An unpleasant odour from the nose is usually first noticed by those around you and causes irritation. For those affected, however, it is often barely noticeable because the disease is associated with a reduced sense of smell. This symptom is often caused by a chronic disease of the nasal mucosa, known as stinky nose or ozaena. It changes the mucous membrane permanently and affects far more than just breathing. A closer look at the causes, typical signs and consequences helps to better understand the disease and find ways to achieve noticeable treatment success.

What is a stinky nose?

Stinky nose - technically known as ozaena - is a rare form of chronic rhinitis. It is a persistent inflammation of the nasal mucosa that persists over a long period of time and does not resolve on its own like a normal cold. As a result of this permanent irritation, the mucous membrane dries out considerably and produces less secretion. As a result, dead mucosal cells and bacterial residues thicken to form thick, greenish-brown crusts. These crusts release an intense, unpleasant foul-sweet odour.

Important to know: A stinky nose does not develop overnight, but develops slowly over months or even years.

Causes of ozaena: how a stinky nose develops

Several influences can lead to a chronic inflammation of the nose turning into a stinky nose. Some people are more susceptible due to the condition of their mucous membranes, while infections or hereditary factors play a role in others. Several causes often interact and together trigger the typical changes inside the nose. Possible triggers are, for example

What are the consequences of a stinky nose?

Oceana affects far more than just the mucous membrane of the nose. The changes inside the nose affect breathing, sense of smell and general well-being. In addition, there are symptoms that can affect everyday life and sometimes also put a strain on the social environment. Typical consequences of a stinky nose are

• Crust formation and dehydration
  Thick, foul-smelling crusts form in the nose, which are difficult to remove and feel unpleasant.
• Olfactory disorder (anosmia or hyposmia)
  Many sufferers lose some or all of their sense of smell. As a result, they often do not even notice the typical odour themselves.
• Obstructed nasal breathing
  The crusts and the altered mucous membrane make it difficult to breathe through the nose. Some patients are therefore permanently dependent on mouth breathing.
• Frequent infections
  The damaged mucous membrane can no longer fulfil its defence function properly. This makes it easier for bacteria to colonise and exacerbate the existing symptoms.
• Poor quality of sleep
  Obstructed nasal breathing can Snoringdry mouth and an overall restless sleep.
• Psychosocial stress
  Because the odour is perceived from the outside, those affected often feel stigmatised and react with social withdrawal.

How the diagnosis of ozaena works

If you recognise yourself in the symptoms mentioned here, a visit to our ENT clinic in Frankfurt makes sense. Firstly, we will have a detailed discussion about your symptoms. The duration, strength of the odour and possible pre-existing conditions play an important role here.

This is followed by a thorough examination of the nose, usually using a nasal mirror and ENT endoscopy. The typical changes such as crusts, an enlarged nasal cavity and receding turbinates can be recognised directly. We can also take swabs from the nasal mucosa to detect bacteria such as Klebsiella ozaenae.

In some cases, additional procedures such as an olfactory test or imaging examinations (e.g. CT of the paranasal sinuses) are used. This allows us to assess how badly your mucous membrane is damaged and whether there may be other causes.

Differential diagnoses: Which diseases must be excluded

Not every unpleasant odour from the nose automatically means a stinky nose. Similar symptoms can also occur with other illnesses. These include, for example

Can a stinky nose be treated?

Stinky nose is considered a chronic disease - yet there are effective ways to treat its symptoms. With the appropriate therapy, the mucous membrane can be stabilised and the Improve nasal breathing. With consistent care, the unpleasant odour can often be significantly reduced. The following approaches are possible:

Used consistently, the therapy alleviates the symptoms and prevents the cycle of dehydration, crust formation and bacterial colonisation from continuing.

Expert help with the diagnosis and treatment of a stinky nose: your ENT practice clinic Goethe10 in Frankfurt

Ozaena is a stressful and often protracted illness for those affected, which does not resolve on its own without targeted therapy.

At our Goethe10 ENT practice clinic in Frankfurt, you will find a specialised team that carefully clarifies the causes and uses modern treatment methods. You will receive comprehensive care - from the initial examination to long-term support - and therefore the best possible support on the way to a better quality of life.

Simply contact us to arrange an appointment!

One blocked nose can have a significant impact on everyday life - be it when sleeping, speaking or simply breathing freely. Many people then turn to nasal sprays, which can provide quick relief. But what happens if the medication doesn't work? There can be various reasons for this. We explain which ones and how we can help you at our ENT practice clinic in Frankfurt.

How a nasal spray works

A nasal spray works in different ways depending on the type and active ingredient. The most common variants are decongestant, moisturising and anti-allergic nasal sprays:

Decongestant nasal sprays (alpha sympathomimetics)

They contain active ingredients such as xylometazoline or oxymetazoline, which can damage the blood vessels in the Nasal mucosa narrow. This causes the mucous membrane to swell, the nasal passages become clear again and breathing becomes easier. These sprays take effect within a few minutes and usually last for several hours.

Moisturising nasal sprays

These sprays use saline or hypertonic salt solutions to keep the mucous membranes moisturised. This is particularly helpful in dry air or with mild infections. They work purely mechanically by loosening mucus and supporting the natural cleansing function of the nose. As they do not contain any decongestants, you can use them long-term without hesitation.

Cortisone-containing or anti-allergic nasal sprays

These sprays are mainly used for allergies or chronic nasal complaints. Preparations containing cortisone reduce inflammation and swelling over a longer period of time, but only take effect after a few days. Anti-allergic nasal sprays often contain antihistamines or mast cell stabilisers, which block allergic reactions directly in the nasal mucosa.

Depending on the symptoms, a different nasal spray may therefore be useful.

What happens if the nasal spray doesn't work?

If a nasal spray no longer works as usual, this can have various causes. There are different reasons depending on the type of spray and the individual symptoms:

Familiarisation effect with decongestant nasal sprays

You should only use decongestant nasal sprays for a few days. Prolonged use can lead to your nasal mucous membranes becoming accustomed to the spray and no longer decongest properly without it (Nasal spray addiction). This can cause drug-induced rhinitis - the nose remains permanently blocked, even if there is no longer a cold.

Incorrect application

A nasal spray only develops its full effect when used correctly. Mistakes such as inserting the spray head incorrectly, pulling it up too quickly or failing to inhale briefly while spraying can result in the active ingredient not being optimally distributed.

Active ingredient too weak or unsuitable

Not every nasal spray helps with every cause of a blocked nose. For example, a mild seawater spray can moisturise a dry nose, but cannot relieve acute swelling. Conversely, decongestant sprays also do not help against allergic symptoms.

In which diseases is the nose blocked but a nasal spray is not effective or only partially effective?

If your nasal spray does not work for a long time or the symptoms persist, medical advice is required. Especially if accompanying symptoms such as headaches, a feeling of pressure in the face, frequent Nosebleed or olfactory disorders, you should make an appointment at our ENT clinic in Frankfurt for an examination.

Possible causes include

When the nasal spray doesn't work: Diagnostics and treatment at our ENT clinic in Frankfurt

If your nose remains blocked despite using a nasal spray, there may be an underlying cause. At our ENT practice clinic in Frankfurt, we diagnose possible triggers and determine the best treatment for your individual case.

Thanks to our comprehensive equipment, we can carry out both detailed examinations and surgical treatments directly in our practice clinic, so that all steps of the therapy remain in one hand.

Simply contact us to arrange an appointment!

Recurrent sinusitis can have a significant impact on quality of life and is often associated with persistent symptoms such as a feeling of pressure in the centre of the face, headaches and aching. blocked nose associated. Many sufferers wonder why the inflammation keeps flaring up even though it appears to have healed successfully. The causes can be varied - from anatomical features to allergies. In this article, you will find out which factors can be behind recurrent sinusitis and which treatment options can help to achieve long-term improvement.

What is sinusitis?

Sinusitis is an inflammation of the mucous membranes in the paranasal sinuses. The sinuses are air-filled cavities in the skull that are connected to the nasal cavity. Their main function is to humidify, warm and filter the air that is inhaled. When the Mucous membranes When these cavities become swollen or inflamed, sinusitis occurs.

Typical symptoms of the disease are

• Feeling of pressure in the face (especially over the affected sinuses)
• Clogged or Runny nose
• Yellowish-green nasal discharge
• Headaches and facial pain
• Diminished or absent sense of smell
• General feeling of illness

What are the causes of sinusitis?

There are many causes of sinusitis. The most common triggers include

Can recurrent sinusitis be harmful to your health?

Repeated sinusitis can have a negative impact on health in the long term:

Chronic sinusitis

If the inflammation flares up again and again, the mucous membranes can be permanently damaged, resulting in chronic sinusitis can lead to a severe condition. The symptoms persist for months or years. This can significantly impair quality of life.

Spread of the infection

In rare cases, bacteria or viruses from the sinuses can invade neighbouring areas. This can result in serious complications, such as

• Eye inflammation (orbital phlegmon)
  Infections can spread to the eye socket and cause swelling, visual impairment or even permanent damage.
• Meningitis (inflammation of the meninges)
  If the infection spreads to the meninges, this can be life-threatening.
• Abscesses
  Purulent inflammation can occur in bone or soft tissue.

Impairment of the respiratory tract

Repeated inflammation can permanently narrow the airways, making it difficult to breathe through the nose and causing sleep problems and Sleep apnoea can bring with it.

Worsening of other diseases

Recurrent sinusitis can also exacerbate existing conditions such as asthma or chronic bronchitis, as inflammatory processes can be linked.

General stress on the immune system

Frequent inflammation also puts a strain on the immune system and can increase susceptibility to further infections.

Recurrent sinusitis: What to do?

If sinusitis occurs frequently, it is important to identify the underlying causes and treat them in a targeted manner. This is the only way to prevent future episodes.

Recurrent sinusitis: Diagnosis and treatment at the ENT practice clinic Goethe10 in Frankfurt

Recurrent sinusitis is not only annoying, but can also affect your health in the long term. Without the right diagnosis and treatment, the symptoms can become chronic and significantly impair your quality of life.

We at the HNO-Praxisklinik Goethe10 in Frankfurt are your competent partner when it comes to the treatment of sinusitis & Co. With state-of-the-art diagnostic technology and an experienced team, we determine the individual causes of your symptoms.

If anatomical problems such as a crooked nasal septum or nasal polyps are the cause, we offer gentle surgical procedures. We also support you with innovative treatment approaches for chronic or particularly complex cases.

Simply contact us!

Free, undisturbed nasal breathing contributes significantly to quality of life and well-being. However, anyone who suffers from restricted nasal breathing knows the effects on sleep, concentration and general fitness only too well. There are many causes that can lead to a blocked nose or breathing problems - from simple dryness to chronic inflammation or anatomical restrictions. Fortunately, however, there are various ways to improve nasal breathing in the long term. In the following, we will show you effective options and modern treatment methods that will allow you to breathe freely again.

What can restrict nasal breathing?

Various factors and medical conditions can obstruct nasal breathing. The most common causes include

• Curvature of the nasal septum (deviated septum)
  A crooked nasal septum can narrow the airways and thus hinder breathing. This anatomical deviation is one of the most common causes of breathing problems through the nose.
• Enlarged turbinates (Nasal concha hyperplasia)
  The turbinates are folds of mucous membrane in the nose that can swell in the event of inflammation or irritation. Permanent enlargement, often caused by allergies or chronic inflammation, can narrow the airways.
• Nasal polyps
  These benign growths on the nasal mucosa can be caused by chronic inflammation, for example. Polyps constrict the airways and make nasal breathing difficult, especially when they grow larger.
• Sinusitis (inflammation of the paranasal sinuses)
  In sinusitis, the mucous membranes of the sinuses become inflamed, which can lead to persistent congestion and a feeling of pressure in the nose.
• Allergies
  Pollen, house dust mites, animal hair and other allergens can trigger swelling and inflammation of the mucous membranes in the nose. This often leads to an unpleasant blockage of the nasal passages.
• Injuries and traumas
  Injuries to the nose, e.g. due to accidents or blows, can lead to deformations or swelling that impair the flow of air through the nose.
• Dryness and mucous membrane irritation
  Dry air, pollutants or even cigarette smoke can dry out the nasal mucous membranes and cause irritation. This can make it difficult to breathe through the nose.
• Tumours
  In rare cases, tumours in the nasal or sinus region can also block nasal breathing.

Basic tips to improve nasal breathing: What you can do yourself

There are some simple and effective measures you can take yourself to improve your nasal breathing and keep your nose clear:

• Inhalations
  Inhaling with salt water, saline solution, camomile or essential oils helps to moisturise the mucous membranes and loosen encrustations.
• Nasal rinses
  Saline solutions can also help to flush mucus and dirt out of the nose and relieve inflammation. You can use special nasal rinsing systems that are available in pharmacies.
• Humidity in the room
  Dry air irritates the nasal mucous membranes. Therefore, use humidifiers, especially in the winter months, to make the air in living and working spaces more humid.
• Regular exercise
  Sporting activities such as running or cycling promote blood circulation and can also help to keep the airways clear. Moderate exercise gets the circulation going and makes it easier to breathe through the nose.
• Balanced diet and fluid intake
  Drink enough water to keep your mucous membranes moisturised. A diet rich in vitamins also strengthens your immune system and can prevent inflammation.
• Breathing exercises
  Special breathing techniques such as the Buteyko method or yoga breathing exercises (pranayama) strengthen awareness of breathing and promote relaxed nasal breathing.
• Stop smoking
  Cigarette smoke irritates the airways and dries out the nasal mucous membranes. Quitting smoking has positive effects on breathing and improves your nasal breathing in the long term.
• Avoid allergy triggers
  If you are allergic to certain substances, try to stay away from them as much as possible. Pollen allergy sufferers are advised to keep windows closed or use air filters during the pollen season.
• Nose plasters for the night
  Special nasal plasters that slightly lift the nostrils can improve the air supply at night and make it easier for you to breathe through your nose.

Improve nasal breathing: Medical help is needed in these cases

In some cases, restricted nasal breathing may be due to more serious causes that require medical treatment. In these situations, it is advisable to make an appointment at our ENT clinic in Frankfurt to be agreed:

• Chronic nasal congestion for no apparent reason
  If your nose is constantly blocked for weeks or months without a cold, allergy or other obvious cause, the cause could be a structural abnormality such as a deviated nasal septum or chronic inflammation of the nasal mucous membranes.
• Pain and a feeling of pressure in the nasal and sinus region
  Persistent pain, pressure in the face or headaches that worsen when bending forward can indicate sinusitis. Chronic sinusitis can often only be treated by a doctor.
• Frequent shortness of breath or difficulty sleeping
  Breathing problems that affect your night's sleep or lead to Breathing interruptions should definitely be checked out by a doctor. Sleep apnoea can put long-term strain on the cardiovascular system and severely impair quality of life.
• Bloody discharge or heavy crust formation
  If your nose bleeds regularly or crusts form constantly, this could indicate a serious inflammation of the mucous membranes or a tumour in the nose that requires medical clarification.
• Recurrent infections and inflammations
  If you suffer from frequent nasal and sinus infections, there could be an underlying anatomical cause. For example, enlarged turbinates or nasal polyps often need to be treated surgically.
• Difficulty breathing through the nose after an injury
  Injuries or fractures to the nose can cause deformation or narrowing of the nasal passages. In such cases, surgery is often necessary to restore nasal breathing.
• Growth of nasal polyps
  If benign growths such as polyps develop in the nose or paranasal sinuses, these can block the airways and often require surgical removal.

Treatment of nasal complaints: We at the Goethe10 ENT practice clinic in Frankfurt are here for you

As ENT doctors in Frankfurt, we offer comprehensive diagnostics and treatment for various diseases that can affect nasal breathing.

In addition to these specific treatments, we offer comprehensive ENT diagnostics and therapy - also for Dizziness, Allergies, sudden deafness and Tinnitus - to. With personalised advice and modern treatment methods, we help you to breathe freely again.

Nasal breathing has a significant impact on our well-being. When you have a cold, you have certainly experienced for yourself how frustrating, annoying and exhausting it is when you cannot breathe freely through your nose.

Some people suffer repeatedly or even permanently from this feeling of blocked nose. In this case, you may have enlarged turbinates. As part of the laser conchotomy, we can laser the inside of your nose, allowing you to breathe freely.

What are the consequences of restricted nasal breathing?

If you cannot breathe properly through your nose, this can affect your general well-being and quality of life. Typical consequences can be

Mouth breathing

Those affected tend to breathe more through their mouth when they feel a blocked nose. This can lead to dryness in the mouth and throat and also affect swallowing.

Increased susceptibility to infections

The nasal cavity normally provides protection against pathogens. Incorrect nasal breathing can weaken this barrier. This can make it easier for viruses, bacteria and other pathogens to enter your body. In addition, impaired nasal breathing can cause mucus and fluids to accumulate in the sinuses and airways. This moist environment is an ideal breeding ground for pathogens and can, for example Sinusitis and other infections.

Sleep disorders

Obstructed nasal breathing can lead to sleep disorders such as Snoring and nocturnal breathing interruptions (sleep apnoea). This can lead to restless sleep, reduced sleep quality and daytime tiredness.

Reduction in physical performance and concentration disorders

The restricted air supply through the nose impairs the Oxygen transport in your body. For this reason, you may find physical activity more difficult. This is often accompanied by a feeling of rapid fatigue and breathlessness. If you are unable to breathe properly, this can also affect your mental performance, because: An adequate supply of oxygen to the brain is also important for optimum concentration and alertness.

Changes in pronunciation

If the nasal passage is blocked or narrowed, there is a tendency to breathe more through the mouth. This can lead to changes in the articulation and sound quality of the voice. When speaking, the nose also supports the resonance and modulation of your voice. Obstructed nasal breathing can therefore lead to a nasal-sounding voice. In addition, breathing can become shallower and less efficient during speech.

Changes in the sense of smell

The nose plays an important role in our sense of smell. Restricted nasal breathing can lead to olfactory disorders, which can impair the enjoyment of food and the recognition of dangers.

One possible cause of restricted nasal breathing: enlarged turbinates

Nasal concha are bony structures in the nose that are covered with mucous membrane. They play an important role in air flow and filtering the inhaled air. Normally they are thin and have a structure that looks like lamellae or fan-shaped lobes. However, due to e.g. AllergiesThey can swell immensely in the case of infections, inflammatory diseases or anatomical conditions. Enlarged turbinates can narrow the space for airflow in the nose. The result is restricted nasal breathing.

These so-called Nasal concha hyperplasia can cause further complaints such as recurrent sinusitis, snoring or noisy breathing.

Laser nose surgery: Uncomplicated treatment of turbinate hyperplasia

No major surgery is required to treat enlarged turbinates. We can treat these findings with laser treatment. This is how the so-called Laser conchotomy from:

Preparation

We clean your nose. We then spray the inside with a local anaesthetic to numb the treatment area.

Laser nose

We reduce the size of the turbinates using a special laser. The laser beam generates high heat effects and vaporises or cuts off the excess tissue. This reduces the size of your turbinates and widens your nasal passages.

Conclusion and aftercare

You will not usually need any stitches or tamponades after the procedure. You can go home again. We recommend that you refrain from strenuous physical activity for a few days.

Laser nose surgery in Frankfurt: Laser conchotomy at the Goethe10 practice clinic

If you suffer from restricted nasal breathing, you are welcome to make an appointment at our ENT clinic in Frankfurt. We will examine you and check where the respiratory impairment is coming from. If enlarged turbinates are the cause of your problems, we can laser your nose and treat the turbinate hyperplasia. The procedure is outpatient, gentle and effective. Also for other triggers, e.g. a Curvature of the nasal septumwe can help. Please feel free to contact us!

ENT Frankfurt: Dr Thomas Fischer & Dr Albrecht Linke

Your specialists for ear, nose and throat medicine, who will provide you with professional and individualised advice, examinations and treatment in all matters relating to ENT medicine, functional plastic surgery and the aesthetic treatment of changes to the facial skin.

Our news articles are prepared for you to the best of our knowledge and belief and are intended for general education. They are in no way a substitute for medical advice, diagnosis and treatment and are not intended to encourage self-diagnosis or self-treatment. Please always contact your ENT specialist in Frankfurt directly if you have any health complaints!

© "Attractive man breathing outdoor" by Antonioguillem, stock.adobe.com

Loud snoring can turn sleep into torture. And not just for the person affected, but also for their partner. Loud snoring and "sawing" can affect not only older people or overweight people, but people of all genders, ages and body shapes.

There are many different causes, from anatomical conditions to lifestyle factors. In some cases, snoring surgery can be the solution so that you can sleep peacefully again. At our ENT clinic in Frankfurt am Main, we offer this form of snoring therapy.

What happens when you snore?

Snoring causes disturbing noises due to the vibrations of slack tissue in the throat and palate area when breathing in and out during sleep.
The exact causes and mechanisms of snoring are varied and differ from person to person.

The most common factors that play a role in snoring are

Relaxation of the throat muscles

During sleep, the muscles in the throat and palate relax. This causes the soft tissues in this area to contract more tightly. When the air flows past these relaxed tissues during inhalation, the characteristic snoring noises are produced.

Constricted airways

Some people's airways are naturally narrower. They can also be narrowed due to anatomical conditions such as an enlarged tongue or tonsils. In these cases, the air flows past with more pressure, causing snoring.

Overweight

Excessive weight can cause an increased accumulation of fatty tissue in the throat and pharynx area. This can further constrict your airways.

Alcohol and sedative medication

The consumption of alcohol or certain medications that relax the muscles can increase snoring. They can Throat muscles even more slack.

Sleeping position

If you sleep on your back, you may be more prone to snoring. This is due to the fact that gravity pushes the soft tissues in the throat area backwards. This narrows the airways.

What consequences can night-time snoring have?

Loud snoring can affect the quality of your own sleep and that of your partner. Common consequences are lack of sleep and daytime sleepiness, which are accompanied by concentration difficulties and reduced performance. Snoring can also cause you to sleep with your mouth open, which promotes dry mouth, a sore throat or even infections.

Chronic snoring can also be a sign of sleep apnoea, a serious sleep disorder that can increase the risk of cardiovascular disease, high blood pressure and other health problems.

Treating snoring: Options without surgery

Lifestyle changes

• Weight loss
  For overweight people, losing weight can help to reduce snoring, as this can reduce the accumulation of fatty tissue in the throat and pharynx area.
• Sleeping position
  Sleeping on your side instead of your back can reduce snoring in some people.

Avoidance of alcohol and sleeping pills

Alcohol and certain medications can affect the muscle tension in the throat, which can lead to increased snoring. Avoiding these substances before going to bed can be helpful.

Snoring splint

You wear this appliance in your mouth like a kind of brace. They are designed to change the position of your tongue and lower jaw to keep your airways open.

Nasal strips and nasal sprays

These products can help to open the nasal passages and make breathing easier if your snoring is due to nasal problems.

Surgical interventions

• Snoring operation
  If snoring is causing you significant health or social problems, snoring surgery may be advisable - even if other treatment methods have not been sufficiently effective.
• Rhinoplasty
  Snoring can occur with various nasal problems, e.g. with a curved nasal septum, Nasal polyps or one Nasal concha hyperplasia. In these cases, a Rhinoplastya Nasal septum surgerya Paranasal sinus surgery or the Laser conchotomy help. We offer all of these treatments at our ENT clinic in Frankfurt.

Snoring surgery in Frankfurt for an oversized or floppy palate

An oversized or sagging palate can lead to heavy snoring - especially if you sleep on your back. In such cases, we offer various surgical techniques to tighten or reduce the size of the posterior palate.

If an enlarged uvula is the cause of snoring, we can use the uvula flap technique. This involves lifting the uvula on your palate, reattaching it and suturing it.

Uvula palato pharyngoplasty is a common snoring operation in which we incise the mucous membrane in your palate, throat and uvula area, tighten it and stitch it back together. This tightening of the palate prevents constriction of the upper airways during sleep. We can also perform this operation at the same time as the removal of palatine tonsils.

Snoring surgery in Frankfurt

Snoring can be extremely stressful - for you and your relationship. It is not uncommon for snoring and humming to lead to separate bedrooms. If you suffer from regular snoring, you are welcome to make an appointment with us. In our ENT clinic in Frankfurt we will examine you carefully and recommend a therapy tailored to your individual needs. Together we can tackle your snoring problems and improve your quality of life.

ENT Frankfurt: Dr Thomas Fischer & Dr Albrecht Linke

Your specialists for ear, nose and throat medicine, who will provide you with professional and individualised advice, examinations and treatment in all matters relating to ENT medicine, functional plastic surgery and the aesthetic treatment of changes to the facial skin.

Our news articles are prepared for you to the best of our knowledge and belief and are intended for general education. They are in no way a substitute for medical advice, diagnosis and treatment and are not intended to encourage self-diagnosis or self-treatment. Please always contact your ENT specialist in Frankfurt directly if you have any health complaints!

© "Woman snoring while sleeping in bed at home" by New Africa, stock.adobe.com

Many people are unhappy with the size and/or shape of their nose. They find it too wide, too big, too small - or too crooked. As the nose plays an important role in self-perception, but also in overall appearance, this can lead to great distress and even reduced self-confidence for those affected.

Anyone who is unhappy with their situation and suffers from their appearance can consider a nose job. In some situations, health insurance will even cover the costs of rhinoplasty or subsidise the procedure. You can find out when this is the case below.

Certain nose shapes can affect the aesthetics of the face

Broad nose

Measured against the other facial proportions, the broad nose - as the name suggests - is too broad. It appears barrel-shaped overall. The nostrils are also often not clearly visible. The widening can affect the tip of the nose with the bony area, the base of the nose or the cartilaginous part of the bridge of the nose.

Hooked nose

Its characteristics are a curved bridge of the nose and a nose tip that curves downwards. The hooked nose is conspicuous and many people find it particularly unsightly.

Crooked nose

It is quite common overall. The crooked nose has a laterally shifted course, its axis is uneven. As a result, it tilts visibly to the left or right. This not only causes visual impairment, but also functional impairment. A crooked nose is usually caused by a curved nasal septum. This so-called deviated septum can impede free breathing.

Saddle nose

The saddle nose is quite broad and plump, has a short nasal bridge, a clearly protruding tip and insufficient cartilage tissue on the nasal bridge. This results in a visible depression on the bridge of the nose, so that the nose resembles the shape of a saddle in profile.

bumpy nose

A very common nose shape that is perceived as annoying by those affected is the humped nose. Here, the bones and cartilage along the bridge of the nose are excessively pronounced, creating an elevation. Similar to the hooked nose, but in a much lighter form, the tip of the nose can be slightly curved downwards.

Nose correction enables more harmonious proportions for unfavourable nose shapes

With an operative Rhinoplastyas we do in our ENT clinic in Frankfurt we can positively influence your facial proportions.

Depending on the shape of the nose, the extent of the deformity and the desired result, we use different surgical techniques. There is the open and the closed surgical method. In the open technique, we make a small incision on the bridge of the nose and detach the skin from the tip of the nose. We then fold it upwards to allow a clear view of the bony area. The closed technique, which is suitable for smaller corrections, is different. Here, we operate on your nose from the inside via an incision in each nostril.

Based on these two basic surgical methods, we can reduce the size of your bony nasal bridge, narrow an overly wide nasal base or change the position of the tip of the nose by raising or lowering it. We can fill indentations on the bridge of the nose or remove humps. Particularly important from an ENT point of view: we can straighten a crooked nasal septum.

Nose correction health insurance: Are all nose operations paid for?

As a rule, health insurance companies do not pay for aesthetic surgery, i.e. treatments that are not medically necessary. In this case, you will have to bear the costs yourself.

The situation is different for procedures that have a medical indication. This means that the costs of a nose correction can be covered in full or in part by health insurance if the operation improves your nasal breathing, i.e. your health. This is the case, for example, if a curved nasal septum is straightened and your free breathing is impaired as a result. However, please note: If aesthetic aspects are integrated into the operation at the same time, the insurance company will only cover the costs for straightening the nasal septum, but not for the rest.

In order to Assumption of costs you must submit an application to the health insurance fund. This requires written confirmation of the medical indication for the operation from the ENT doctorin this case Dr Thomas Fischer.

Rhinoplasty with possible cost coverage by health insurance: nasal septum surgery

A curvature of the nasal septum can be congenital or develop in the course of physical development (e.g. as a result of the posterior bony and anterior cartilaginous parts growing at different rates). Sometimes a curvature of the nasal septum can also develop after an accident or a nasal injury, such as an unrecognised nasal fracture.

If the septum is bent, this creates constrictions in the nasal passages. As a result, more air flows into one nostril than the other. As a result, those affected often have difficulty breathing, especially during physical exertion. Due to the lack of air, they often breathe unconsciously through their mouth. The mucous membranes in the throat dry out. This can increase susceptibility to respiratory infections. Other symptoms can also be associated with a deviated septum: migraine-like headaches, snoring and interrupted breathing during sleep, frequent nosebleeds, repeated middle ear infections, odour disorders or even a huffy and nasal-sounding voice.

To straighten the nasal septum surgically, we make a small internal incision on the front edge of the nasal septum. This allows us to detach the mucous membrane from the cartilage and bone. Using special incision techniques, we can dissolve the curvature and thus straighten the septum. After the procedure, you will need to wear special silicone splints that remain in your nose for 4 days.

If at the same time a Nasal concha hyperplasia If the nasal turbinates are present, we can also remove them during the same procedure by Laser conchotomy downsize.

In both cases, there is a medical indication, as the aim is to improve free breathing. In this case, your health insurance company may cover the costs of the rhinoplasty.

Rhinoplasty Frankfurt at the Goethe10 ENT Specialist Clinic

If you are not satisfied with the function of your nose and/or its shape, we can help you. Make an appointment at our ENT clinic in Frankfurt. Dr Fischer will examine you carefully and explain the treatment options to you. He will also provide you with initial information on the cost coverage of rhinoplasty by your health insurance company.

ENT Frankfurt: Dr Thomas Fischer & Dr Albrecht Linke

Your specialists for ear, nose and throat medicine, who will provide you with professional and individualised advice, examinations and treatment in all matters relating to ENT medicine, functional plastic surgery and the aesthetic treatment of changes to the facial skin.

Our news articles are prepared for you to the best of our knowledge and belief and are intended for general education. They are in no way a substitute for medical advice, diagnosis and treatment and are not intended to encourage self-diagnosis or self-treatment. Please always contact your ENT specialist in Frankfurt directly if you have any health complaints!

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Various triggers can lead to a so-called septal perforation. This is a hole in the septum, i.e. the nasal septum. As it is not intended by nature at this point, the perforation can lead to various complaints and unpleasant symptoms. How a septal perforation can occur, how a hole in the nasal septum manifests itself and how we can treat it in our ENT practice in Frankfurt in the following.

Basic knowledge: Structure of the inner and outer nose

The nose consists of an outer part (nasal framework) and an inner part (nasal cavity). The nasal septum divides this into the right and left nasal cavities. As a rule, both are approximately the same size - unless there is a Curvature of the nasal septum before. In this case, one main cavity is larger than the other. The nasal septum consists mainly of bone, with cartilage at the front. As an important support, it has a decisive influence on the shape and direction of the outer nose (read our blog post on this: Crooked nose: what to do?).

The nose is connected to the outside world via the two nostrils. There are also inner funnel-shaped openings (Choanen) that connect the two nasal cavities with the nasopharynx.

The paranasal sinuses adjoin the nasal cavity. These are air-containing cavities. Small channels connect them to the nasal cavity. The paranasal sinuses can become inflamed if these small channels are blocked (sinusitis).

Then there are the turbinates, which protrude from the two lateral nasal walls into the nasal cavity in the form of three thin hook-shaped bony lamellae. They are covered with cavernous tissue and mucous membrane.

The nose and nasal cavity are lined with a special mucous membrane that protects against harmful substances that can enter the body via the air we breathe.

Septal perforation: How does it occur?

A nasal septal perforation is a hole in the nasal septum. There are various reasons why this can occur. These include

• Injuries to the facial area due to accidents
• Repeated injuries, e.g. due to manipulation such as frequent nose picking or insertion of objects
• Repeated bilateral sclerotherapy of blood vessels in the nasal mucosa of the nasal septum for Nosebleed
• Pressure on the nasal septum
• Tumours in the area of the nasal septum
• Frequently recurring inflammation of the connective tissue surrounding the nasal cartilage
• Mucosal damage after surgical procedures on the nose
• Chronic inflammation of the nasal mucosa, which destroys the nasal septum in the long term
• Nasal spray addiction (long-term use of nasal spray including corticosteroids and over-the-counter phenylephrine or oxymetalocin sprays)
• Prolonged inhalation of oxygen through the nose, e.g. via nasal masks
• Effects of vascular diseases and diseases such as tuberculosis, leprosy, granulomatosis with polyangitis or syphilis
• the effects of toxic substances such as acids, chromium, phosphorus, sulphuric acid, copper vapour or industrial dust
• Drug abuse - especially frequent snorting of cocaine

Special case: hole in the nasal septum due to septum piercing

The so-called septum piercing has been a trend for years. If everything goes well, the thin membrane in front of the cartilaginous part of the nasal septum is pierced with the piercing. However, getting this piercing is not that easy, which is why women and men who want this type of piercing are strongly advised to go to a studio with an excellent reputation where experienced piercers work.

Each nasal septum is individually shaped and often has irregularities. The cartilage can be hit when piercing - this is very painful and can lead to subsequent problems such as bleeding, inflammation of the piercing area, swelling, allergies or the formation of an abscess.

In addition, the hole in the septum - if the piercing is removed and no longer worn - can remain permanently. If it is too large because a piercing with a large diameter has been worn, there is a high risk that it will not grow back on its own. The remaining hole in the septum is then a potential source of infection or similar.

Septal perforation: symptoms and consequences

A hole in the nasal septum does not necessarily lead to symptoms. Some patients experience no symptoms at all. In this case, we discover the hole more by chance during an examination of the nose. However, this is not always the case.

Septal perforation can also lead to unpleasant symptoms. This can be a dry nose with the formation of crusts and plaque. Bacteria can settle on these crusts and cause inflammation, which is accompanied by yellow and sometimes foul-smelling mucus. Frequent nosebleeds or whistling noises when breathing through the nose are also possible. Some sufferers also report Pain in the nose. In some cases, the septum hole obstructs nasal breathing by causing the airflow in the nasal septum to collide with the posterior wall of the hole. As a result, the air can no longer be optimally channelled.

If too much supporting and stabilising cartilage substance is lost due to progressive perforation, this can even lead to changes in the external shape of the nose. It then becomes visible and can be very noticeable in some cases.

Hole in the nasal septum: how the diagnosis works

In order to detect a hole in the septum, we carry out an examination of the inner nose. The first step is to use a so-called nasal spreader. This expands the nostrils and holds them open. This allows us to illuminate the inside of the nose with a special lamp and examine the mucous membrane. Next, we perform a rhinoscopy. To do this, we insert a nasal endoscope into the inside of the nose and can thus examine the condition of the nasal mucosa, the nasal cavities, the nasopharynx and the front area of the paranasal sinuses. Of course - and in this case above all - we can examine the nasal septum and determine whether there is a hole in the septum.

Treatment of a hole in the septum

How the septal perforation is treated depends on the history of its development and the symptoms caused by the hole. One possible therapy is the use of special ointments that promote the healing of the mucous membrane. Nasal rinsing with salt water can also be helpful.

If the hole is very large, is in an unfavourable location, leads to restrictions/severe discomfort or to an externally visible deformation of the nose, surgery may be advisable. The aim of septal perforation surgery is to permanently close the opening in the nasal septum. This is possible by moving various mucosal flaps inside the nose. We also remove cartilage tissue from another part of the body (e.g. the ear), which we implant into the nasal septum to close the defect.

It is also possible to perform an aesthetic rhinoplasty at the same time. During this procedure, we can also remove nasal humps, equalise the nasal saddle, correct a malposition of the nasal septum or correct the tip of the nose, for example.

Rhinoplasty Frankfurt

We are your experienced partner for the treatment of a septal perforation. With conservative measures or, if necessary, the Nasal septum surgery or the functional plastic rhinoplasty we help you to breathe easy again.

As the central feature of the face, the nose is a real eye-catcher. Together with the cheekbones and chin, it characterises the face and plays a key role in whether it is perceived as attractive. If the nose is crooked, it is not only this unit of attractiveness that can be disturbed. A crooked nose can also lead to functional disorders such as breathing problems. In this article, we explain how we can help you here.

Causes of a crooked nose

A crooked nose has a laterally displaced course. The nasal axis tilts visibly to the right or left. A curved nasal septum is usually the cause of the deformity.

A crooked nose is often genetic. This means that the curvature of the Nasal septum is congenital. This makes the nasal axis slanted - which also affects the appearance.

Sometimes a crooked nose only develops in the course of life. Accidents, falls or even violence can affect the structures of the nose and cause it to shift. Above all, it is fractures of the nasal bone that subsequently lead to a crooked-looking nose. In this case, the bones and cartilage have grown together crookedly rather than straight during the healing process.

In some cases, it is not the nasal septum that is affected by the curvature, but only the bony bridge of the nose is crooked - in other words, only the outside of the nose is crooked and the internal structures are not affected.

Possible effects on aesthetics and health

If the nose is crooked, this throws the proportions of the face out of balance. As a result, the facial harmony, which is characterised by the symmetry of the facial features, suffers. A crooked nose can destroy the evenness of the facial features due to its atypical, asymmetrical shape. The extent to which this happens naturally depends on the degree of deformation. A slight crookedness has less of an effect than a severe curvature - as can occur after an injury, for example.

A crooked nose is often associated with functional limitations. This means that it can hinder breathing or lead to a distorted sense of smell.

What can you do about a crooked nose?

Make-up techniques for slight misalignment

If you don't have a very pronounced nose, but only a slight deformity, you can use special make-up techniques to visually compensate for the deformity. With the help of make-up, you can draw attention away from the nose. To do this, you should choose make-up that is darker than the make-up on your face. This will make your nose appear straighter. There are many explanatory videos on the internet with step-by-step instructions that can help you with this. Alternatively, you can also ask a make-up artist to show you techniques.

Surgical rhinoplasty: crooked nose operation

In the case of more pronounced findings and a simultaneous restriction of functionality (impaired nasal breathing), surgical correction of the crooked nose is advisable. If only the bony part of the nose is affected, we straighten the bony bridge of the nose. If the nasal septum is crooked, we straighten it by correcting its shape and reconstructing it. We also restore the desired shape and create a symmetrical centre line (see also: Nasal septum surgery). We then insert special support elements into your nose. These facilitate the healing of the nose.

At what age can you have a crooked nose operated on?

If it becomes apparent at a young age that the nose is developing a crooked position, surgery should not be performed too early. Crooked nose surgery is not advisable at too young an age. This is because the body is still growing during puberty. This means that the result of the operation is not yet final. In women, the growth phase of the nose is completed from the age of 15 to 16, in men from the age of 16 or 17. We do not recommend having a cosmetic rhinoplasty performed before this age. If rhinoplasty is performed too early, this can result in growth disorders that make another nose job necessary. The situation is different if there is a serious functional impairment. We decide this on a case-by-case basis.

Crooked nose correction in Frankfurt

If your aesthetics are affected by a crooked nose or you have problems with your breathing, we will be happy to help you. Our ENT practice in Frankfurt is optimally equipped so that we can carefully examine and treat you. We carry out surgical crooked nose correction and other Rhinoplasty regularly.

ENT Frankfurt: Dr Thomas Fischer & Dr Albrecht Linke

Your specialists for ear, nose and throat medicine, who will provide you with professional and individualised advice, examinations and treatment in all matters relating to ENT medicine, functional plastic surgery and the aesthetic treatment of changes to the facial skin.

Our news articles are prepared for you to the best of our knowledge and belief and are intended for general education. They are in no way a substitute for medical advice, diagnosis and treatment and are not intended to encourage self-diagnosis or self-treatment. Please always contact your ENT specialist in Frankfurt directly if you have any health complaints!

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Epistaxis - that's the medical term for something you've probably had before: A nosebleed. In most cases, it looks worse than it is. But sometimes blood leaks from the nose more frequently or the bleeding cannot be stopped. In this article, we explain when nosebleeds can be a sign of a (serious) illness and when you need to see a doctor.

Basics about nosebleeds

Blood leaks from the nose when the fine vessels in the nasal mucosa, which is heavily supplied with blood, are damaged. If the leaking blood is dark red in colour, it is venous blood. If it is rather light red in colour and spurts out of the nose, it is blood from the arteries. Generally, most haemorrhages occur in the anterior part of the Noseas several blood vessels converge here. They are usually harmless. The situation is different if the epistaxis originates at the back of the nose. Here, the supplying vessels are not as finely branched as in the front of the nose. A "leak" is therefore larger here.

Possible causes of nosebleeds

Local causes

The cause of the nosebleed is located inside the nose. It can be triggered by the following factors:

• Blowing your nose vigorously or sneezing can cause small veins in the nose to burst. If the nasal mucosa is irritated (e.g. due to heating air or prolonged use of decongestant Nasal spraythe risk of blood loss is increased.
• Epistaxis can also be caused by a blow to the nose or a fall, as well as by a Nasal bone fracture are caused.
• If the nasal mucosa is injured by a foreign body (e.g. a Lego brick or a marble in children) or by picking the nose, it can also start to bleed.
• Patients who suffer from a septal perforation and have a hole in the nasal septum can suffer from a bleeding nose from time to time. Other malformations can also be the cause, such as protruding bony ridges that injure the nasal mucosa. Incidentally, such findings are often accompanied by a Curvature of the nasal septum on.
• In rare cases, a tumour in the nasal cavity or paranasal sinuses may be behind severe and recurrent nosebleeds. This can be benign or malignant.

Systemic causes

Nosebleeds can also be associated with certain diseases:

• Feverish illnesses such as flu or measles favour increased blood flow to the mucous membranes, which is why the nasal mucosa is even more sensitive.
• During colds, the nose is strained by frequent blowing, which can cause it to bleed.
• Nosebleeds can also be a symptom of kidney disease.
• The haemorrhage may also be associated with vascular and circulatory diseases or congenital functional disorders of the blood platelets.
• Leukaemia and certain autoimmune and hereditary diseases such as haemophilia, Wegener's disease or Osler's disease can be associated with nosebleeds.
• Severe bleeding from the oesophagus can also come from the nose and mouth. They then look like nosebleeds.

Side effects of medication

• Platelet aggregation inhibitors and coumarin derivatives (blood thinners) can favour bleeding from the nose. Examples of this are acetylsalicylic acid or Marcumar.
• Certain antibiotics and psychotropic drugs can also cause nosebleeds.

When should you see a doctor if you have a nosebleed?

If the bleeding is exceptionally heavy or you can see a visible injury to your nose, you should seek medical advice. This also applies if you cannot stop the nosebleed after about 20 minutes (10 minutes for children). In this case, there is a risk of excessive blood loss. You should now be admitted as an emergency to our ENT practice in Frankfurt come. If you feel that the blood is not coming from the front of the nose, but mainly down the throat, the injury is probably coming from the upper/rear part of the nose. In this case, you should also come to us for an examination. Please also make an appointment if your nosebleeds occur more frequently (e.g. several times a week). In this case, it is necessary to clarify the cause.

Investigations for repeated nosebleeds

If you experience epistaxis frequently, we will carry out certain examinations after taking your medical history. This includes examining the anterior nasal cavity with a rhinoscope and the posterior nasal cavity with a ENT endoscope. An ultrasound examination can provide additional information. If necessary, we can call in the radiology department and have an MRI or CT scan carried out. We can also identify any coagulation disorders or inflammation by analysing the blood.

If we cannot find a cause in the field of ENT medicine, we can consult your general practitioner for a diagnosis to clarify other physical causes.

How we can treat nosebleeds

Depending on the type and severity of your nosebleed, we have various options to stop it:

• Decongestant nasal sprays
• Sclerotherapy by laser or electrocoagulation
• Tamponades

Nosebleeds: Treatment at the Goethe10 practice clinic

If you are affected by acute nosebleeds and need help: In our Goethe10 Practice Clinic in Frankfurt we will be happy to help you. Dr Thomas Fischer is your experienced ear, nose and throat specialist.

ENT Frankfurt: Dr Thomas Fischer & Dr Albrecht Linke

Your specialists for ear, nose and throat medicine, who will provide you with professional and individualised advice, examinations and treatment in all matters relating to ENT medicine, functional plastic surgery and the aesthetic treatment of changes to the facial skin.

Our news articles are prepared for you to the best of our knowledge and belief and are intended for general education. They are in no way a substitute for medical advice, diagnosis and treatment and are not intended to encourage self-diagnosis or self-treatment. Please always contact your ENT specialist in Frankfurt directly if you have any health complaints!

© "girl is holding paper tissue and blowing nose" by choreographer, elements.envato.com