Your nose plays an important role in your respiratory system as it filters, conditions and humidifies the air you breathe and inhale in your lungs.  For some patients, the everyday act of nasal breathing can be a difficult task. Nasal blockage can be inflammatory or it can be anatomical. Inflammatory examples could include allergies, the common cold, or sinusitis, and these are treated medically. Anatomical blockage occurs when the shape of the structures of the nose compromises the breathing passages.

The most common structures that are repaired using surgery include the septum of the nose, which acts as a wall between the nasal passages, the turbinates, mucus-secreting structures that line the passages, and the nasal valve, which is the narrowest area at the entrance of the nose and nostrils. The unfavorable anatomy of each of these structures can narrow the nasal passageways and inhibit airflow through the nose, causing breathing to become uncomfortable.

What is Nasal Airway Reconstruction?

Nasal airway reconstruction refers to surgery to repair the unfavorable anatomy of the nasal passageways and allow better breathing. This may include a septoplasty to correct a deviated septum, the wall between the nasal passages that may be crooked, congenitally, or due to trauma.  It also may include a turbinoplasty to reduce the size of these nasal tissues when they crowd the nasal passages.  A nasal valve repair will be done when this area of the nose is narrowed or compromised and needs reconstruction to open the passages.  Reconstruction of the nasal airway can provide many benefits, including the clearing of the nasal airway passages, improvements in symptoms like nasal discharge and sneezing, and an improvement in recurring sinusitis or hay fever.

What Patients Are Saying

Dr. Cote is a master of his craft! His attention to detail, genuine compassion and overall skill were important factors that contributed to a very successful procedure. I am thrilled that he was able to help me achieve my desired outcome. I wholeheartedly recommend his services to anyone looking for a superior experience.

Had a great experience with Dr Cote and great results! Would recommend Dr Cote. I would also go back for anything else I may need!

Dr. Cutler and his office staff were great to work with. They took care of me on time and everything was really smooth!

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How is Nasal Airway Reconstruction Done?

Nasal airway reconstruction commonly takes about an hour to complete and is done under general anesthesia as an outpatient surgery. During surgery, incisions are made inside the nose to provide access to crooked cartilage or bone that needs to be either removed or repositioned. Swollen turbinates may be reduced by a variety of techniques. Cartilage grafting may be used to repair the nasal valve. Incisions are closed and then the patient awakens for recovery.

Nasal Airway Reconstruction Recovery

Following surgery, packing is rarely used in our practice, although splints may protect the repaired areas. After recovery from anesthesia, the patient returns home to rest and recover.  Saline spray may be recommended to prevent the nose from developing crusts. Most patients can return to their everyday tasks in a few days. Some strenuous activities or travel may need to be postponed for a longer period.  An improvement in breathing is often noticeable at the one-week appointment and will improve further for six weeks after the procedure.

Schedule a Consultation in Denver, Lone Tree, or Castle Rock, CO

Patients who are having difficulty breathing through their nose can often benefit from nasal airway reconstruction. If you are located in the Denver, Lone Tree, or Castle Rock areas and believe you may be a good candidate, contact AOO| ENT Specialists of the Rockies to schedule your consultation with one of our ENT specialists.

Frequently Asked Questions about Nasal Airway Reconstruction

What is nasal reconstruction?

Nasal airway reconstruction refers to surgery that is performed to improve breathing through the nasal passages. This may include multiple procedures that include septoplasty, turbinoplasty, or nasal valve repair. This could be done in conjunction with other sinus surgeries, adenoidectomy, or rhinoplasty.

How long does it take to recover from nasal reconstruction?

Recovery at home may take a couple of days and sometimes up to a week depending on how extensive the surgery is done. Usually the patient experiences nasal congestion and is performing saline rinses. They can return to most non-strenuous activities in a short time and will postpone more strenuous activity until later.

How painful is nasal reconstruction?

Everyone can experience discomfort and pain in a different way, but most patients find the surgery not difficult to recover from overall. Most people can manage their pain with non-narcotic pain medication. In our practice, nasal packing is rarely used, and that also helps with any discomfort. Nasal splints are plastic sheets that protect the nasal septum, and are sometimes used and will be removed at your follow up appointment within a week.

How is nasal reconstruction done?

Nasal airway reconstruction is usually performed in an operating room as an outpatient surgery while the patient is asleep under anesthesia. It can take 45 to 90 minutes typically. Incisions are performed inside the nose to get access to the anatomical structures that need repair, such as a deviated septum, enlarged turbinates, or a narrow nasal valve. Cartilage or bone may be removed or repositioned, swollen turbinates may be reduced using a variety of techniques, and grafting with cartilage maybe also used to open up the nasal valve and airway passages. Incisions are closed, and the patient is awoken and brought to the recovery area. They are then discharged home to rest and recover.

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