TLDR: My nose gets blocked on one side only especially when I lie on that side. I can see that the "wall" of the septum on that side is soft (unlike the other side). I can relieve the blocked sensation temporarily by pushing against this soft part (or lying on my opposite side so that it "deflates/drains" and the passageway opens up a little).
I don't think this is a "hematoma" as from what I've read hematomas are usually the result of trauma, pus or are "stagnant" blood filled and therefore supposedly cause the septal cartilage to "die" if left untreated - however my septum seems OK (my nose hasn't changed shape etc.). Instead I think that the layer of "skin" ("mucoperichondrium" I believe?) that covers the septal cartilage has somehow become detached from the septum on that side (only) and that ("fresh") blood is allowed to pool in that void, thus swelling it when I lie down and causing my obstruction.
I was thinking of "packing" it with gauze for a few days to "squeeze" the blood out and push the "mucoperichondrium" tight against the septum to see if it would re-adhere itself to the cartilage - like what I've read is done after a hematoma is excised.. I know, it sounds a bit nuts, but read the background below if you want to know how I've arrived at this point...
Would it be reasonably safe to try that?. If so any particular product ("nasal tampon"?) I should try? How long to leave packing in for?
ALL my life my nose would be blocked in the manner above (lie on one side - that side gets blocked). This made it very hard to sleep, concentrate etc... Eventually, about 25 years ago I had an op to fix a "deviated septum". This helped a little, but I still had the problem. I then had TWO further ops - both of those times to "trim the turbinates". Again this helped but I was still left with a problem. The last procedure I had (10 years ago) was RF coblation. This helped the most BUT only on one side.
The coblation provided some relief but as it only worked for one side it means that I have to sleep on one side and if I turn, I wake myself up. I also started to develop back problems because of this... I therefore re-attempted to find a solution: I've seen FOUR ENT specialists in the past 2 years (one of them a "skull bone structure" specialist), have had 2 full blown cat scans, a mini cat scan and God knows how many otoscopes etc. shoved up my nose, been given ridicoulously strong anti-biotics all of which did nothing. It has cost me THOUSANDS all to NO avail. None of these doctors can say they see anything wrong (yet they are happy to keep me coming back and spending about $400 per visit). The last one wanted to send me on a $1400 sleep study where I drew the line. (I know my nose gets blocked and that I get bad sleep - I don't need a sleep study to prove it).
Part of the problem, and perhaps why they don't see an issue, is because it happens mainly when I lie down - and of course the Dr office exam chairs are all, well.., upright! Also each doc says that my turbinates have already been reduced too much, that they wouldn't take away any more and that they don't know why I haven't experienced "empty nose syndrome" - so further turbinate reduction seems "out"..
I never got a good look at what was going on in my nose until a few months ago when (finally) a tiny 5mm endoscope became available (thank you eBay! - best $30 I ever spent!) which was exactly what I needed. As soon as I tried it out I could easily see some major differences between my two nostrils and I could plainly see (thanks to one of the attachments that came with this thing) the "soft wall" condition I describe above. Finally I think I have pinpointed the issue. Why none of these doctors could, after all these years, xrays, ctscans etc. is beyond me...
SO - I've had this problem for YEARS, have spent THOUSANDS and got NOWHERE and, at least for now, am sceptical of going to any more doctors. I'm ready to take things into my own hands.
This "packing" attempt won't cost more than a few $$ so I'm ready to give it a try. I've had packing before after 2 of the ops I mention above. I know that it's a miserable experience, but I just wanted to check here first to see if anyone has an opinion on either the dangers of trying the packing itself OR to not even bother if the chances of the "mucoperichondrium" re-adhering to the septal cartilage are nil without surgical intervention...
Sorry for the length, but I thought I should provide a complete background.
Looking forward to any input...