Anatomical variations One or a combination of the following: Turbinate hypertrophy, septal deviation, and nasal valve incompetence (either external or internal nasal valve). Anatomical variations can be congenital (born with them), developmental (change as the nose grows), traumatic (from an accident) or iatrogenic (caused by another surgery).
Medical causesHowever, there is a long list of medical causes of nasal obstruction that need to be ruled out during examination:
- Nasal allergies
- Sinusitis
- Nasal polyps
- Benign or malignant masses
NASAL OBSTRUCTION: WHAT CAN BE CORRECTED SURGICALLY? - Hypertrophied turbinates on the internal sides of the nose (Turbinectomy)
- Deviated nasal septum (Septoplasty)
- Internal nasal valve (Functional Rhinoplasty)
- External nasal valve (Functional Rhinoplasty)
SEPTOPLASTY, FUNCTIONAL RHINOPLASTY OR TURBINATE REDUCTION: WHICH IS RIGHT FOR ME?A thorough consultation, as well as a combination of various examination techniques are essential to pose an accurate anatomical diagnosis when it comes to nasal obstruction. Once the precise anatomical cause or causes are identified, Dr. Chacra will tailor either a combination of a Septoplasty, Functional Rhinoplasty and / or Turbinate Reduction.
A standard static nasal exam is never sufficient to pose an accurate diagnosis. Nasal Endoscopy (done in-office, on the day of your consultation) can help reveal regions of the nasal airway that are not visible with a standard nasal speculum exam.
Dynamic observation of the nasal valves while the patient is breathing (inspiration) is equally important, as this hints to the potential specific location and extent of a nasal valve’s incompetence.
Manipulation and analysis of the nasal valves during inspiration allows Dr. Chacra to evaluate the potential success of a Functional surgery.