post-Septoplasty

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Peter Jones - 12 Jun 2004 14:04 GMT

Hi,

I have had a permanently blocked nose for about 7 years. What happens
is that one nostril is always clear, whilst the other is blocked (and
it changes from side to side). My ENT made me do a CT scan which
showed that I had a deviated septum. He said that septoplasty would
greatly reduce my breathing difficulties. I had the operation in
January this year. I would say that the operation has helped me about
30% - at times I can breathe perfectly but mostly I still have
trouble.

Is there anything else someone can suggest that might help me breathe
better? What do you think is causing the blockage? I have had allergy
tests but nothing seems to show up.

Thanks,
Peter.

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Don Brady - 12 Jun 2004 15:21 GMT

>Hi,
>
>I have had a permanently blocked nose for about 7 years. What happens
>is that one nostril is always clear, whilst the other is blocked (and
>it changes from side to side).

The alternation is normal - it happens to everyone.

The *complete* blockage just means that your turbinates are enlarged.

> My ENT made me do a CT scan which
>showed that I had a deviated septum. He said that septoplasty would
>greatly reduce my breathing difficulties. I had the operation in
>January this year. I would say that the operation has helped me about
>30% - at times I can breathe perfectly but mostly I still have
>trouble.

No surprise there to me. Septoplasty would help *at most* on *one* side only.

>Is there anything else someone can suggest that might help me breathe
>better? What do you think is causing the blockage? I have had allergy
>tests but nothing seems to show up.

Nasal steroid spray, and avoidance of dust, pollution, irritants and potential
allergens.

Keep a mnetal diary of when your nose really opens up wide, and when it closes
up (which actually means the turbinates swell up out of irritation). You will
learn a lot and may be able to eventually fix your problem.

Odds are good that dust and mould (or worse yet smoke) are involved....

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ENTconsult - 12 Jun 2004 18:49 GMT

It is possible that one of the medications you are using is making it worse.
for example, saline with preservatives often cause congestion.
Murray Grossan, M.D.
http://www.ent-consult.com

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