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Breathing Obstructions Caused by Sinusitis can Require Surgery, says Denver's Nose Doc
Date:4/18/2010

is, severe allergic reaction, bacterial infections, foreign bodies or trauma. The degree of obstruction determines how seriously breathing is impaired.

The types of surgery performed vary by the breathing issue that is diagnosed, explains Dr. Raval who earned the title of The Nose Doc among surgical peers for his expertise in performing revision rhinoplasty surgeries.

“In the case of sinusitis, we traditionally used surgery to open the nasal passages by removing the bone in the nasal passage,” he notes. “Today, the optimum treatment is a new, less invasive procedure called a balloon sinuplasty. This revolutionary treatment is like the catheter used in heart surgery: a balloon catheter is inserted in the nasal passage and then is inflated once it reaches the fluid build-up which in turn releases drainage.”

In some cases—accidents and sometimes aging, particularly in aging women who are very thin—the lateral (outside) wall of the nose, also known as the nasal valve, can collapse. Sometimes Dr. Raval recommends a balloon sinuplasty to treat these cases.

If the patient is suffering from a deviated septum (when the wall between the nostrils that separates the two nasal passages is so crooked that it causes valid breathing problems), a septoplasty is performed. A severely deviated septum can worsen snoring and sleep apnea.

Obstructive sleep apnea can also require surgery, but usually the first course of action, says Dr. Raval, is a lifestyle change starting with a recommendation to lose weight and exercise. Obstructive sleep apnea happens more to men than women and increases with age. Obese people, especially, suffer from obstructive sleep apnea because the more fat in the neck, the narrower the airway gets, he says.

Obstructive sleep apnea is caused by the tissue in the back of the throat blocking off the airway during sleep. That causes an individual’s oxygen level to
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