Causes & treatment of chronic nasal obstruction
Diagnosis
Treatment
- Septal deviation
Septoplasty
- Nasal fracture
Reduction
- Turbinate hypertrophy
Decongestants, turbinoplasty, turbinate resection, radio frequency reduction, debrider assisted turbinate reduction
- Septal perforation
Buttons, advancement flaps, inferior turbinate flap
- Nasal valve collapse
Adhesive supporting strips, naso-orbital suspension of nasal valve, valvular reconstruction with spreader grafts
- Choanal atresia
- Neoplasm
Transpalatal repair, endoscope assisted repair
Resection
- Nasal polyposis
Polypectomy, topical steroids
- Tip ptosis
Cartilage graft to support the tip
- Allergic rhinitis
Allergen avoidance, desensitization, antihistamines, topical steroids
- Septal hematoma
I&D, antibiotics
- Septal abscess
- Nasal foreign body
- Rhinoscleroma
- Rhinitis medicamentosa
- Mucormycosis
I&D, antibiotics
Removal
Tetracycline (early stages), surgical resection of fibrotic material
Avoidance of nasal decongestants, topical steroids
Debridement, antifungal drugs
17. Obstructive sleep apnoea syndrome
UPPV