Nasal Obstruction
New York Sinus & Thyroid Surgery Center – Edward J. Shin M.D.
New York Sinus & Thyroid Surgery Center – Edward J. Shin M.D.
Open Menu tel:646.943.7985
310 E. 14TH STREET 6TH FLOOR
NEW YORK, NEW YORK 10003

Nasal Obstruction NYC

Nasal Congestion Treatment & Surgery

Undergoing treatment for nasal obstruction in NYC can help improve airflow and restore proper breathing function. Nasal obstruction is among the most unpleasant sinus conditions for patients. A stuffy or blocked nose can ruin a night’s sleep, amplify the effects of a cold or sinus infection, and even interfere with your everyday activities. Nasal obstruction has many possible causes. Colds, sinus infections, and allergies can lead to congestion and impair breathing until symptoms resolve. Structural deformities like a deviated septum, enlarged turbinates, or adenoid hypertrophy can also obstruct breathing. Additionally, overuse of nasal sprays and medications may make nasal obstruction worse. Dr. Edward Shin is a board-certified ENT and can diagnose nasal obstruction in NYC and offer treatment options based on the root causes of your breathing impairment. Nasal obstruction treatments focus on opening nasal and sinus pathways, removing obstructions, and relieving nasal inflammation to improve the flow of air through the nose.

NASAL OBSTRUCTION OVERVIEW
PARTIAL OR FULL OBSTRUCTION OF AIRFLOW THROUGH THE NOSE
CAN AFFECT ONE OR BOTH NOSTRILS
SOME PATIENTS REPORT IMPROVEMENTS IN SNORING & BETTER SLEEP FOLLOWING TREATMENT
EXACERBATED BY COLDS, SINUS INFECTIONS, & ALLERGIES
MAY BE AN UNDERLYING SYMPTOM OF NASAL DEFORMITIES OR GROWTHS
PROFESSIONAL DIAGNOSIS IS REQUIRED
NON-SURGICAL TREATMENT CAN RELIEVE CONGESTION CONTRIBUTING TO OBSTRUCTION
SURGERY CAN ADDRESS STRUCTURAL CONDITIONS LIKE SEPTAL DEVIATIONS OR ENLARGED TURBINATES
SINUS SURGERY CAN OPEN UP SINUS PATHWAYS & ALLOW FOR PROPER DRAINAGE TO RELIEVE BLOCKAGES
Nasal Obstruction Treatment

What Causes Nasal Obstruction?

Acute nasal obstruction can be caused by a cold, allergy, or sinus infection. Chronic nasal blockages may be attributed to a deviated septum or enlarged inferior turbinates. These conditions can affect one or both sides of your nasal cavity, depending on the complexity and severity. Other possible causes of nasal obstruction include nasal growths and tumors that may require surgical removal. In certain situations, the overuse of nasal sprays and decongestants can cause nasal obstruction; this is known as rhinitis medicamentosa.

An evaluation by an experienced nasal obstruction surgeon can help diagnose and treat your condition. A thorough history and physical exam along with nasal endoscopy will help determine the root cause of your nasal obstruction. Dr. Shin can use a nasal endoscope to fully evaluate the intranasal structures. Patients with persistent infections or nasal growths may also benefit from a CT scan of the sinuses for a better understanding of the cause of infection to aid in surgical planning.

NASAL OBSTRUCTION CAUSES
DEVIATED SEPTUM
ENLARGED TURBINATES
SINUS INFECTIONS OR COLDS
ALLERGIES
CHOANAL ATRESIA
NASAL GROWTHS OR TUMORS
ADENOID HYPERTROPHY
CHRONIC INFLAMMATORY CONDITIONS
RHINITIS MEDICAMENTOSA (OVERUSE OF NASAL DECONGESTANTS)

How Can A Deviated Septum Cause Nasal Obstruction?

A deviated septum refers to a misalignment or deflection of the septum (the bone and cartilage that separates your nostrils). If the septum is deviated, this can obstruct airflow through the nose. Mild septal deviations that do not cause nasal obstruction do not typically require treatment. Patients found to have a severe deviated septum as the primary cause of nasal obstruction may be candidates for septoplasty surgery. Undergoing septoplasty can remove or reshape septal deviations to improve airflow and breathing function. Learn more about septoplasty by clicking here.

How Can Enlarged Turbinates Cause Nasal Obstruction?

Chronic nasal obstruction can also be caused by enlarged turbinates. Nasal turbinates help filter and humidify the air we breathe. The presence of chronic infections can cause the turbinates to swell and block the nasal passages. Antibiotics may help reduce infection and relieve nasal blockage temporarily, but 1 in 5 patients may require a procedure to open or drain the sinuses to remove the underlying source of inflammation and congestion. In some cases, turbinate reduction surgery may be performed to reduce the size of the turbinates and enhance airflow. Learn more about turbinate reduction by clicking here.

Can Allergies Cause Nasal Obstruction?

Sinusitis caused by allergies may lead to nasal obstruction due to inflammation of the sinus lining. Patients with symptoms of allergic rhinitis should undergo an intensive medical evaluation including allergy testing and avoidance of known allergens. Learn more about allergy treatments by clicking here.

How Can I Treat Colds And Sinus Infections That Cause Nasal Obstruction?

Symptomatic relief using over-the-counter medications is often helpful. Medicines containing guaifenesin (such as Robitussin) are effective in thinning mucus and a nasal saline rinse or spray can further help partially relieve obstruction. For some patients, over-the-counter products containing pseudoephedrine (such as Sudafed) may also be highly effective, but patients may develop side effects like high blood pressure, heart arrhythmia, anxiety, or palpitations. Caution should be used when using products containing pseudoephedrine and usage should be discontinued at the first sign of any side effects. Nasal steroid sprays like fluticasone (such as Flonase) and oral antihistamines may further reduce congestion and nasal mucus production. Fever, headaches, and muscle aches can be treated with ibuprofen or Tylenol as needed.

For severe nasal congestion, decongestants containing oxymetazoline (such as Afrin) can be used for 48 hours for symptomatic relief. Prolonged usage of these nasal decongestants will result in a rebound congestion called rhinitis medicamentosa. For acute nasal obstruction and colds lasting more than 7 days, medical evaluation may be helpful in determining if antibiotics would help speed the resolution of the infection and if there are other potential sources of nasal obstruction.

If your sinus infections are chronic or reoccurring, this may be a sign of an underlying sinus disorder that is blocking the sinuses from properly draining. Dr. Shin can evaluate your condition to help determine the cause of these infections. Learn more about sinus infections by clicking here.

What Is Rhinitis Medicamentosa?

Rhinitis medicamentosa is the overuse of long term nasal decongestants containing oxymetazoline (such as Afrin). The major symptom is nasal obstruction. Treatment involves discontinuing usage of the nasal spray and a short term course of nasal and / or oral steroids if nasal obstruction is severe. Some medications like propranolol, aspirin, and ibuprofen may also cause nasal congestion in some patients.

What Is Choanal Atresia?

Choanal atresia occurs when the back of the nose or posterior choanae is blocked by a thick plate of bone and / or tissue, leading to nasal obstruction. This condition is usually diagnosed at birth and treated early in life. Treatment involves the removal of the bony plate to improve nasal breathing. Occasionally, some patients may grow to teenage or adult years with undiagnosed unilateral choanal atresia causing one-sided nasal obstruction. Nasal breathing dramatically improves following surgery to remove the bony plates that cause choanal atresia.

What Is Adenoid Hypertrophy?

Adenoid hypertrophy refers to the unusual growth of the adenoids. This condition can cause the adenoids to grow large enough to partially or fully obstruct the nasal passages. Adenoid hypertrophy is caused by infections of the adenoids. Though more common in children, adenoid hypertrophy can also occur into adulthood. Medications can be prescribed to treat the infection. In severe cases, adenoidectomy can be discussed to remove the adenoids.

Treatments For Nasal Obstruction

Can A Tumor Cause Nasal Obstruction?

While rare, nasal tumors can cause blockages of the nasal cavity. These growths may range from benign entities like angiofibromas, nasal polyps, inverted papillomas, antrochoanal polyps, and rhinoliths. Neoplastic tumors arising from the nasal cavity like adenoid cysts, squamous cell carcinomas, esthesioneuroblastomas, lymphomas, and nasopharynx carcinomas can also present with nasal obstruction and nosebleeds. Dr. Shin can help determine the underlying cause of your nasal obstruction and determine the best treatment plan. Learn more about nasal and sinus tumors by clicking here.

Can Inflammatory Conditions Cause Nasal Obstruction?

Nasal obstruction can be a symptom of systemic chronic inflammatory conditions. Patients may also present symptoms like nasal crusting, inflammation, and saddle nose deformity, which are common indicators of inflammatory conditions like Wegener’s granulomatosis, sarcoidosis, and Churg-Strauss syndrome. Dr. Shin can diagnose these conditions and discuss available treatment options to relieve symptoms.

How Do I Learn More About Nasal Obstruction Treatment In NYC?

Our nasal obstruction surgeon in NYC would be happy to discuss nasal obstructions and treatments in more detail with you. To schedule a consultation, please call 646.943.7985 or request an appointment online at our NYC office.

WHAT PATIENTS SAY ABOUT DR. SHIN

Edward J. Shin, M.D.

NEW YORK SINUS & THYROID SURGERY CENTER

310 E. 14TH STREET
6TH FLOOR
NEW YORK, NEW YORK 10003

646.943.7985

New York Eye & Ear Infirmary Of Mount Sinai

NEW YORK SINUS & THYROID SURGERY CENTER

310 E. 14TH STREET
6TH FLOOR
NEW YORK, NEW YORK 10003

646.943.7985