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Nasal stenosis (nasal valve narrowing); Investigating causes and treatment methods
مقاله تخصصی

Nasal stenosis (nasal valve narrowing); Investigating causes and treatment methods

3 months ago
798 بازدید

The nasal passage starts from the nostrils and extends to the upper part of the throat behind the nose and plays an important role in the entry and exit of air. Nasal narrowing can lead to problems such as breathing problems, sleep disorders, and even nutritional problems in infants and children. Nasal narrowing may be caused by various reasons, physical injuries or aging, including genetic factors, age-related injuries, diseases.

Fortunately, depending on the cause and severity of the stenosis, there are several treatment options for managing this condition, which are discussed in this GCORP LLC magazine article.

Table of Contents

  • What is the difference between nasal passage stenosis and nasal valve stenosis?
  • Symptoms and signs of nasal passage stenosis
  • What are the causes of nasal passage stenosis? Congenital
  • What are the possible risks of having a narrower nasal passage than usual?..

    What is the difference between nasal passage stenosis and nasal valve stenosis?

    Anatomically, the nose consists of 2 main parts.. The outer part includes the holes and the cartilaginous skeleton and the inner part, which is called the nasal passage.

    At the beginning of this path, there is a very narrow area called the nasal valve, which is the narrowest part of the respiratory tract and plays an important role in controlling air flow...

    Symptoms and signs of narrowing of the nasal passage

    Nasal congestion has different signs and symptoms, and usually these symptoms are very similar in adults and children.... Since babies and infants breathe mostly through their noses, nasal congestion or obstruction in them can cause more severe symptoms.. The symptoms of this disorder in adults are:

    • Difficulty in breathing
    • Long breath
    • Sleep disorder
    • You suffer from sinus infections

    Symptoms of narrowing of the nasal passages of babies and young children include:

    • Hard or noisy breathing
    • Breathing through the mouth
    • Restlessness and difficulty sleeping
    • Difficulty in breastfeeding or breastfeeding
    • Discomfort or earache

    Keep in mind that nose surgery (rhinoplasty) can cause narrowing of the nasal passage.. especially if it is not done correctly or the internal structures of the nose are manipulated too much.. Symptoms of narrowing of the nasal passage after various types of nose surgery include:

    • Difficulty breathing through the nose
    • Persistent nasal congestion (without inflammation or allergy)
    • Feeling of suffocation during sleep
    • The need to breathe through the mouth

    What are the causes of nasal passage narrowing?

    The narrowing of the nasal passages can be caused by genetic factors, aging or physical injuries... Also, this disorder may be caused by some underlying diseases... The most common causes of narrowing of the nasal passages are:

    1.... genetics

    Genetics may play a role in the narrowing of the nasal passages... If other members of your family have this problem, you may also have it.

    2... damage caused by trauma, burns or surgery

    As mentioned, the nasal passage may become narrow due to injuries, burns, or even after surgeries such as rhinoplasty.... In the following, we have ranked and reviewed the types of nasal surgeries based on their effect on the risk of narrowing of the nasal passage from the highest to the lowest, which are:

    A) Fantasy nose job

    In fantasy rhinoplasty, there is the greatest possibility of narrowing of the nasal passage.... In some cases, the surgeon removes a part of the nasal lobes or the middle septum to achieve this form.... This operation can weaken the supporting structure of the nose and, as a result, the nostrils fall in cases where the person has a broken nose (nasal bridge).. Excessive removal of structures can aggravate breathing problems.

    b) semi-fantasy nasal operation

    In semi-fantasy rhinoplasty, the possibility of narrowing of the nasal passage is moderate.. because the surgeon tries to balance between beauty and maintaining respiratory function... But if the nose becomes too narrow or the internal structures are not maintained properly, there is still a possibility of a problem in the nasal airway.

    After this type of surgery, severe swelling around the nose and eyes may be observed. Therefore, it is very important to follow a proper diet before and after surgery.

    C) Bone nose surgery

    In bony rhinoplasty, the possibility of narrowing of the nasal passage is more, especially in the case of fantasy surgery... This type of nose usually has stronger bones and cartilage, and to achieve a more delicate and narrow appearance, the surgeon may remove more parts of the nasal structure.

    Be careful with this type of surgery, especially if it is accompanied by a fracture of the nasal bone, the bruising and swelling of the eye after nose surgery is more.. During this time, it is recommended to sleep on your back at a high angle.. because the way you sleep after nose surgery has a great effect on controlling the swelling.

    t) normal nose job

    Conventional rhinoplasty has the least chance of narrowing the nasal passage.. because the main focus is on preserving the internal structures and normal function of the nose, and usually there are not many changes in the respiratory system.. In some patients, the cough after rhinoplasty may be due to throat irritation during anesthesia, and it usually resolves after a few days.

    d) flesh nose surgery

    The probability of narrowing of the nasal passage in fleshy nose surgery is low.. because this type of nose usually has thick skin and weak cartilage, and the purpose of the surgery is to shape and strengthen the structure of the nose instead of reducing it too much.. For this reason, severe manipulations on the respiratory system are performed less often.... In fleshy noses that have been swollen for a longer time, the doctor may recommend corticosteroid injections after rhinoplasty, ampoule or even Dexa to reduce inflammation..

    C) closed nose operation

    In a closed nose operation, access to the internal structures of the nose is usually more limited, and for this reason, less manipulation is performed on the respiratory system.... Because the stitches in this type of surgery are located inside the nose, the possibility of nasal infection after the operation is very low.. But in case of neglect and not observing hygiene, it may cause the growth of bacteria and infection.

    3.... Disorders at birth

    There are structural problems from birth in a person that can cause narrowing of the nasal passage.... These structural problems are:

    A) Deviation of the nasal septum

    The nasal blade is the part that divides the nasal passage into 2 parts.... You may ask yourself what is nasal deviation?.... Nasal deviation is the tilting or shifting of the nasal septum that blocks one or both nasal passages.. This problem can make breathing difficult and lead to nasal congestion or frequent sinus infection, snoring..

    This condition is common and can be caused by abnormal growth or trauma. According to the American Academy of Otorhinolaryngology, about 80% of people have some degree of deviated nasal septum. The symptoms of this disorder are:

    • Difficulty in breathing
    • Sinus infection
    • nosebleed
    • Difficulty sleeping
    • Snoring

    Therefore, nasal deviation can be one of the main reasons for the narrowing of the nasal passage and, if not corrected, it can make breathing more difficult.

    b) prolapse of the nasal valve

    Prolapsed nasal valve means weakness or narrowing in the narrowest part of the nasal airway.. Any further narrowing in this area can reduce the air flow and in some cases cause complete blockage of the nasal airway.. The most common cause of nasal valve prolapse is nose surgery or a blow to the nose.>

    P) size of lower turbinate (hypertrophy of inferior turbinate)

    Nostrils are long, narrow channels that help warm and moisten the air entering the nose.... If these nostrils become too large, they can block the passage of air..

    t) Nasal Vestibular Stenosis

    This condition occurs when the inner lining of the nasal vestibule is disrupted due to injury or infection...One of the symptoms is difficulty breathing through one or both nostrils.

    d) Choan atresia and Choan stenosis

    This condition is present from birth and occurs when the back of the nasal cavity is completely blocked (coan atresia) or narrowed (coan atresia). 1 in 7,000 babies are affected by Cowan's atresia.. There may be no problem, it is detected for a while because the baby can breathe on the other side.

    Children suffering from this disease often suffer from intermittent and anxious breathing, which is resolved by crying.... That is, because they breathe through their mouths, they cannot breathe at the same time while feeding, they become uncomfortable, and by crying, their mouth airways open and the symptoms improve.

    c) Stenosis of the piriform aperture

    This disease is rare and congenital and occurs when a child has a very narrow bony opening in the soft tissue of the nose due to excessive growth of the maxillary bone. This condition is often associated with other diseases such as central incisors and holoprocephaly.

    What are the possible risks of having a narrower nasal passage than usual?

    If the nasal passage is narrow, people may face the following problems:

    • Difficulty breathing, including the inability to breathe through one or both sides of the nose
    • Sleep problem
    • nosebleeds
      sleep disorders
    • Difficulty in eating in infants and children

    As mentioned, the narrowness of the nasal passages may lead to sleep disturbances.. One of the diseases that is directly related to sleep problems is sleep apnea.... This disease causes breathing to stop for a short time during sleep... Having a narrow nasal passage can help with sleep apnea.. But other factors such as large tonsils or adenoids (tissue behind the nose) in children and overweight in adults play a more prominent role.

    Treatment of nasal passage stenosis

    The goal of treating this disorder is to widen, stabilize or repair the part of the nose that caused the symptoms.... Each specific patient may need a different treatment.... The most common treatment measures to solve this problem are:

    • Nose narrowing operation to repair part of the nose
    • Surgery to place a stent (support tube) or implant
    • widening of the nasal passage
    • Using spray or nasal drops

    Some diseases that require special treatments are:

    • Nasal septum deviation: In this surgery, the nasal septum is moved in such a way that the symmetry (equality) of the nasal passage is restored.
    • Nasal valve constriction: This disorder is often treated with surgery... People who do not want surgery can reduce their symptoms by using a nasal valve dilator.
    • Enlargement of lower nostrils: non-prescription treatments and surgery can be effective in improving this condition.
    • Nasal atrium stenosis: the doctor may recommend the use of an intranasal stent.
    • Choanal atresia: Bilateral atresia requires immediate surgery.. In unilateral cases, surgery may be needed.. but sometimes using oxygen or auxiliary spray is sufficient.
    • Piriform orifice stenosis: in this disorder, depending on the severity of the disease, a person may need a spray or surgery.

    As mentioned, these diseases can be the cause of the narrowness of the nasal passage... Of course, the presence of a problem or disease does not necessarily mean the need for treatment.... For example, many people with a slight deviation of the nasal septum do not decide to undergo treatment... If you suffer from narrowing of the nasal passage, we recommend that you consult an ear, nose and throat specialist to choose the best treatment method.

    Summary

    Nasal congestion is a relatively common problem that can affect the quality of life of people of any age. This problem may be caused by trauma, surgery, or birth-related diseases and is accompanied by symptoms such as difficulty breathing, night snoring, and feeding problems. There are various treatment methods to manage this condition.. To accurately diagnose the cause and choose the best treatment option, it is recommended to consult an ear, nose and throat specialist.

    You can apply through the site GCORP LLC and consult the best specialist doctors including otolaryngologist online... Also, GCORP LLC provides you with the possibility to make an appointment with the specialist of your choice through the online appointment system in order to see an otolaryngologist in person.

    Frequently Asked Questions

    Does nasal congestion always require surgery?

    No...Surgery is only recommended when the narrowing of the nasal passages is seriously interfering with breathing or quality of life...In mild cases, the use of nasal sprays or dilators can control symptoms.

    We know that breathing through the nose is difficult. Congestion? Accurate diagnosis of this issue requires a physical examination and sometimes imaging such as a CT scan by a doctor. Symptoms such as long breathing, mouth breathing, and chronic nasal congestion can be signs of narrowing of the duct.

    Source: healthline | Palm sensitivity

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