Nasal Breathing Correction Los Angeles

Types of Nasal Breathing Correction Conditions

This is a video which shows how Dr. John Diaz performs his technique for removing portions of the septum which are deviated. His technique is done using a “Closed” approach which means that all incisions are made inside the nostrils. There are no external or visible scars with this technique.

 

DEVIATED SEPTUM

The structure of the internal and external parts of the nose can have a profound impact on breathing. A deviated septum, for example, can make breathing through the nose difficult. In addition to deviations of the septum, there are other issues which may contribute to problems breathing through the nostrils, such as enlarged turbinates and cartilage or bone spurs.

NASAL SEPTUM

The nasal septum is made of cartilage and is located in the very center of the nose. It is the structure that separates the right nostril airway from the left nostril airway. Deviations of the septum can block the flow of air in the nostrils and interfere with breathing.

A deviated septum can be corrected by removing the curved portions of the septum and by perfoming a septo-plasty (reshaping of the septum) at the same time. The exact areas that need to be removed, and the specific techniques used to re-shape the septum, will vary from person to person. These techniques may involve moving the septum to the midline and applying a combination of stitches to modify the curvature of the septum.

Normal internal anatomy

Normal internal anatomy of the nose showing the nasal septum, inferior (lower) nasal turbinates and the nasal sinuses.

Removal of curved portions of the septum

Removal of curved portions of the septum combined with reshaping of the septum (septo-plasty).

INFERIOR NASAL TURBINATES​

The inferior nasal turbinates are small growths of bone covered with a mucosa lining (the lining of the inside of the nose) located within the nostril airway. The purpose of the inferior nasal turbinates is to warm and humidify the air coming through the nostrils.

In some patients, the inferior nasal turbinates can be enlarged. This enlargement causes the tubinate to block the nostril airway, making breathing more difficult. In some severe cases, the septum and the turbinates may touch, completely blocking all air flow.

In order to correct this, the turbinates must be reduced in size. This can be done by removing or moving the small portion of bone inside the turbinate. (see the diagram to the right). Once this is done, the airway will become more open.

 The bone of the inferior turbinate

The bone of the inferior turbinate can be removed or reduced in order to open the nostril airway.

CARTILAGE AND BONE SPURS

Spurs are small outgrowths of cartilage or bone inside the nose. Spurs are often found along the bottom of the septum where they may interfere with breathing. They vary in size, but can become quite large.

When this occurs, it will be necessary to remove the spurs in combination with other techniques to improve nasal breathing.

spur from the nasal septum going into the left nostril airway.

The picture above is of the inside of the left nostril. In this example, there is a spur from the nasal septum going into the left nostril airway. It is large enough to touch the lower (inferior) turbinate located across from it. This severely reduces airflow and needs to be corrected.

Combination of Septal Deviation, Lower Turbinate Enlargement and Bony Spurs

More often than not, breathing difficulties through the nose are usually caused by a combination of multiple issues. These include septal deviation, enlarged lower turbinates and the presence of bony spurs.

In these cases, it will be necessary to surgically correct all problems. The combination of removal of portions of curved septum, septoplasty (septum reshaping), lower turbinate reduction and removal of bony spurs will be necessary. When this is done, the improvement in breathing can be dramatic.

 the portion of the septum that was deviated and was removed.

This is from an actual patient. The line points to the portion of the septum that was deviated and was removed. The surrounding fragments (circled) are composed of the inferior turbinate bones, cartilage spurs and bone spurs which were interfering with breathing. Some patients have a large amount of bone and cartilage blocking their airway, as you can see in this photo.

 

 

 

 

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The cost of nasal breathing surgery, also known as functional rhinoplasty or nasal airway surgery, can vary widely depending on several factors. The factors that can influence the cost of nasal breathing surgery include:

  • Geographic Location:The cost of medical procedures, including nasal surgery, can vary based on the geographic location and the local cost of living. Procedures performed in major cities or regions with a higher cost of living may be more expensive.
  • Surgeon’s Experience and Reputation:The experience and reputation of the surgeon can impact the cost. Highly experienced and well-known surgeons may charge higher fees for their expertise.
  • Facility Fees:The fees associated with the surgical facility where the procedure is performed can contribute to the overall cost. This includes the operating room, equipment, and other facility-related expenses.
  • Anesthesia Fees:If the nasal breathing surgery requires anesthesia, the fees for the anesthesia services will be part of the overall cost. Anesthesia fees can vary based on the type of anesthesia used.
  • Extent of Surgery:The complexity and extent of the nasal surgery can influence the cost. More extensive procedures, such as septoplasty or turbinate reduction, may have higher associated costs.
  • Additional Procedures:If additional procedures are performed simultaneously, such as cosmetic rhinoplasty or correction of nasal deformities, these procedures can contribute to the overall cost.
  • Preoperative and Postoperative Care:Preoperative consultations, postoperative appointments, and any necessary follow-up care are factors that can affect the total cost of nasal breathing surgery.
  • Medical Insurance Coverage:In some cases, nasal breathing surgery may be considered medically necessary, and a portion of the cost may be covered by medical insurance. However, coverage policies vary, and patients should check with their insurance provider.

It’s important to note that the cost of nasal breathing surgery is typically an aggregate of the surgeon’s fees, facility fees, anesthesia fees, and any additional expenses. The total cost can range from a few thousand to several thousand dollars.

To obtain an accurate estimate of the cost for nasal breathing surgery, individuals should schedule consultations with qualified plastic surgeons or otolaryngologists (ENT specialists) to discuss their specific needs and receive personalized pricing information. During the consultation, the surgeon can assess the patient’s nasal anatomy, discuss treatment options, and provide details about the associated costs.

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