About a plugged nose

Because of the movement of the jaw and tongue while the mouth is open, snoring is a typical side effect of blocked nose sufferers. 

 Effective testing and treatment for clogged noses are provided by our skilled Specialists at the ENT Unit at the Hospital of St. Bashar Bizrah 


Obstructed nose issues 

One of the most typical symptoms among British adults is a plugged nose. As many patients must frequently breathe through their mouths, it is frequently difficult for them to bear. This may result in extreme dryness, which harms the gums and occasionally makes one drool. Persistent mouth breathing is detrimental to the lungs as well as the tonsils. 

 Mouth breathers frequently eat slowly and loudly, and the obstructed feeling itself is frequently quite unappealing, making it difficult for them to exercise and carry out daily activities. Also impacted are the senses of taste and smell. 

 When an open mouth allows the mandible (jaw bone) to shift backward, snoring is frequently experienced by those with blocked noses. As a result, the region behind the tongue, which is by far the most common location for snoring sound start, is blocked. The tongue, which is linked to the jaw, also shifts backward as a result. 

 Sneezing and a runny nose can also be signs of a blocked nose (rhinitis). One side of the nose will always be open while the other is generally blocked during the day and night, according to the “Nasal Cycle.” Hence, a difficulty occurs when the side that ought to unblock throughout the nasal cycle is unable to do so. The nose then completely closes down. A clogged nose may be brought on by allergies, humidity, air temperature, tension, etc. 

 When the nose isn’t working properly, the paranasal air sinuses (also known as “sinuses”) are frequently infected, leading to acute and chronic sinusitis, post-nasal drip, unpleasant taste, and a persistent dry cough. 


the reasons to operate on a clogged nose

When medical treatment for nasal obstruction has failed or the patient believes they do not want to take medicine for the rest of their lives, we undertake surgery. 


What causes clogged noses? 

A clogged nose can have a variety of causes. The three most frequent ones are chronic rhino-sinusitis, allergies, and a deviated nasal septum. 

Nasal blockage can be caused by several factors. Rhinitis, sinusitis, a deviated nasal septum, big adenoids, collapsed nasal valves, septal perforations, tumors, and other uncommon causes are among them. 

 obstructed nose brought on by allergies 

Simple application of steroid or antihistamine sprays, or a combination of the two, is typically the first step in treatment. When a runny nose is the primary symptom, anti-cholinergic sprays may be beneficial. Tablets containing antihistamines, anti-leukotrienes, or steroids are the next step in treatment if early advise and sprays have not resolved the issue. Steroid depot injections may be used for long-term problems such nasal polyps. Testing for allergies is essential since avoiding allergens (what you are genuinely allergic to) is a key component of therapy. A desensitization course might also be undertaken in situations of severe particular allergy. See the section on allergies for a list of several types of allergy testing. 

blocked nose brought on by injury 

Trauma is the main reason for the nasal septum’s deviation. The patient might not remember the actual occurrence. When you are born, it can be a result of birth canal trauma. Even though the harm may have been done at a younger age, signs of nasal obstruction owing to this typically develop as we age. 

 blocked nose brought on by sinusitis 

The typical sinus outflow pathway from the para nasal air sinuses into the nose becomes blocked, which leads to sinus illness. Via microscopic openings called ostia, the sinus outflow tract removes mucus from the nasal cavity, where it is swallowed and sent backwards into the throat. The nose and sinuses create more than a liter of mucus every day. Chronic cough and postnasal drip are signs of overproduction. This can lead to nasal polyps, which completely obstruct the nose and impair scent perception. When the ostia are obstructed (such as during a cold), fluid accumulates in the sinuses and eventually gets infected, resulting in acute sinusitis. This kind of illness can be extremely dangerous, even fatal. 


Treatments for Blocked Noses 

Surgical Therapy for a Blocked Nose: Septoplasty 

 The treatment to straighten a bent nasal septum is rather frequent. It is a daytime procedure performed under a brief general anesthesia. Our overnight stay and readmission rates are also under 1%. Most patients experience successful unblocking after one effort, although a tiny proportion (about 1:25 of patients) require a second treatment. After surgery, antibiotics are recommended to stop bleeding or prevent infection. It normally takes 48 to 72 hours after therapy to return to work. In most cases, painkillers are not necessary after surgery. As everything is accomplished within, there are no wounds or black eyes on the outside. 

 After surgery, many detest having the packing on their nose removed. In most cases, NO packs are needed since we eliminate this by applying laser procedures on the turbinates (which would otherwise be prone to bleeding). In the event that we do use them, dissolving packets are implanted, preventing the need for removal. As the nose tends to swell up little inside for approximately a week following surgery, it is similar to having a cold afterwards. Decongestant sprays (Otrivine) and salt water douches (Sterimar), both of which are provided after you leave the hospital, are used to relieve this.

Laser Reduction of the Inferior Turbinates, also known as turbinoplasty 

The inferior turbinates are bony protrusions into the nose coated with nasal lining that might result in nose obstruction. Turbinoplasty is the name of the primary method for reducing the inferior turbinate. The inferior turbinate bone is damaged and partially removed during this procedure, which is done under local or general anesthesia. As the bone does not grow back, this operation reduces the inferior turbinate more permanently than previous methods. Because the lining is not removed at all, it also prevents the (rare) issue of empty nose syndrome. In most cases, nose packs are not required, and patients who choose the local anesthetic method or the general anesthetic can go back to work the next day, respectively. The inferior turbinates, which are big structures that reside within the nose and are linked to the side wall, are smaller after this treatment and change how the breathing receptors in the nose operate. The breathing channel expands as these structures get smaller, which also lessens the capacity to feel obstructions. 


What signs are present? 

Nasal discharge, which can leak from the front of the nose or into the back of the throat, is a symptom in and of itself in some illnesses, but it may also be present in combination with other symptoms (catarrh) 

facial discomfort, a sensation of smell being taken away, sneezing, itching, and crusting 

How is the illness identified? 

The following is the basis for the diagnosis: 

  • ENT specialist’s careful examination of symptoms 
  • using an endoscope to examine the nose 
  • allergist-consulted allergy testing (immunologist) 
  • For rare occasions, a CT scan may be necessary. 

Why is it carried out? 

To clear specific types of blockages from the airways, an ENT physician could advise nasal blockage rhinoplasty. The nasal valves are too thin, which is the most frequent cause of this kind of surgery. The valves may already be thin, but if the cartilage becomes less strong with age, they might get even narrower. A functional rhinoplasty can also be used to clear out further nasal blockages. The nasal passageways should be opened up to promote breathing and to lessen snoring. Also, it can aid in avoiding frequent sinus infections, nosebleeds, sleep issues, and other signs of chronic nasal blockage. 

 In order to fix a deviated septum, the nasal obstruction rhinoplasty may also be performed with septoplasty. Turbinate reduction, which focuses on particular areas of the nose that might obstruct airways, is another option that can be helpful. The type of surgery that is most effective for treating breathing issues can be assessed by a professional at the ENT clinic in London. In order to get the greatest outcomes possible, the treatment strategy will be customized to the patient’s unique needs. 


The Step-by-Step 

Depending on how the nasal passageways are clogged, the precise treatment employed during a nasal obstruction rhinoplasty will vary. The ENT professional may treat many types of blockages in the nose using various approaches. To get the greatest outcomes, the doctor must also take into account the cosmetic effects of any alterations made to the nose’s structure. 

To widen the airways, the ENT surgeon may occasionally need to remove bone or cartilage from the nose. Nevertheless, employing cartilage or bone grafts from different regions of the nose or body to strengthen and widen the airways is the method most frequently employed during functional rhinoplasty. Before the procedure, the ENT specialist will customize the therapy to meet the patient’s unique needs and go over every aspect with you.