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.
"Dr. Schendel is helping me feel like myself again after a tumor changed my life. - I am 28F and was diagnosed with a rare pituitary tumor resulting in a condition called acromegaly in 2015. Because of this condition my brow grew, the soft tissue in my face increased and the right side of my jaw grew asymmetrically which resulted in a quickly developed underbite. After surgically controlling the tumor by an SF neurosurgeon to ensure no more growth would occur, my husband and..."- B. / RealSelf / Apr 28, 2017
"Best decision I ever made! - Best decision I ever made was to have a mid-face lift with Dr. Schendel. He listened to my concerns and came up with a strategy that I would be pleased with. Dr. Schendel has a great bedside manner and put my fears to rest pre-surgery. He and his staff were very attentive post surgery as well. I look renewed and refreshed not "done". I no longer cringe when I look in the mirror. Thank you for giving me a decade+ back."- C. / RealSelf / Mar 24, 2017
"Dr. Schendal is a consummate professional with a warm caring disposition. He is held in very high regard by everyone I spoke to at Stanford Hospital. I had absolute confidence in him and my surgery held no surprises due to the care he took in explaining everything and setting realistic expectations. His post op care was just as good."- L.G. / Healthgrades / Oct 23, 2016
"Dr. Schendel is a great doctor. My family and I have been fortunate enough to be under Dr. Schendel's care for many years. He has been helping me look and feel beautiful since my 50th bday... many years ago. He and his staff are wonderful in every way. His office manager, Carol Oderio, and everyone in his office treat you with the greatest care and make sure everything is perfect:) Dr. Schendel is able to enhance your beauty in an amazing way, all while looking very natural."- J.H. / Yelp / Mar 14, 2016
"I've been getting Botox from Dr. Schendel for several years - and I still look forward to my appointments because he always manages to make me smile and laugh. The office is clean, easily located by the freeway, and the staff is courteous and always prompt."- C.R. / Yelp / Nov 01, 2015
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.