“Empty nose” patients suffer from chronic nasal crusting, dryness, and intermittent bleeding. The most distinctive symptom of ENS is “paradoxical obstruction”in that the patient suffers from difficulty breathing despite a widely patent nasal airway (Sozansky & Houser, 2014). ENS patients describe their feeling of nasal obstruction as constant and continuous: feeling of suffocation, inability or...

There is a substantial amount of evidence to support the theory that the spatial relationship of the mandible to the craniomaxillary complex is influenced, in part, by the function of the muscular elevators of the mandible. One factor acting on the elevators of the mandible is the rest position of the mandible, which may be influenced by the patient's mode of respiration. Obstruction of the nas...

OBJECTIVES/HYPOTHESIS Determine the impact of nasal obstruction on efficacy, success, and adherence of Provent therapy in patients with obstructive sleep apnea (OSA). STUDY DESIGN Prospective, two-arm, clinical pilot study at a single clinical site. METHODS Patients with OSA who failed continuous positive airway pressure therapy were divided into two treatment arms: arm 1 were patients with...

OBJECTIVE To measure the efficacy of a specific midvault reconstruction technique (the autospreader flap) in dorsal reductive rhinoplasty with a validated quality-of-life instrument. DESIGN A prospective observational outcomes study of patients desiring reduction of the nasal dorsum who either (1) had no breathing obstruction, who underwent purely aesthetic rhinoplasty, or (2) had concomitant...

BACKGROUND Congenital nasal pyriform aperture stenosis is a rare and potentially lethal form of airway obstruction in newborns. Immediate recognition and appropriate therapy are mandatory for this potentially life-threating condition. This anomaly may present as an isolated malformation or may be associated with other cranial-facial anomalies. Clinically, CNPS shows unspecific symptoms of nasal...

In terms of pathophysiology, an anatomically narrow airway is a predisposing factor for obstruction of the upper respiratory tract. The correlation between the nasopharyngeal airway and the craniofacial structures is discussed in this context. Thus a mutual interaction between the pharynx and the mandibular position was demonstrated, whereby the transverse dimension of the nasopharynx was signi...

Ameloblastomas are rare tumors that arises from the odontogenic epithelium. Although benign and slow growing, an extensive lesion may cause airway obstruction, making bag-mask ventilation intubation a significant challenge. Here, we present 54-year-old male in respiratory distress with 18x15x13 cm submandibular mass causing compromise. The tumor was extensive, occupying most of oral cavity. Una...

OBJECTIVES/HYPOTHESIS Demonstrate that the Nasal Obstruction Balance Index (NOBI) model fulfils unmet need of improving unilateral correlation between subjective and objective nasal obstruction outcome measures identifying more obstructed side. Improve airway measurements (nasal inspiratory peak flow [NIPF] acoustic rhinometry [AR]) Visual Analogue Scale for (VAS-NO) scores. assessment asymmetr...

Abstract Purpose of Review The aim this analysis is to provide a synopsis the surgical methods utilized treat nasal valve collapse resulting in airway obstruction, and evaluate contrast lateral crural strut grafts (LCSG) tensioning (LCT). Recent Findings Lateral grafting major technique used external collapse. However, recent years, combined with articulated alar rim (AARG) has become popular. ...

Upper airway obstruction is common during both anaesthesia and sleep. Obstruction is caused by loss of muscle tone present in the awake state. The velopharynx, a particularly narrow segment, is especially predisposed to obstruction in both states. Patients with a tendency to upper airway obstruction during sleep are vulnerable during anaesthesia and sedation. Loss of wakefulness is compounded b...