Collapse Repair

1. Collapsed Air Sacks
2. Collapse Report In Quickbooks
3. Japan Road Collapse Repair
4. Collapsed Air Sac
5. Fiberglass Septic Tank Collapse Repair
6. Sewer Line Collapse Repair Cost

You know, More than 70% of the air you breathe in passes through your nasal valve!!

Collapsing of the nasal valve leads to lowering the amount of air you breathe and, thus, a lesser supply of oxygen.

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It also impacts your QoL (Quality of Life) negatively.

So, this article would be of great help to you if you get stuck in this problem ever.

And you can even help someone close to you needs your advice on his/her nasal valve collapse.

So, let’s dive right in!!

What Will You Learn?

Your nose is much more complicated than it seems. The real explanation of the nasal valve structure was brought to this world by Mink in 1903.

Your valve is divided into two parts, i.e., external valve and internal valve.

But more often, the internal structure is regarded as the complete nasal valve.

The anterior end of inferior turbinates (structures responsible for cleansing and humidifying air), aligns adjacently with the nasal septum.

The septum and the ULC (upper lateral cartilage) form an angle of 10-15° between them.

This whole structure constitutes your nasal valve. For some time it might confuse you. And that’s all fine.

The last thing you must know is:

The nasal valve area is the site of the highest resistance to nasal airflow. So, even a bit, collapsing has a severe effect on airflow dynamics.

That’s a bit indigestible! Isn’t it? But, nothing to worry, everything would be cleared by the time you reach the bottom.

What Is a Nasal Valve Collapse?

Nasal Valve Collapse is a term for the narrowing of your nasal passage due to weakening your nasal valves. Thus, making it too difficult for you to breathe through your nose.

And the reason behind it being increased resistance and blocked airflow.

The question which follows is – What causes your nasal valve to collapse? Though there are many, some are very common.

Let’s get to know them now.

What causes a nasal valve collapse?

As mentioned above, your nasal valve may collapse due to several reasons.

Below are some of the most common among them which you must be aware of.

1.Nose Job:

If you have undergone rhinoplasty (other terms for nose job) ever, then there might be some possible complications with your nasal valve.

These complications could be severe sometimes. Thus, leaving you with a collapsed nasal valve.

2. Injury

Trauma or injury involving your nose is also a cause for collapsing of your nasal valve.

It is so because the nasal valve is a complicated and delicate structure. And, even a bit of complication with it is severe for your nose.

3. Heredity

It is not always necessary that you get your nasal valve collapsed only due to some trauma or history of surgery.

It is often inherited through your parents genetically.

4. Ageing

As you get older, the muscles from which your valves are made up of, start getting weak.

So, there’s also a high chance of developing a valve collapse with increasing age and the natural aging process.

Studies even claim that inhalation of cocaine for a long time is a cause behind the collapsed nasal valve.

Along with it, septum deviation is also a prevalent cause.

So, as you must have got a glimpse that there’s not a single cause for nostril collapse.

There are several small-small factors contributing to it. Hence if you have got a collapsed valve, there’s nothing to worry much.

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Symptoms Helping You Identify Collapsed Valve

Congestion in the nose while breathing is the most noticeable symptom showing your valves are collapsed.

But apart from it, few more signs help you figure out whether you have a nasal valve collapse.

The symptoms include:

• Stuffiness of Nasal Passage
• Difficulty in Sleeping
• The feeling of Nasal Blockage or Bloody Nose
• Breathing Difficulty While Doing Workouts
• Crusting of Nostrils

How do you fix a collapsed nasal valve?

For handling this disease, there are both non-surgical as well as surgical methods (used most often).

Let’s have an eye over both type of treatment options, one-by-one.

Even though many patients recover this issue through non-surgical options, surgical treatment is required occasionally.

Some conventional non-surgical methods include:

I. Antihistamines:

Antihistamine – Oral H1, has long been known for its effectiveness in allergic rhinitis symptoms.

Some pieces of evidence also show them to have modest decongestant action in conditions like collapsing of nasal valves.

Antihistamines also help with symptoms of allergy such as runny nose/ rhinorrhea.

II. Nasal Corticosteroid:

Nasal steroid spray or nasal corticosteroids are used for medication delivery to the nasal cavities.

Along with helping in conditions such as nasal congestion and allergic rhinitis, they also help you with collapsed nasal valves.

They help to reduce swelling of your tissues forming valves and thus provide an extra millimetre of space for air to pass.

These sprays feel fantastic to use during nasal congestion (whatever be the cause).

III. Nasal Strip:

We often notice athletes applying a bandage over their nose. Did you ever get why they do so? It is done to prevent snoring and reduce congestion during sports.

Nasal strips help with making your breath easy. It’s a type of adhesive bandage applied over your nasal bridge and sides of nostrils. Thus, facilitating to keep the airway open.

IV. Nasal Dilators:

These are also a safe go-to option for blocked nasal passage. As nasal strips (also known as external nasal dilators), these too are visible from outside.

Still, they are of great help when you need to breathe through your nose during congestion due to valve collapse.

And the best thing, they prevent you from surgery and medications. These dilators usually pull your tissues from inside. Thus, making your nasal passage wider for you.

Side Note: Non-Surgical treatments are temporary go-to options, as they don’t change the physiology (or structure) of your nose.

Also Read: Is your pudding gluten free?

The surgical methods have long been known for treating any nasal issue permanently. And this is also true when it comes to curing collapsed nasal valves.

During surgery, your inner nose is reshaped for improvement in the dynamics of airflow.

Below are some surgery options you could go with, for your collapsed nasal valves.

So, let’s dive right in!

1. LATERA:

It is the surgery option which is least invasive and highly effective in the long run.

The surgery uses Latera implant, which is a small beam-like structure made up of an absorbable polymer.

How Is LATERA performed?

A unique needle-shaped device is used to insert the Latera implant inside your nose.

This implant helps to support your upper and lower cartilage present at the lateral wall of your nose.

Below is a video showing the implantation of Latera. The implantation is performed by a qualified otolaryngologist (Specialist of Ear, Nose, and Throat).

During a study done on 396 patients using Bio-absorbable Implant (Latera), it was found that Latera also showed significant improvement in QoL.

Since this treatment is done without making an incision so Latera patients should avoid pinching and blowing their nose.

They also should take special care of their nose for about a week or two after the procedure.

If you want more detailed information on Latera, feel free to visit Latera.Com.

2. Structural Cartilage Grafting/ Alar Batten Grafting:

This treatment option is so prevalent that when it comes to treating collapsed nasal valves, ordinary people think it to be the only go-to option.

A study was done for about 7-years in which 107 patients underwent alar batten grafting.

The patients chosen for this study had nasal obstruction caused by INVI (Internal Nasal Valve Incompetence).

The result of this surgery was so amazing, that I can’t wait anymore to share with you. And here it is!

Among all 107 patients;

→ 91% reported improvement in Nasal Blockage and

→ 88% showed an increase in their QoL (Quality of Life)

The maximum improvement was seen at six months following the surgery. The conclusion drawn out from the above study was:

Alar Batten Graft Is A Highly Effective Technique for Treating INVI And the Outcomes Produced Are Satisfactory.

Since nasal valve collapse affects your health negatively, this surgery doesn’t come under the cosmetic and elective insurance category.

And thus here’s a piece of good news for you, it gets covered under most of the health insurance plans.

How Is Alar Batten Grafting Performed?

First, the thing you should know is, What are alar batten grafts?

Alar batten grafts are flat, oval-shaped pieces made from cartilage taken from your body.

Most of the times cartilage are taken from your nasal septum, but if complications arise there, they may take it from your ears or ribs.

Surgeons insert this graft during rhinoplasty. If it is a closed rhinoplasty, then a small incision is made inside your nose to create little pockets on each side.

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The size of this pocket is made based upon the size of the graft. Then with the help of forceps, the graft is inserted inside the pocket. And that’s all, the surgeons do.

Else, if the rhinoplasty is an open one, then it is placed directly by operating the area which needs additional strength.

This is performed through the outer exposed surface of your nose.

The main motive of this method is to add structure and support to your sidewall (lateral one) and valves which are collapsed.

Are Alar Batten Grafts Visible?

Mostly no, and sometimes yes. Alar batten grafts get visible as they get placed within your skin and occasionally also lift the nose outward.

So, you feel the grafts in place.

Nasal Valve Collapse Before and After

Here’s a view, how the nasal valve looks before and after its treatment.

Which treatment option is the best?

I know, the fixes mentioned above for nasal valve collapse, would have confused you for once.

If you are stuck with, which option should you go with, then consider having an appointment with your doctor? Your doctor would suggest the best fit for you.

Also Read: How to remove fiberglass safely from skin?

Post-surgery Tips For Smooth Recovery

Collapsed Air Sacks

The expected recovery period of the surgery is about 7 -10 days. If the operation involves rhinoplasty or septoplasty (surgery for deviated septum), then the recovery period is a bit longer than expected.

Medications for pain are given based on the patient’s requirement. Still, some tips could help you make your recovery smooth.

Here are some Do’s and Don’ts aiding to your recovery. You must practice them while you are in the resting period.

DO’S

✔Sleeping with Your Head Elevated To Hasten Recovery

✔Regularly Following Your Doctor’s Advice

✔ Attending Post-Operative Appointment Sessions for Healing Well and Quality Aftercare

DON’TS

✘Do Not Do Yoga Involving Your Nose or Making You Breathe Faster

✘ Do Not Neglect Even A Bit of Nose Bleeding, Consult Your Doctor Immediately

✘Do Not Engage in High-Intensity Activities Such as Sports

✘Do Not Take Ibuprofen or Aspirin (Anti-Inflammatory Drugs), As They Prevent Blood Clotting and Make You Bleed Excessively. [For Safe Medication Consult Your Doctor]

Adarsh Kumar is a health blogger with two years of expertise in health, nutrition, surgery, and wellness fields. He always aims at providing high-quality information to his readers.

What Are The Nasal Valves?

“Nasal valves” are areas in the nose that are narrow and cause difficulties in breathing. There are 2 nasal valves, an “internal” and an “external” nasal valve. The external nasal valve is the “nostril” of the nose and is made up of the ala, the round fleshy area on the sides of the nose. The ala is supported by cartilages located in the tip of the nose. The internal valve is located inside the nose and is the area between the nasal septum and the lowest portion of the upper lateral cartilage, which are cartilages located on the sides of the nose.

What Is A Nasal Valve Collapse?

There are many reasons for a nose to be congested and blocked. These include a deviated septum, enlargement of the natural tissues of the nose (also known as inferior turbinate hypertrophy), nasal polyps, and/or allergies. Another reason is lack of support on either side of the nose when you breathe inward. The “valves” should be strong and resist airflow when breathing in. Weak cartilages can cause the one or both valves of the nose to collapse inward causing blockages and nasal congestion. Sometimes the blockages can be a combination of all of the above-mentioned problems. A thorough evaluation by a specialist is needed to determine the cause of the blockage and the best treatment options for nasal valve collapse.

What Does Valve Collapse Look Like?

External valve collapse is apparent when you breathe inward and the nostril on one or both sides partially or completely closes on itself. Internal valve collapse may be less apparent on the outside but the upper middle portion of the nose on either side may narrow significantly on breathing in. Lifting up the skin around your nose, or using common aids like “Breathe-Rite” strips can alleviate blockages caused by the internal nasal valve, and can help in making the diagnosis. In addition, on the outside of your nose, you may see an upside-down triangle under the nasal bones which is an area of detachment of your upper cartilage. This is called an “inverted-V deformity” and is more common after a bump is removed or aggressive nasal surgery.

What Causes External Nasal Valve Collapse?

Weakness or upward orientation of the cartilages in the tip of your nose can cause the external valves to narrow with inspiration. If you have had a previous rhinoplasty, then the lower lateral cartilages may have been partially removed which will also weaken the external valves. Having widening of the skin and cartilage between your nostrils or a septum that you see deviated into one nostril will contribute to external valve narrowing.

What Causes Internal Nasal Valve Collapse?

For the internal valves, the upper lateral cartilages can be weak or very narrow causing collapse when breathing inward. A bump removal can cause the upper lateral cartilages to become disconnected from the midline septum and causing them to fall against the nasal septum. If the septum in the area of the internal valve deviates toward the valve then this will also cause valve narrowing.

Preparation For A Nasal Valve Procedure

You will meet with Dr. Mourad where he usually spends an hour going over everything related to your surgery. He will evaluate and make sure that he can specifically tailor a custom care plan to your exact needs. During the consultation, Dr. Mourad will determine the exact nature of your complaints and the exact causes. He may prescribe medications that will assist in your complaints. Once a tailored plan is made, Dr. Mourad and his staff will take you through all the necessary information needed to make sure that your surgery happens without issue. We take care of the details so that you can have the most enjoyable experience.

Dr. Mourad views treating his patients to be nothing short of a privilege and an honor and enjoys taking the time to get to know his patients and fully understand their issues. Dr. Mourad’s office provides a boutique experience that takes you out of the mindset of being at the doctor’s office. It is a warm, comfortable environment, providing a bespoke experience.

Will Medicines Fix Nasal Valve Collapse?

Medications sometimes help. Nasal steroids like Flonase may slightly decrease swelling inside the nose and just 1 millimeter of additional breathing room can feel amazing. Likewise, nasal saline rinses can sometimes make the nose feel more open by washing away mucous and cleaning the inside of the nose. If you have allergies, then antihistamines like Claritin and Zyrtec will decrease the tissue swelling. Decongestants like pseudoephedrine and those contained in Claritin-D will decrease swelling in the nose. Breathe-Rite strips can open the valves by pulling on the outside skin of the nose. Should over the counter and prescription medications not work then you may need a nasal valve surgery to improve your breathing.

What Is External Nasal Valve Surgery?

External valve surgery involves strengthening the cartilage and fleshy sides of the nostril with cartilage. This cartilage can be from your own septum, from your own rib, ears, or harvested from an organ donor. Using an open or closed nasal surgery, the cartilage is reshaped and reinforced to hold the external valves from collapsing.

What Is Internal Nasal Valve Surgery?

Cartilage can be placed either through an open or closed nasal surgery into the areas between the midline septum and upper lateral cartilages to hold the upper lateral cartilages away from the septum. This increases the area of the internal valves and as we discussed above, even one millimeter of improvement in the valve area can improve your breathing.

Are There Additional Ways To Fix The Valves?

Collapse Report In Quickbooks

If your tip is dropping then surgery to lift the tip can open both the internal and external valves. Straightening the septum or narrowing the skin and cartilage between the nose can increase the area of airflow and improve nasal valve function as well. Dr. Mourad has successfully used a technique that removes the lower edge of the upper lateral cartilage with an increase in the angle of the internal valve that he has found very effective.

Japan Road Collapse Repair

What If Both Of My External And Internal Valves Are Collapsed?

You can repair the external and the internal valves on one or both sides at the same time. In fact, you can also have septoplasty, sinus surgery, and rhinoplasty during the same surgery. Dr. Mourad is an expert surgeon at all of the above procedures and will work with you to plan the right procedure to get you breathing better.

After Surgery and Recovery

Collapsed Air Sac

Depending on your work, Dr. Mourad typically recommends taking a minimum of 3 days off before returning to work. He also discourages his patients from any heavy lifting. If you wear glasses, you may require some alterations if applicable. Dr. Mourad will provide you with pain medications, ointments, nasal sprays, all to help maximize your results. Dr. Mourad will then see you in visitations two weeks later, and then one month after that. Dr. Mourad enjoys the continued visitation of his patients and will see them in follow up for many years thereafter.

Associated Risks

• Anesthesia: Depending on the type of anesthesia administered, patients may have a reaction. This is exceedingly rare, and it is important to discuss your personal risk with your anesthesiologist.
• Infection: In rare circumstances patients may develop an infection following nasal valve procedures. These are usually managed with intraoperative and postoperative antibiotics.
• Bleeding: Although rare, patients may have bleeding episodes following nasal surgery. Your surgeon will likely order blood work to make sure you are healthy enough to undergo the procedure. Your surgeon should also go over all medications and supplements that you take to minimizing bleeding risk.
• Need for secondary and revision surgeries: Depending on the complexity of the surgery, sometimes multiple surgeries are required to ensure the best aesthetic and functional outcomes.
• Scarring and Poor wound healing: Some patients with underlying medical conditions or more prone to poor wound healing and scarring. It is important to understand these risks prior to embarking on a treatment strategy.
• Local Reactions: Sometimes you may experience local reactions to the ointments, sutures, taping material, and nasal packing used during surgery and postoperatively. This is rarely seen, but may occur. If you have any allergies to certain materials or adhesives you should discuss with your surgeon.
• Changes in nasal sensation: Patients may experience altered sensations in their nose (pain or numbness). This is exceedingly rare, and if it occurs it is most often temporary.
• Persistent or Recurrent Nasal Airway Obstruction: Although the goal of surgery is to enhance breathing, sometimes patients may develop persistent or recurrent airway problems. This is rare, but oftentimes is due to poor wound healing or scarring (see above). This may require secondary surgeries to optimize outcomes.
• Continued need for medical therapies: If you have breathing complaints related to medical causes (e.g. allergies), then you may continue to require medical nasal therapies (e.g. nasal steroids and sprays).
• Nasal Septal Perforation: A hole in the septum may develop. Oftentimes these do not cause any problems. Other times however, they may cause crusting, bleeding, and breathing difficulties. These require secondary surgeries for repair.

Does Insurance Pay For Nasal Valve Surgery?

Yes! Because it is considered a “functional surgery” that will improve your quality of life, most insurances will pay for some or all of the costs for surgery, anesthesia and the facility fees. Our office will check your insurance benefits and let you know what they are before your office visit so there are no surprises. We will take care of the paperwork and dealing with your insurance company and will let you know what’s going on. Of course, cosmetic surgery is rarely if ever paid by insurance. Dr. Mourad is board certified in facial plastic surgery and otolaryngology and an expert nasal surgeon. If you think you have nasal valve collapse, please feel free to call our office.

Meet Dr. Moustafa Mourad, MD, FACS

Moustafa Mourad, MD, FACS is board-certified in head and neck surgery and highly-trained in cosmetic plastic surgery and facial reconstruction. Dr. Mourad is also a Fellow of the American College of Surgeons. He treats many conditions, both cosmetic and complex, that affect the head, neck and entire facial area. Learn More »

Mourad M, Arnaoutakis D, Sawahney R, Ducic Y. Use of the Giant Bilobed Flap in Head and Neck Reconstruction. Facial Plastics Surgery. 2016 Jun;32(3):320-324. Link to Article.

Fiberglass Septic Tank Collapse Repair

Kadakia S, Mourad MW, and Ducic Y. Supraclavicular Flap Reconstruction of Cutaneous Defects Has Lower Complication Rate than Mucosal Defects. Journal of Reconstructive Microsurgery. 2017 May; 33(4):275-280. Link to Article.

Sewer Line Collapse Repair Cost

Moubayed S, Mourad MW, Lee T, and Ducic Y. An Overview of Regional Tissue Transfer for Head and Neck Reconstruction. Head and Neck Cancer. 2016 Feb. Link to Article.