Left side of nose is bigger as lateral nasal cartilage is enlarged. Could this be caused by deviated septum?

Question

I may have breathing issues but im not sure as it is normal to breathe through one nostril at a time. I think I only have symptoms when I have a cold. In the night my nose gets blocked making breathing difficult, so I have to breathe using my mouth which makes my throat sore. The left side of my nose is bigger as the bone I think is called the "lateral nasal cartilage" is enlarged. Could this be caused by a deviated septum? If not, what has caused this deformity?

Nima Shemirani, MD · Answer

Dear SC2013,

	
		It sounds like you may have a deviated septum, and it would require an exam to be certain
	
		There are also other structures in the nose that can block your breathing
	
		When you are ready, go in for a consultation where all of your questions and concerns can be addressed


	Best regards,

	Nima Shemirani

Steven J. Pearlman, MD, FACS · Answer

This nasal cycle comes from alternate swelling of the turbinates. However, if one side is more congested than the other all the time or you alternate between good breathing (when the side with a deviated septum is blocked) to not so great breathing (when the side that is opposite the deviated septum is blocked) then you have a deviated septum. You should see a nose specialist to have them evaluate the inside of your nose, with and without sprays that will allow them to see everything in your nose.

William Portuese, MD · Answer

Nasal obstruction can occur from many different causes such as deviated nasal septum, valve collapse, vestibular stenosis, turbinate hypertrophy, and allergies. The lower lateral cartilages that compose the tip usually do not cause obstruction. Best to seek out a ENT doctor with extensive experience in nasal surgery

Michael Elam, MD (retired) · Answer

Nasal obstructions may occur for several different reasons. An examination would be required to give you a proper diagnosis. With a proper diagnosis then a surgical plan may be put in place to help alleviate your breathing difficulties. Make sure you consult with an expert in nasal surgery. Best regards, Michael V. Elam, M.D.

Donald Nunn, MD (retired) · Answer

There exists a physiological nasal cycle that changes nasal mucosa swelling from one side to the other. Also a mechanical blockage such as a deviated septum or enlarged turbinates can produce similar symptoms. A cold may enhance the problem. See a Board certified surgeon who does nasal surgery for an evaluation.

Left side of nose is bigger as lateral nasal cartilage is enlarged. Could this be caused by deviated septum?

Answers (5)