Nasal Anatomy: Common Concerns and Breathing Implications - Otolaryngology

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Dear Dr.
Cheng,
I have two topics I would like to consult you about:
1.
Regarding the size of my nostrils, I measured the width of each nostril horizontally with a ruler, and they are approximately 1 cm wide.
When measuring the diagonal width at the widest point, each nostril measures about 1.2 cm.
I do not have any nasal congestion or other breathing difficulties.
Here are my questions:
Q1.
Is the size of my nostrils within the normal range for most people?
Q2.
Is there a correlation between nostril size and the volume of air inhaled? For example, do individuals with smaller nostrils inhale less air, potentially leading to hypoxia or breathing difficulties? Or is there no relationship between nostril size and the volume of air inhaled?
2.
Regarding the collapse of the nasal valve, when I inhale forcefully, my left nasal valve collapses against the left nostril, while the right nostril does not exhibit this behavior.
I have researched this and found that it seems to be a case of unilateral "external nasal valve collapse" (please correct me if I am wrong).
During normal breathing (without force), neither nostril collapses, and this occurs only when I inhale forcefully.
I currently do not have nasal congestion or other breathing difficulties.
Here are my questions:
Q3.
In your opinion, does my condition (left external nasal valve collapse) require medical treatment, or is it sufficient to continue monitoring it?
Q4.
How common is "external nasal valve collapse" in the general population? What causes this condition? Is it due to insufficient support from the cartilage development at birth, or is it caused by acquired trauma (such as a blow to the nose)?
Q5.
To test the extent of my "external nasal valve collapse," I forcefully inhaled several times in succession, which seemed to cause hypoxia and dizziness.
Can you explain the principle behind this? Is it normal to experience dizziness due to hypoxia after several short, forceful inhalations?
Thank you, Dr.
Cheng.

A-Xiang, 40~49 year old female. Ask Date: 2022/09/23

Dr. Zheng Jueyi reply Otolaryngology


Hello, A1: The size is within the normal range.
A2: The size of the nostrils is related to the volume of air inhaled, but if there is currently no nasal congestion, it should be monitored.
A3: If there are no symptoms during normal breathing and only experience issues when taking deep breaths, self-monitoring is advisable.
A4: There are many reasons for the formation of collapse, and all of the above are possible.
A5: Symptoms may be caused by hyperventilation syndrome; it is recommended to avoid excessive hyperventilation in a short period.
Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2022/09/23

More Info


Understanding nasal anatomy and its implications on breathing is crucial for addressing common concerns related to nasal function. Your questions touch on several important aspects of nasal physiology, including the size of the nostrils, the phenomenon of nasal valve collapse, and the potential implications for breathing and oxygenation.


Q1: Is my nostril size within the normal range?
The average width of adult nostrils can vary significantly, but a width of approximately 1 cm to 1.2 cm is generally considered to be within the normal range. Individual variations in nasal anatomy are common, and as long as you are not experiencing any symptoms such as nasal obstruction or difficulty breathing, your nostril size is likely not a cause for concern.


Q2: Is there a relationship between nostril size and air intake?
Yes, there is a relationship between nostril size and the volume of air that can be inhaled. Larger nostrils can facilitate a greater airflow, while smaller nostrils may limit airflow. However, it is essential to note that the overall respiratory function is influenced by various factors, including the health of the nasal passages, the presence of any obstructions, and the condition of the lungs. A person with smaller nostrils may not necessarily experience hypoxia (lack of oxygen) or breathing difficulties unless there are other underlying issues.

Q3: Do I need medical treatment for my left nasal valve collapse?
The left nasal valve collapse you described, which occurs only during forceful inhalation, may not require immediate medical intervention if you are not experiencing significant symptoms like nasal obstruction or breathing difficulties during normal activities. However, it is advisable to monitor the situation. If you notice any changes, such as increased difficulty breathing or persistent discomfort, consulting an ENT specialist would be prudent.


Q4: How common is external nasal valve collapse, and what causes it?
External nasal valve collapse is relatively uncommon in the general population but can occur due to various factors. These include congenital conditions where the cartilage supporting the nostrils is underdeveloped, trauma to the nose, or even surgical alterations that may compromise the structural integrity of the nasal valve. Aging can also contribute to changes in nasal structure, leading to potential collapse.


Q5: Why did I experience dizziness after forceful inhalation?
Experiencing dizziness after forceful inhalation could be attributed to several factors. When you inhale forcefully, you may inadvertently create a negative pressure in the nasal passages, which can lead to a temporary reduction in blood flow to the brain, resulting in dizziness. Additionally, if you are hyperventilating (breathing too quickly or deeply), you can lower carbon dioxide levels in the blood, leading to symptoms such as lightheadedness or dizziness. This is a normal physiological response, but it is essential to practice controlled breathing techniques to avoid such occurrences.


Conclusion
In summary, understanding the anatomy and function of your nasal passages is vital for recognizing potential issues related to breathing. While your nostril size appears normal and the left nasal valve collapse may not require immediate treatment, it is essential to remain vigilant about any changes in your breathing patterns. If you experience persistent symptoms or concerns, consulting with an ENT specialist can provide clarity and appropriate management options. Regular monitoring and awareness of your nasal function can help maintain optimal respiratory health.

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