I have a deviated (right) septum. I heard about septorhinoplasty going wrong. Especially losing smell senses. My problem is having a dry nose. Also sinusitis. My ENT recommended (for the dryness) a little vaseline at the tip of the nose and sleep with a humidifier. And for bloody sinus, to rub a little mupirocin ointment across the nostrills. So far so good. Every situation is different. We should be careful with surgeries. I can't imagine losing my sense of smell.
I saw a well known Houston Surgeon yesterday after having a lifetime of breathing issues (hernias from post nasal drip cough, chronic pneumonia, chronic bronchitis, chronic sinus infections, etc.) and when we looked at the CT Scan all the problems you discuss was there... But one thing I had discovered over the weekend while prepping for my visit is that those of us with connective tissue disorders are more likely to have these issues. Those like me with EDS are prone to dental crowding, and a high narrow palate like you describe the average persons faces becoming... it could be a combination of the factors you mention making more of the population have connective tissue disorders. Originally it was listed by NORD as a rare disease, but each year we are being told it's prevalence is much greater than originally thought. I was shown that my septum makes an extreme left turn, my lower turbinates' are three times the size they should be, and my sinuses are full of mucus and not draining right... He will do the procedure for me Friday, and I have all the confidence that he will do a great job since almost all of his patients grade him very well. I will try to stop back in a few weeks to report how things went.
Thank you so much!! My daughter has POTS and sinus allergies. I’ll keep a check on her septum and congestion. I have a deviated septum and I was looking for info
Being a month out I have noticed an improvement in my breathing so far, But there is still healing going on due to the amount of work that had to be done... He said he had to do Septoplasty, Turbinoplasty, Balloon Sinuplasty, and Cold Pressor. Having some better flow in the sinuses it makes more noticeable how restricted the flow seems to be in my throat than the other areas (and the feeling of accumulating sticky phlegm near my vocal cords) but the surgeon says there is nothing to do there... that my tonsils and adenoids are tiny, and there is nothing further for him to do to reduce snoring . Dentist also said with my floppy tissues in the airway an anti-snore appliance will not work for me.
It’s all interesting. I hadn’t thought of the micro biome being affected. On another note, I get little pimple like sores just inside my nostrils where the mask nasal pillows touch. I haven’t figured out how to prevent this. I’ve switched masks types many times but usually come back to the nose pillows because it’s more minimal headgear.
I have this issue too. I thought it was because of my work environment, it’s very dirty with lots of dust and grime. Where did you hear about biome having an effect.
Breath right strips lift the outer part of the nose away from the inner part increasing air flow. Afrin shrinks the mucosal cover over the 3 turbinates on each side, also increasing airflow. But continued use results in a rapid rebound where the tissues swell with increased blockage. If you get an improvement in airflow with one or both then you could investigate surgery for a long term solution. On Tuesday, I had a cat scan which showed a deviated septum, malformed and expanded turbinates. Doctor wants to straighten my septum and shrink turbinates going under the mucosal layers to preserve them. My symptoms included snoring, and poor nasal mucosal drainage with sinus infections. However, I completely seal my mouth with a horizontal adhesive paper tape at night and breathe easily through my nose the entire night. It reduces but does not halt my snoring, which may come from my soft palate. Doctor Park mentioned the cycle where each side of the nose alternatively swells over a period of time (20 minutes or an hour?). I am able to breathe in thru one nostril and out the other, then reverse it, all by mental control. So I see a lot of control despite the anatomical issues. I also love cool and cold weather and would not like to lose the heating and moisturizing of incoming nasal air via these pretty astounding features. Some people appear to lose the ability to sense nasal breathing after turbinate reduction surgery, perhaps due to nerve damage. They are unable to sleep as they awaken breathless, and some have committed suicide. Others lost the heating and moisturizing effect perhaps from cautorization of the surface of the turbinates to shrink them via heat, electricity or radiation. Going under those surface tissues may avoid this but the nerves may still be at risk. Hence I am very interested in fully understanding risks as well as benefits of the different surgical approaches. I am feeling more rested after sleep since recently increasing vit B1 in the benfotiamine form. Elliot Overton EONutrition has some interesting RU-vid videos that I find convincing. Sugar and alcohol use up B1, coffee splits the molecule so I can see why it might be depleted. B1 supports myelin nerve sheath growth, glucose cell processing of glycation and methylation. It improves gut food speed - reducing fermentation hence bloating, and farts. I feel a drastic drop in anxiety and brain fog. Much clearer thinking - although I do go on a bit about stuff that interests me :) Ramp up B1 over several weeks as there is a paradoxical effect where symptoms return for a short time. I'm at 2 x 300 mg benfotiamine a day with vitamin b 50 (set of b vitamins), plus potassium. These are new, added to my 10000 iu D3, K2 mk7, c, boron, krill oil, and NAC.
@@saty580I think if I was to tape my mouth shut I might suffocate and die 😂 and that's after a septoplasty and turbinate reduction that I would say improved my breathing by about 50%. It sounds like you can breathe pretty good already so maybe you don't need a surgery.
Dr. Park, I need & scheduled for Deviated Septum, Turbinate Reduction, & Rhinoplasty this month, I have severe sleep apnea & had my tonsils & uvala removed in December, is having the rhinoplasty at the same time make it more likely to have a unsuccessful septoplasty & turbinate surgery or as I hear you say before, a well trained ENT / Plastic Surgeon should not have any issues with these 3 surgeries together, my breathing / sleep apnea is really the only thing that matters to me right now
What would you recommend for a "harder" diet. And how can I convince my husband that he should change his diet. We often eat separately because he likes highly processed foods.
Thank you for your very clear explanation. I am a practicing dental hygienist, who is also trained as a myofunctional airway therapist. I often refer my patients to your book Sleep Interrupted. I frequently give my patients Breath Right Strips while they are in the chair and recommend they try mouth taping if they feel comfortable with the idea. I also give them instructions on nasal salines like XClear and Arm and Hammer saline. I will include Afrin nasal spray as well. However, how long would you recommend they use Afrin? At what point, if these things are helping would you suggest referring to an ENT. Given there are various reasons for sleep interruptions, and multiple subsets of ENT practice, what "buzz words" should they use in getting the right ENT examination?
Kimberly, Afrin should only be used for no more than 3 days. Otherwise, you can get a rebound effect with possible addiction. The Afrin test (along with nasal dilator strips) is a very short test to medically optimize nasal breathing, along with mouth taping, to keep the tongue from falling back. By definition, all general ENT are well trained in addressing nasal congestion and mouth breathing. That should be your main complaint when going for a consultation.
@@stevenpark5218 unfortunately I can attest to this I used afrin after getting a bad cold and I've been stuck on oxymetazoline since that was 3 years ago very very difficult to stop because if I can't breathe I freak out and end up having a use the spray. however I've worked it down to couple sprays a day. trying hard to taper off with minimal discomfort it sucks when I wake up in middle of the night because I had a dream that I was struggling to breathe and it was happening irl and I had to use fkn spray .
My doctor told me that deviated septum surgery has a 25% failure rate. A few months after surgery, it re-deviated and is now worse. My doctor pretty much told me he told me so, and that he could do another one but it probably will just regrow again.
Sorry to hear. In my experience, recurrent nasal congestion after septoplasty is not due to a re-deviated nasal septum. It's usually due to the turbinates swelling up again (even after surgery) and/or flimsy nostrils caving in with each breath in. And in general, surgeons are being much more conservative with the turbinates due to patients' fears about empty nose syndrome. But the more conservative the procedure, the higher chance of recurrence. As I mention on this channel, you also have to address the other non-nasal reasons for your stuffy nose, such as acid reflux from apneas, and dental crowding, which narrows your nasal cavity. One quick way of seeing what's causing the problem is to use oxymetazoline nasal spray (brand name Afrin) for 2-3 nights to see if it opens up your nose. If it does, then the problem is the turbinates. You can then add nasal dilator strips or internal nostril clips to stiffen the nostrils to see if this opens up your nose even more on top of the nasal decongestant. Note that these sprays can't be used for long periods due to it's addiction potential since it works so well.
@@doctorstevenpark Thank you for sharing all this information. I'm scared to death for my son that the ENT is suggestion this procedure. Which all we want for him is to have a relieve from his chronic allergies. He has suffer from this practically all of his life. We have taken him to allergies since he was 7yrs old. He can breath. His issue is allergies. Would a septoplasty will relieve his allergies? Please help him educate him before he puts him self to a very invasive procedure not knowing the outcome. :-(( He is 21 now.
I have a wide jawline and a 'small' jaw. Two teeth were removed. I disagree with he facial structure being a factor. Does the shape internal nasal valve play a role in success of breathing better from a septoplasty?
Thank you Dr I had a stomach opp and now I can not sleep on my side so I sleep on my back and wake up every morning with a headache I use to sleep on my side thank you for explain
It's all relative. There are many other risk factors for crooked teeth and deviated nasal septums. The more risk factors you have for longer periods, the worse these two outcomes. Breast feeding on the mother's breast is always best, but there are many logistical or cultural reasons what make it difficult.
Hi. Is nose more vournable to injuries after septoplasty? For example while boxing. Since after septoplasty most of cartlidge is removed completely, can nose get flimsy is it more likely to collapse after injury?
Sir i have deviated nasal septum on left side of nose.( Bony spur impinging left inferior turbinate ) And at the same time i have tinitus to my Righr ear ( 24 hrs ringing like sea shore). From last 25 years. MRI BRAIN NORMAL. WHICH PART OF CT OR MRI ( POSITION) I TAKE TO EVALUATE TINITUS OF MY RIGHT EAR .
I, my son, and my daughter have this condition, my son was born naturally vaginal, my daughter was a C-section, and I was born vaginal. That rule is not by birth delivered. I think this is genetic. I will have surgery soon to correct this. Scare me but I will do it.
Hi doctor, I hope you can read my comment. A have turbinoplasty y septumplasty surgery, my question is, can we use afrin or another brand like nafazolina after the nasal slinpt removal, al least before to go to sleep?
Hm... After trying antihistamines and steroids with very limited success, I have had two turbinoplasties and a septoplasty surgery in the last 6 years. I can now breath properly cca. 80% of time on my left side and about 60% on the right (used to be about 70%/30% before surgeries), which I consider a significant improvement. However, my nose is very frequently dry now, epecially on the right side, the one that had been originally more troublesome as well. I'm aware that I have GERD from childhood, and an ENT told me this contributes to my issues. What helps though is BreathRight-like strips at night, and very recently, isotonic salineas nasal rinse and spray. I'm wondering if there is anything to improve things a bit further, or at least to prevent worsening with time.🤔
Hi Dr, I have deviated septum, nasal wall collapse and sleep apnea. My ENT recommended correcting septum and fixing nasal collapse. Is there an option to avoid procedure or in what condition septum and nasal wall collapse surgery is necessary?
@@yahyaelmi8435 I did deviated septum correction, turbinate reduction, fixed nasal valve collapse. It did help first 6 months then back to same issue especially during allergy season
@@ank12 Hi, i have somewhat deviated nasal septum, where my right nostril is closed for most of time especially when I get allergic cold runny nose. So how your life changes after DNS surgery? Is there really significant difference after few months or now your breathing is similar?
Just like anything that's medical, it can be use safely. People get addicted to Afrin if they use it for weeks to months. My recommendation is to try this over-the-counter nasal spray for only 3 nights at most. Only to test history of much the nasal turbinates contribute to nasal congestion. And to see if seeing an ENT is worth considering. Actually cocaine is a great nasal decongestant. Some older ENTs still use the acid version for patients (not the base powder that's abused). It also numbs the nose really well when used as a topical anesthetic.
Thank You, Dr Park. I have always lacked endurance, not able to swim the pool length. I have now associated this insufficiency with lack of O2. I may have brain injury from a fall when I was 3. I have suspected 'sleep apnea' is a misdirecting term for insufficient O2. My move from a mid western state to northern led to BLASYOMYCOSIS infection which may be a permanent infection. I use only occasionally NanoSilver nasal spray which I understand has negative effects of killing off good gut bacteria. My teeth have been extensively damaged through dental carries which also does not help. At 77 I wonder if any dental care is warranted.
Hi Doc. All of a sudden I can breathe air through my left ear canal. Also sometimes it'll have a heart beat sound where it's hard for me to hear out that ear. What is wrong w/ my ear? Thank you
It might be that you have punctured your eardrum. A hole there could allow air to the eustachian tube and on to your airway. Check it at your doctor or an urgent care clinic soon.
There is always someone saying he developed ENS after surgery in these kind of videos. Apparently it's a really common condition, which make me really scared to perform that surgery, even though my nose gets clogged every night when i lay to bed..
My son had perfect teeth n needed no braces, when he was born i noticed a small hump on his right nostril, n my son tonsils swollen, he was dx with a deviated septum and constantly congested. We see ear nose throat dr next week to discuss septoplasty.
Thank you so much. I have had a deviated septum for so long. So long. Years. Has wreaked havoc on my life. I haven’t gotten the septoplasty yet for a bunch of different reasons. But I want to. But I want to also have my nose straightened out, it’s pretty crooked. I see it crooked from the top down. So I guess I’d have to have a rhinoplasty along with it and I would have to pay that part in full outta pocket. BUT ANYWAY I just watched your video an hour ago, I went to Walgreens and bought afrin (Walgreens brand cus it was cheaper) and I bought Flonase (Walgreens brand) and the breathe right strips. I tried the afrin, 3 sprays each side and I am wearing a breathe right strip. I had two use two before I got it right finally. But so NOW I CAN BREATHE!!! WOW!!! I DIDNT REALIZE HOW MUCH BETTER IT CAN GET!!! I DIDNT REALIZE THAT IT COULD GET THIS MUCH BETTER THIS EASY!!! I THOUGHT I WAS JUST DOOMED TO BE CONGESTED ALL THE TIME AND EVEN JUST THOUGHT THAT IT WAS PROBABLY NORMAL TO BE THAT WAY SND MAYGE EVERYONE IS LIKE THAT AND IT JUST IS WHAT IT IS BUT I WAS WRONG!!! I CAN ONLY IMAGINE WHAT IT WILL BE LIKE WHEN I FINALLY GET THAT SEPTOPLASTY. THANK YOU SO MUCH FOR THE ADVICE, I CANT REMEMBER THE LAST TIME I BREATHED THIS WELL. THANK YOU!! THANK GOD!! PRAISE JESUS CHRIST LORD AND SAVIOR!!
@@porkchop606 thanks! I made sure to read up on the do’s and dont’s before hand and stopped on the third day. I’m using Flonase now, supposedly you can use it everyday. However, it’s not having as good as an effect as the afrin :/ I gotta figure out a good cycle for the afrin. The nasal clearance was just amazing
I have longer-narrow facial growth, which leaves skeletal changes which leaves me with symptoms which CANNOT be offset by using breath-right strips or using afrin etc. I think I need skeletal surgery to try to bring my facial bones back into an ideal postition, which allows for proper nasal breathing. I feel like you are on the right track with your thought process and diagnosis, but the "treatment" for these problems seem to be not targeting the actual problem..."SKELETAL GROWTH DEFECTS". Do you work with a Maxillofacial Surgeon and Orthodontist? I would like to take your diagnosis and thought processes and combine them with a surgeon that is trying to get the facial skeletal measurements back to where they should be. I think the human body is wise, and reducing things to compensate for shortcomings, only makes things worse. ie. Instead of septoplasty/tubinate-plasty to increase nasal volume, we should be trying to correct the PROBLEM, (NARROWED FACIAL DIMENSIONS/DECREASED NASAL VOLUME), by EXPANDING the facial bones to where they should be in an ideal scenario.
T Jam, if you look around my website ( doctorstevenpark.com) and my book (Sleep Interrupted: A physician reveals the #1 reason why so many of us are sick and tired), it's all about craniofacial issues. It sounds like you need to see an airway-centric dentist and a maxillo-facial surgeon to come up with a plan. The point of this video is that if you have craniofacial narrowing, you will also have a deviated nasal septum and nasal congestion.
@@doctorstevenpark , thank you for responding. Yes, I’m seeking out information and potential treatment from airway-centric dentist/orthodontist/maxillofacial surgeon(s). I’ve consulted with Dr Ting, I’ve communicated with Dr Marianna Evans, and Dr William Hang, to pick their brains and see which one has thinking that appears to coincide with mine. (Similar to yours) I will look into your website further and your book! Thanks again for your quick response! This is life-changing information.
A deviated nasal septum is commonly seen along with sleep apnea, which does cause low oxygen levels and possible brain damage, especially if the apneas are severe.
