A large number of individuals suffer from sleep apnea, a condition in which a medical related disorder interferes with the ability to fall and stay asleep. Many times, this is related to a nasal obstruction, which accounts for 50% of upper airway resistance. This may occur due to septal deviation, closing of the nasal valve, enlarged turbinates, or polyps in the sinuses. Palo Alto plastic and maxillofacial surgeon uses advanced technology to analyze the nasal passages and devise a custom nasal reconstruction treatment plan to help patients improve their quality of life with breathing improvement. The goal of nasal surgery is to reduce nasal obstruction, reduce the severity of sleep-disordered breathing, or to facilitate sleep apnea treatment.
Symptoms and Diagnosis
Nasal obstruction can greatly affect a person’s quality of life. When patients suffer from nasal obstruction, they struggle to breathe, which can result in countless symptoms, including:
- Daytime sleepiness
- Reduced or no sense of smell
- Reduced or no sense of taste
- Lack of energy
- Reduced libido
- Mouth breathing
- Dentofacial abnormalities (abnormal jaw growth)
- Bags under eyes or puffy eyes
Using a state-of-the-art, non-invasive airway scan, we can accurately measure your nasal airway passages in 3-dimensions as a first step in providing effective treatment for nasal obstruction and snoring. Dr. Schendel will also analyze the physical airway and soft tissue, which can compound nasal airway obstruction.
"I had some plastic surgery done to correct my a creator on head after a traumatic event. Dr Schendel gave me a few options to consider, which resulted with excellent results."- A.K. / Google / May 09, 2018
"I am taking the time to share the positive experiences I have had of Dr. Schendel because it is important that any public information is accurate. Firstly, the doctor went out of his way and..."- A.T. / Yahoo / Dec 03, 2017
"I am taking the time to share the positive experiences I have had of Dr. Schendel because it is important that any public information is accurate. Firstly, the doctor went out of his way and made room in his schedule to consult regarding my 8 year-old daughter's needs when we had no prior relationship with him and oral surgery was imminent. He was gentle with her and honest with me about our choices. His expertise and care allowed me to make the best choice for my child.Secondly, he has cared for more than one individual I hold dear. This family has faced over 20 years of medical intervention and combined, upward of 30 surgeries. Dr. Schendel has been steadfast, consistent, and brilliant in his care of my dear one and her child. As her friend, each time they have faced yet another intense physical challenge or surgery, I have rest assured that she was getting the absolute best treatment because she was in Dr. Schendel's care. The bottom line is I trust him, both to care for my family and those I cherish.Aneea Toomajian PPS, LMFTEducational and Behavioral Consultant"- A.T. / Yelp / Dec 03, 2017
"Dr. Schendel has been my surgeon since I was 15 years old, I am now 44. I have been incredibly grateful for his work and dedication to his field. He has performed several procedures on me to correct a severe unilateral cleft lip and palate. I was referred to him because my clefting was so unusual and other surgeons had been unsuccessful with my case. My cheekbones were non-existent, eye sockets sucken in, jaw extremely recessed, palate permanently open and I had existing scar tissue from previous cosmetic surgery attempts by another surgeon. These are ALL the things Dr. Schendel has fixed with expertise, compassion and dedication. californiacraniofacialin…Over the years, Dr. Schendel has carefully and compassionately rebuilt my face from the inside out. Giving me the bone structure that I was not born with due to the severity of my cranial facial anomalies.When I first met him(I was 14) he excused his entire team of fellows who were there to observe him. He gave me the privacy I needed, handed me a mirror and asked me, "What don't you like about your face?". As a teenager, I was given the space to communicate the things that were great sources of pain. I explained the various things about my cleft lip that caused other kids teased me about. From that moment Dr. Schendel set out to give me a normal face with nothing but determination, dedication and true compassion.Over the years, I have faced other complications with my bone structure and degeneration from my severe cleft. Dr. Schendel has fiercely, carefully and methodically worked to fix the constant erosion and instability in my face. He has striveded to continually find the newest, best techniques available. I have been able to have implants along with bone grafts to retabalize my eroding palate, stem cell procedures to improve the tissue and blood flow to my face and cosmetic revisions-- I have been incredibly grateful and happy with the results.Dr. Schendel's ability to listen and connect with me has been amazing. As a youth, I felt safe, validated and listened too as a patient. As an adult, he has heard my worries and validated the pain I have felt in my face and palate. He has worked tirelessly to fix my cranial facial anomalies. I believe that his ability to be so compassionate and careful with his patients comes from YEARS of working with cleft affected children here and in third world countries. A few years ago, I learned that Dr. Schendel has also volunteered countless hours of surgery in third world countries to operate on children. He has insisted that the surgeries are learning sessions for local doctors in those countries. He has created a learning environment to teach the newest techniques to other physicians in these countries. He also spends months of his own time collecting supplies to take to these countries to donate for the surgeries. Dr. Schendel's passion for rebuilding faces generates from a desire to truly want to help rebuild lives--physically...and emotionally.Our son is also bilaterally cleft affected, he is now 13. Dr. Schendel has revised his soft palate and his lip. It is with tremendous gratitude that we have Dr. Schendel as our son's doctor. His revision is beautiful and his cleft is a non-issue. His speech has also VASTLY improved due to the titrated listening of Dr. Schendel in knowing how to revise our sons palate so skillfully so he can now make sounds like "J" "P" "K". I have referred Dr. Schendel to several family friends for various things that are not cleft related. Not because Dr. Schendel is an incredible oral maxillary and plastic surgeon. But because of his ability to connect with his patients, to hear them, to see them and then to use his dedication to medicine to help them."- V.L. / Yelp / Dec 03, 2017
"Dr. Schendel has been my surgeon since I was 15 years old, I am now 44. I have been incredibly grateful for his work and dedication to his field. He has performed several procedures on me to..."- V.L. / Yahoo / Dec 03, 2017
Nasal Obstruction Treatments
Nasal obstruction, in most cases, requires surgery. While some patients are completely cured after nasal airway reconstruction, isolated correction of the nasal passages does not always improve obstructive sleep apnea (OSA), especially in patients who have a narrow, constricted, airway. A combination of techniques may be considered. Several are listed below:
Septoplasty is a nose surgery that corrects a deviated septum. The septum is the thick band of fibrous tissue and bone that separates the two nasal passages, as well as supports the nose and its airflow. Septoplasty targets a deviated septum and allows equal airflow through both nostrils. It straightens the nasal septum resulting in a significant improvement of these symptoms, as well as an outcome that offers a natural appearing nose. This outpatient procedure is performed in our on-site AAAHC accredited surgical suite and is followed by a limited recovery period.
Turbinates are bones located on the inside of the nose. This procedure partially or completely removes enlarged turbinates that have swelled in size and block the nasal passage. This outpatient procedure is performed in our AAAHC accredited surgical suite and is followed by a limited recovery period.
Temperature controlled radiofrequency is one of the newer nonsurgical approaches that surgeons are using to reduce the size of turbinates, the bones located inside the nose. This procedure uses a small electrode to heat and shrink turbinate tissue. It is a safe and effective procedure, delivering precise delivery of energy to the treated areas while preserving the normal function of the turbinates. Performed in our office with local anesthetic, this procedure takes under 10 minutes. Patients see improvement 10-14 days following treatment.
During/After the Procedure
Nasal surgery such as septoplasty and turbinectomy will require a longer recovery than the radiofrequency approach. On average, patients will experience good results (in terms of breathing relief) immediately after the procedure. Swelling and bruising may occur around the nose and eyes. Radiofrequency is less invasive and patients will not require as long of a recovery, however, it does take a couple of weeks until patients see maximum improvement using this approach.
Nasal surgery for sleep apnea has varied costs and can average between $2,000 and $10,000. On average, a patient can expect to pay around $4,000 for septoplasty surgery, and $2,000 for a turbinectomy.
Plan Your Procedure
- Average Cost
- $2,000 - $10,000
- Recovery Time
- 2 Weeks
- Average Procedure Time
- 1-3 Hours
- Post-op Follow-up
- 2 Weeks
- Procedure Recovery Location
Nasal Surgery FAQs
During nasal surgery, the goal is to minimize any changes to the physical appearances of the nose and provide breathing relief to the patient. However, in the case of a deviated septum and enlarged turbinates, some physical changes may occur after surgery. Using 3D imaging, our office can help assess exactly how the nose will appear after surgery. It is important to address any concerns and/or fears with Dr. Schendel during the consultation.
In the case of nasal surgery specifically to improve obstructed breathing and sleep apnea, patients should do their research and find a qualified nose surgeon who understands how the nose relates to, and affects sleep patterns. Many plastic surgeons and ENT doctors are trained in this area. A maxillofacial and craniofacial trained surgeon, such as Dr. Schendel, will have the distinct expertise and experience to produce a successful outcome.
Nasal obstruction surgery results in improved breathing, a decrease in sinus infections, and a more restful night of sleep. Patients with severe sleep apnea should consult with an expert so that they can be treated accordingly and thus greatly improve their quality of life.