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  • Nasal obstruction can be caused by many things, including a deviated septum, enlarged nasal turbinates, nasal polyps and nasal valve collapse. Dr. Sam Rizk’s treatment of the condition depends on the cause.

    Deviated Septum. If your nasal obstruction is caused by a deviated septum, Dr. Rizk may attempt to straighten it through a septoplasty procedure. In this procedure, internal incisions are made and the bone and cartilage causing the obstruction are removed.

    Enlarged Nasal Turbinates. The nasal turbinates are three structures made of soft tissue and bone that line the sides of the nasal cavity. Sometimes they swell and enlarge enough to cause nasal obstruction. Treatment usually begins with steroid-based allergy sprays. If this doesn’t work, Dr. Rizk may advise you to undergo surgery to reduce the turbinates.

    Nasal Polyps. Polyps refer to inflammatory tissue growing in the sinuses and nasal cavity. They often affect people with allergies or asthma. Like nasal turbinates, they are treated with steroid sprays and/or endoscopic nasal surgery.

    Nasal Valve Collapse. This refers to narrowness or weakness of the narrowest portion of the nasal airway: the nasal valve. It can be caused by prior rhinoplasties, trauma to the nose and other causes. Treatment depends on whether the collapse is internal or external and may range from special nasal strips and other non-invasive methods to various surgical approaches.

    Nasal obstruction can lead to breathing problems or sinus disease, so it must be treated. To learn more, contact Dr. Rizk’s practice today.

    Alar batten grafts are grafts used to strengthen the nasal airways in order to prevent alar retraction or to treat nasal valve collapse. They can also be used to treat a “pinched” nasal appearance. “Alar” refers to the nasal ala while “batten” is a nautical term that means to stiffen.

    In cases of nasal valve collapse, alar batten grafts are used when the nasal sidewall is collapsed, causing narrowing of the nasal valve that may lead to breathing problems.

    Alar batten grafts are placed in pockets just above the lower lateral cartilages. They may be made of costal, septal or conchal cartilage. Conchal is the least sturdy of these and is therefore not the best option for some patients.

    In certain cases alar batten grafts may be combined with septoplasty or septorhinoplasty.

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