Nasal Issues: Seeking Solutions for Breathing Difficulties - Otolaryngology

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Nasal cavity issues


Hello Doctor: I happened to read an article you wrote and felt a deep connection.
I am also a victim of nasal cauterization in traditional Chinese medicine, which resulted in the adhesion and curvature of my nasal septum due to improper treatment by the physician.
The depth of cauterization in my nostrils varies; one side was only lightly cauterized at the front, with the inferior turbinate mucosa still intact, allowing for some airflow.
However, the other side was cauterized very deeply, almost reaching the deepest part of the nasal cavity: the mucosa of both the inferior and middle turbinates is completely necrotic and fibrotic (even deeper).
The eye on that side has also lost vision due to improper handling that caused injury.
Currently, the remaining issue is that I cannot breathe properly through the more severely cauterized nostril, I have lost my sense of smell, and I often cough, leading to upper respiratory viral infections and bronchitis.
I have sought help from various hospitals and clinics, but to no avail.
I am considering using something like a "prosthetic" function, such as a cork or foam, to block that nostril and avoid breathing through it, forcing myself to breathe through the other nostril to prevent respiratory infections.
However, this is greatly affecting my quality of life.
I would like to ask if there is a chance for recovery? Are there any other methods? Thank you for your assistance.
I am extremely grateful.
Nasal cavity images: (The difference in the mucosa of the turbinates on both sides is very obvious to the naked eye) http://tw.myblog.yahoo.com/jw!G63u032RHRQg9_TeWw--/photo?pid=110 http://tw.myblog.yahoo.com/jw!G63u032RHRQg9_TeWw--/photo?pid=281 http://tw.myblog.yahoo.com/jw!G63u032RHRQg9_TeWw--/photo?pid=282

JOHN, 20~29 year old female. Ask Date: 2010/05/17

Dr. Ye Dawei reply Otolaryngology


Dear Sir/Madam: This is beyond my scope of expertise.
You may need to consult with a rhinoplasty specialist.
Dr.
Yeh Da-Wei, the Director of the ENT Department at Hsinchu Hospital.

Reply Date: 2010/05/17

More Info


It sounds like you are experiencing significant nasal issues that are affecting your quality of life. Based on your description, it appears that you have undergone a medical procedure that has resulted in complications, including severe nasal obstruction, loss of smell, and recurrent respiratory infections. These issues can be quite distressing and may require a multifaceted approach to management.

Firstly, it is essential to understand the underlying causes of your symptoms. The damage to the nasal mucosa and the structural changes in your nasal passages can lead to chronic nasal obstruction. This obstruction can cause you to rely on one side of your nose for breathing, which may exacerbate your symptoms and lead to complications such as bronchitis due to inadequate ventilation and drainage of the sinuses.

Given the complexity of your situation, I recommend the following steps:
1. Consult an Ear, Nose, and Throat (ENT) Specialist: It is crucial to seek a thorough evaluation from an ENT specialist who can assess the structural integrity of your nasal passages and the extent of the damage. They may perform imaging studies, such as a CT scan, to visualize the nasal anatomy and determine the best course of action.

2. Consider Surgical Options: Depending on the findings, surgical intervention may be necessary to correct the structural abnormalities caused by the previous procedure. This could involve reconstructive surgery to restore the normal anatomy of your nasal passages, which may improve airflow and reduce the risk of infections.

3. Nasal Care and Management: In the meantime, you can implement some nasal care strategies to help alleviate your symptoms. Using saline nasal sprays or rinses can help keep the nasal passages moist and may reduce irritation. Additionally, using a humidifier in your living space can help maintain moisture in the air, which may be beneficial for your nasal mucosa.

4. Avoid Irritants: It is essential to avoid environmental irritants such as smoke, strong odors, and allergens that can exacerbate your symptoms. If you are a smoker, quitting smoking is crucial, as it can significantly impact your respiratory health.

5. Explore Alternative Breathing Techniques: While it may seem tempting to block the affected nostril and rely solely on the other side, this could lead to further complications. Instead, consider working with a respiratory therapist who can teach you breathing techniques that may help optimize your breathing patterns and reduce discomfort.

6. Monitor for Infections: Given your history of recurrent respiratory infections, it is vital to monitor your symptoms closely. If you experience signs of infection, such as fever, increased cough, or changes in sputum production, seek medical attention promptly.

7. Psychological Support: Chronic health issues can take a toll on mental well-being. Consider speaking with a mental health professional who can help you cope with the emotional aspects of your condition.

In conclusion, while your situation is challenging, there are potential avenues for improvement. A comprehensive evaluation by an ENT specialist is crucial to determine the best course of action tailored to your specific needs. With appropriate management, there is hope for restoring better nasal function and improving your overall quality of life.

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