Fracture and lateral displacement of the inferior nasal concha?
Hello, doctor.
I come from mainland China.
A few years ago, I underwent surgery for a deviated septum and lateralization of the inferior turbinate at a hospital in China.
I'm not sure if you are familiar with this procedure.
After the surgery, I felt that my nasal breathing became irregular and uneven, and I have been experiencing insomnia; overall, it has been quite uncomfortable.
I have very little trust in hospitals in China and would like to ask if you could help me correct the laterally displaced inferior turbinate.
Thank you very much.
Li Ming, 20~29 year old female. Ask Date: 2019/06/08
Dr. Ji Zhaoyun reply Otolaryngology
Hello, based on your description, it is possible that you may have Empty Nose Syndrome (ENS).
This condition can be improved by reconstructing the inferior turbinate using nasal septal cartilage or auricular cartilage.
However, if only a septoplasty and inferior turbinate reduction surgery are performed, the nasal mucosa is generally not damaged, and ENS should not occur.
I recommend that if your symptoms persist, you should consult an otolaryngologist for a thorough examination to determine the exact cause.
Sincerely,
Dr.
Chi Chao-Yun, Head of the Department of Otolaryngology, Taichung Hospital, Ministry of Health and Welfare.
Reply Date: 2019/06/08
More Info
Hello! Thank you for reaching out with your concerns regarding your nasal surgery and the subsequent issues you are experiencing. It sounds like you have been through quite a journey with your nasal health, and I appreciate your willingness to seek further advice.
From what you've described, it appears that you underwent surgery for a deviated septum and possibly turbinate reduction or correction. These procedures are commonly performed to improve nasal airflow and alleviate symptoms associated with nasal obstruction, such as difficulty breathing, snoring, and sleep disturbances. However, it is not uncommon for patients to experience complications or dissatisfaction with the results post-surgery, especially if the nasal anatomy is altered significantly.
The symptoms you are experiencing—irregular breathing patterns, insomnia, and a general sense of discomfort—could be attributed to several factors. One possibility is that the nasal turbinates, which are structures inside the nose that help humidify and filter the air we breathe, may have been affected during your surgery. If the turbinates are either too large or improperly positioned after surgery, they can obstruct airflow, leading to the uneven breathing sensation you described. This can also contribute to sleep disturbances, as nasal obstruction can lead to poor sleep quality.
Another consideration is that the healing process after nasal surgery can sometimes lead to scar tissue formation or changes in the nasal anatomy that may not have been anticipated. This can result in ongoing symptoms, including nasal congestion, difficulty breathing, and even headaches. If you are experiencing persistent symptoms such as these, it is essential to consult with an ENT (Ear, Nose, and Throat) specialist who can evaluate your nasal passages and determine if further intervention is necessary.
Regarding your question about correcting the displaced turbinates, it is indeed possible to perform additional procedures to address issues related to the turbinates. This could involve turbinate reduction surgery, which aims to decrease the size of the turbinates to improve airflow. However, the decision to proceed with any corrective surgery should be made after a thorough evaluation, including a physical examination and possibly imaging studies, to assess the current state of your nasal anatomy.
It is also important to discuss your concerns and expectations with your surgeon. A good surgeon will take the time to understand your symptoms, review your surgical history, and explain the potential risks and benefits of any further procedures. They should also provide you with realistic expectations regarding recovery and outcomes.
In summary, if you are experiencing ongoing nasal issues following your surgery, I strongly recommend seeking a consultation with a qualified ENT specialist. They can provide a comprehensive assessment and discuss potential options for correcting any anatomical issues that may be contributing to your symptoms. Your health and comfort are paramount, and it is essential to find a medical professional you trust to guide you through this process. Thank you for sharing your journey, and I wish you the best in finding relief and improving your nasal health!
Similar Q&A
Understanding Septoplasty: Recovery, Treatment Options, and Allergy Management
Hello, doctor. I am a junior student. Last week, I underwent surgery for a deviated septum and also had laser treatment for inferior turbinate hypertrophy. I would like to ask you a few questions: 1. How long after the surgery can I start to sneeze? I am concerned that sneezing...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, it is advisable to consult your original surgeon regarding postoperative care instructions. Below are the postoperative care guidelines from our hospital for your reference: * Postoperative Care Instructions for Sep...[Read More] Understanding Septoplasty: Recovery, Treatment Options, and Allergy Management
Seeking Solutions for Nasal Reconstruction After Failed Surgery
Hello Doctor: I am a victim of a nasal procedure performed by a traditional Chinese medicine practitioner ten years ago. Due to improper handling by the physician, I have developed adhesion and deviation of the nasal septum, resulting in uneven thermal injury to both nostrils. (F...
Dr. Zhou Hongzhang reply Plastic Surgery
Our hospital is currently unable to provide this type of rhinoplasty. You may seek consultation and assistance at a larger medical center in Taipei.[Read More] Seeking Solutions for Nasal Reconstruction After Failed Surgery
Understanding Septoplasty: Advances, Risks, and Recovery Insights
Hello Doctor, in recent years, there seems to have been advancements in the surgery for deviated septum. I have a few questions regarding the procedure: 1. With the latest techniques for deviated septum surgery, can hypertrophy of the superior, middle, and inferior turbinates be ...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, Question 1: Generally, non-essential conditions (e.g., middle turbinate syndrome and others) do not require special treatment for the superior and middle turbinates, as damage to the sense of smell cannot effectively resolve spatial issues. Question 2: Common complicat...[Read More] Understanding Septoplasty: Advances, Risks, and Recovery Insights
Understanding Nasal Congestion: Surgery for Turbinate Hypertrophy and Septal Deviation
Hello~ I recently underwent laser surgery for nasal obstruction due to turbinate hypertrophy, but the doctor mentioned that I also have a deviated septum. How long does the surgery for septoplasty take? Will I need to be hospitalized? After the correction, will the nasal obstruct...
Dr. Cai Zhenggu reply Otolaryngology
Hello, Rong: 1. The surgery will take approximately one hour. 2. A hospital stay of four days is required. 3. If the inferior turbinate is not hypertrophied, nasal congestion will not recur.[Read More] Understanding Nasal Congestion: Surgery for Turbinate Hypertrophy and Septal Deviation
Related FAQ
(Otolaryngology)
Nose(Plastic Surgery)
Nasal Irrigation(Otolaryngology)
Deviated Nasal Septum(Otolaryngology)
Nasal Cavity(Otolaryngology)
Nasal Congestion(Otolaryngology)
Laser Surgery(Otolaryngology)
Postnasal Drip(Otolaryngology)
Sneezing(Otolaryngology)
Hypertrophic Rhinitis(Otolaryngology)