recovery Like

    As nasal valve surgery is an outpatient procedure, you will go home the same day. You may feel some soreness and notice some bruising in addition to mild swelling on your nose for a couple of weeks. During this time, it may be difficult or uncomfortable to breathe through one or both sides of your nose as healing continues and the swelling subsides. You may have other types of surgery in conjunction with your nasal valve surgery. Depending on the additional procedures, the recovery time may be shorter or less. Dr. Harounian rarely needs to use packing inside the nose after surgery and patients can usually breathe through the nose very soon afterward. In most cases, you will be able to go back to work within the first week but avoid any physical exertion or heavy exercise for 2 to 3 weeks. Most patients fully recover within a month after nasal surgery. Keep in mind it can be several months before all the swelling has completed subsided.

    Signs Of A Collapsed Nostril

    Watch Live Nasal Valve Implant Procedure!

    If you cant breathe through your nose and have had some sort of trauma to the nose, including a reconstructive or nasal surgery, its most likely a collapsed nostril.

    Other symptoms of a collapsed include:

    • One nostril is smaller than the other
    • Breathing issues while sleeping
    • Feeling as though your nose is blocked
    • It does not respond to medication
    • It doesnt come and go
    • Nostril collapse when inhaling

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    Risks Of The Latera Implant

    Risks included temporary symptoms such as:

    • Mild Bruising and inflammation
    • Awareness of the implant
    • Mild pain or irritation

    Other risks related to the LATERA implant include: discomfort, infection, reaction to material, and device retrieval.

    Talk to your doctor about your nasal obstruction to find out if LATERA could be right for you.

    Collapsed Nasal Valve Surgery In Denver Co

    Whether its caused by genetic factors or an injury, a collapsed nasal valve can dramatically reduce your quality of life. If youre having trouble breathing, our doctors at Advanced ENT will diagnose your condition and get you started on an effective, custom treatment plan.

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    What Is A Nasal Valve Collapse

    There are many reasons for a nose to be congested and blocked. These include a deviated septum, enlargement of the natural tissues of the nose , nasal polyps, and/or allergies. Another reason is lack of support on either side of the nose when you breathe inward. The valves should be strong and resist airflow when breathing in. Weak cartilages can cause the one or both valves of the nose to collapse inward causing blockages and nasal congestion. Sometimes the blockages can be a combination of all of the above-mentioned problems. A thorough evaluation by a specialist is needed to determine the cause of the blockage and the best treatment options for nasal valve collapse.

    How Do I Know If I Have A Nasal Valve Collapse

    A novel technique for spreader graft placement without dorsum resection ...

    A nasal valve collapse is a weakness or narrowing of the nasal valves. Nasal valve collapse symptoms include nasal obstruction, congestion, and difficulty breathing. It can also cause you to snore.

    We can easily diagnose your condition in our either of our Los Angeles plastic surgery offices, but you can also get an idea of our condition if you have the following symptoms.

    • Your breathing is improved when the cheek skin is pushed toward the ear, or
    • Your breathing is improved with Breathe-Right strips

    In certain cases, we may need to perform a nasal endoscopy as part of a closer examination to confirm a diagnosis.

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    Diagnosing Nasal Valve Collapse

    Diagnosing a nasal valve collapse can be tricky. Thankfully, there are several procedures an ENT doctor can perform to determine the source of your symptoms. Here are the steps most providers will take:

  • Conduct a careful review of your medical history.
  • Perform an endoscopy .
  • Examine your nose with a more complicated procedure, such as:
  • Cottles maneuver: A gentle lateral pull on the cheek, checking for signs of nasal obstruction
  • Bachans maneuver: Using tools to widen the nasal valve and assess breathing
  • Anterior rhinomanometry: Checking airflow with a pressure-sensing tube
  • Acoustic rhinometry: Sending sound waves through the nasal cavity to study its shape and function
  • Signs Of Nasal Valve Collapse

    Typical signs of nasal valve stenosis include nasal congestion and pronounced difficulty in breathing inward from the nose. Patients with nasal valve collapse may have a difficult time breathing during physical activities, as though they have a clothespin on their nostrils. Keep in mind, some NVC is expected during strenuous activities, but significant obstruction shouldnt occur. These symptoms can make physical activities more difficult while for others, it may prevent them from participating altogether.

    Additionally, patients may also find it especially hard to breathe while lying down, which creates a tendency to breathe through their mouth.

    This could result in snoring and poor sleep quality, which has further implications. Often these patients seek out remedies such as BREATHE RIGHT® nasal strips for relief, but the source of the problem remains.

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    Lateral Wall Collapse And Nasal Airway Obstruction: The Latera Implant

    Your doctor can determine the cause of your NAO. If your symptoms improve when you wear nasal strips, or when you perform a simple breathing test called the Cottle Maneuver, you may benefit from support for your lateral wall. Cottle Maneuver: Does your breathing improve when you pull on your cheek and hold your nostril to the side? If yes, talk to your doctor about options to support your lateral cartilage, which may include the LATERA implant. The LATERA implant is a minimally invasive option for supporting upper and low lateral wall cartilage in your nose.

    Will Insurance Help With Nasal Valve Surgery

    VivAer to Treat Nasal Obstruction due to Narrow Nasal Valve

    For the most part, yes. Almost all insurances will cover the costs for functional problems with your nose. However, understandably insurance does not cover any cosmetic elements of nasal valve surgery. Dr. Harounian is a strong believer in making sure his patients are informed throughout the entire process starting from diagnosis to treatment. His office will perform a full check of your insurance plans and inform you well ahead of time of any financial responsibilities that you may have. There will ever be any surprises and all effort is taken to not only meet, but exceed your goals and expectations. Please feel free to contact us and let us know how we can help you.

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    Are There Additional Ways To Fix The Valves

    If your tip is dropping then surgery to lift the tip can open both the internal and external valves. Straightening the septum or narrowing the skin and cartilage between the nose can increase the area of airflow and improve nasal valve function as well. Dr. Mourad has successfully used a technique that removes the lower edge of the upper lateral cartilage with an increase in the angle of the internal valve that he has found very effective.

    Other Surgical Options To Repair A Collapsed Nostril

    Balloon sinuplasty

    Balloon sinuplasty in Houston is a good option for those with minimal blockage. This treatment involves inflating a small balloon inside the nasal passage to provide Deviated septum relief. Unlike LATERA nasal implants, balloon sinuplasty does not provide any lasting structural support.

    Reconstructive surgery

    If your collapsed nostril is a result of plastic surgery, then surgical assistance is often needed to correct the issue. It is the most invasive repair option, often reserved for the most extreme blockages.

    Turbinate reduction

    Turbinates are natural structures that line the inside of your nose and help warm and humidify air. Enlarged turbinates can block airflow and need to be addressed surgically through turbinate reduction.

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    What Is Internal Nasal Valve Surgery

    Cartilage can be placed either through an open or closed nasal surgery into the areas between the midline septum and upper lateral cartilages to hold the upper lateral cartilages away from the septum. This increases the area of the internal valves and as we discussed above, even one millimeter of improvement in the valve area can improve your breathing.

    Treatment Options For Internal Nasal Valve Collapse


    The treatment recommended for nasal valve collapse will largely depend on the cause. For example, if the obstruction is primarily the result of tissue inflammation, the condition can often be treated non-surgically with anti-inflammatory agents and antibiotics.

    Spreader Grafts

    If the airway obstruction is due to physical abnormalities, you may require surgical intervention. The internal nasal valves can be augmented using a spreader graft, which is placed between the upper lateral cartilage and the septum to correct the problem. In contrast, an external valve collapse can typically be addressed with an oval-shaped alar batten graft. The graft is placed at the weakest portion of the lower lateral cartilages to fortify the nasal airway. The grafting material can be taken from ear, rib, or septal cartilage. Many doctors prefer the results which can be obtained from conchal cartilage because of its curved shape.

    Spreader grafts are often the most effective at treating nasal valve collapse in the middle vault of the nose. The middle vault refers to the middle third of the nasal bridge that is above the nasal tip and below the nasal bones.

    Nasal Valve Dilators

    Rhinoplasty Surgery

    Finally, rhinoplasty with or without the use of grafts can be an effective treatment for nasal valve collapse.

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