An Implant that Unblocks your Nose?

The Latera implant can be inserted under local anaesthetic and reduces wall collapse. I discuss it in this video.
More information about Dr Joshua Greene is here -
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Chapters
0:00 Introduction
0:43 What are the three causes of nasal obstruction?
0:48 Septal Deviation
1:25 Turbinate Hypertrophy
2:27 Lateral nasal wall collapse
4:17 How to treat lateral nasal wall collapse
5:10 How Latera works
5:35 Latera animations
6:22 Dr Joshua Green - ENT in USA
8:00 Conclusion
** Disclaimer - The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional. **

[@tn5346]

Can't wait to hear more in your follow up, thank you

[@vivianriver6450]

enlarged turbinates, deviated septum, nasal wall collapse - I seem to have all three. Breathe Right strips seem to help me. I've been wondering. Would the Latera implant hold my nose open as wide as the Breathe Right strips, or would they hold my nose open as wide as it sits before I try to take a quick breath thru my nose?

[@dlibby4979]

Dr, Veer,,great infomative videos! But when i click on the images you put in the video to link to another video, nothing happens, it doesnt take me anywhere.

[@kailashf]

I am being treated at Royal London and recently I had a massive adenoid removed and septoplasmi but one side of my nose is always blocked. It depends what side I sleep on, the nos on that side blocks. How can I get to referred to you instead of the other doctors please? My heartbeat is erratic, I stop breathing during sleep and nothing has improved after the surgery.

[@nancylindsay4255]

"For free, on the NHS." US American here, turning green with envy.

[@yahyaelmi8435]

Dr , what about the alternating nasal blockage(awareness of nasal cycle ) . What is the cause and what does this mean ?

[@Abdul12_34]

Great video Dr Veer! Really interesting topic and will defo look into this myself! Looking forward to the next one! Also found myself rewatching many of your old videos following my tonsillectomy and pharyngoplasty with yourself. Finally feel like I’m getting better and better, still not 100% but getting there. Can’t wait for the barbed suture vs expansion sphincter video!

[@VikVeerENTSurgeon]

Glad you are making a recovery. At the 8 week mark the catabolic state will be falling off and you will be replacing your protein / muscle stores. Keep going!

[@Abdul12_34]

@@VikVeerENTSurgeon sorry dr Veer, could you expand a little more on that? Does this mean I should feel drastically better by 8 weeks and onwards?

[@yahyaelmi8435]

Did your daytime sleepiness improve ? How about your sleep disturbances

[@jessicamaria7500]

Do you work privately as well?

[@basednuke7647]

Doc what if u have alot of the bone on one side damaged and u need significant amount of more structure there to support the nose being open.

[@VikVeerENTSurgeon]

Lots of ways to deal with that. Speak to a rhinologist as they are best at dealing with these problems.

[@2tuffHD]

A simple procedure that may eliminate surgery and therefore keeps the cost down makes perfect sense. Though some Medical Groups and ENT Surgeons may be reluctant to offer this since it's less money coming their way. Thank You Dr Veer...

[@VikVeerENTSurgeon]

Pleasure. The surgeon doesn't get more cash for using more exciting surgery, we just get paid by the hour on the NHS. But I guess privately that might be the case.

[@nancylindsay4255]

Perhaps especially so in the USA. 🥺

[@peekaboocockatiel6514]

I have wondered for years why every night I always have one blocked side. I now use a CPAP and it even happens with the CPAP

[@VikVeerENTSurgeon]

Nasal cycle and CPAP related rhinitis. I talk about it in a video about helping you use CPAP.

[@peekaboocockatiel6514]

@@VikVeerENTSurgeon I will look for that video. Thank you! I’ve only recently found you.

[@exquisitecandy2684]

Love your explanations. So easy to understand!

[@dianeburgess8699]

Very informative video thank you.👏❤️

[@miteshbhagwant4615]

Thanks doc ❤

[@VikVeerENTSurgeon]

My pleasure

[@that.sleep.dentist]

I’m in the US and have been researching this for my collapsed nasal valves. I had septoplasty with turbinate reduction but still have narrow, flimsy nostrils. Thanks for covering the topic 👍🏻

[@Jack-ns9sz]

I'm pretty sure I have all three. I definitely have a pretty badly deviated septum that generally blocks the right side. However, if I lie on my left side, my left side gets blocked and my right side has fairly weak air flow. I'm guessing that's the turbinates causing the blockage? I also can feel my right nasal side collapse when I'm trying to sleep, which will lead to me snorting from my right side of my nose. This seems to have gotten better since using nasal strips. I need to get this sorted out because it is affecting my sleep. I wish you were my doctor! You seem so nice!

[@VikVeerENTSurgeon]

There are loads of good ENT docs out there. I'm sure you'll find someone very nearby.

[@yaminikumari7984]

I think breathing exercises like Anulom-Vilom pranayam are also beneficial for blocked nose , insomnia too ,especially if done in the early morning. Great understanding and useful vid, easy to understand with figure and animated vid!

[@VikVeerENTSurgeon]

I need to read more about these breathing exercises, thank you!

[@yaminikumari7984]

​@@VikVeerENTSurgeonSee Swami Ramdev's yoga vid.

[@gaylehughes-davies4297]

Hello I live in Wales is it available all over the UK or just England please as this is something I desperately need to have done , I have sleep apnea can’t tolerate CPAP because I have a deviated septum this could be a game changer for me . Is this something that you do privately in your practice please ? As I don’t think my GP would refer me to London sadly . Thank you for all the work you do and the information that is so very valuable to so many of us 🙏

[@SomethingNick]

I missed your Q&A way back when, but I was wondering if you've ever tested yourself for sleep apnea and gotten treatment? Or used any medical interventions to improve your sleep, like you just mentioned using a nose spray

[@ja5304]

Thoughts on vivaer vs latera?

[@kikigirlkauai]

I’d like to know this as well. Thank you for asking

[@VikVeerENTSurgeon]

two different operations for different problems. latera is for lateral wall collapse and vivaer is for turbinates. I'm not a fan of vivaer, i think the risk is too great, but i understand that some people have good results with it. i will look at the data one day but i instinctively don't like the concept due to the risks of ENS. but i've not used the device before. I have used devices very similar in the past so i'm pretty sure that it will have similar issues. i know its big in America so I don't want to talk too much about it - perhaps one day I'll come round to it - but right now its not something i would consider for my own patients. I'm basically too scared of permanent damage.

[@carlcisc1706]

How long before it dissolves?

[@gregb7710]

Finally, a way to be rid of the Breathe Right nasal strips! Any idea when this might become available on the NHS and privately in the UK?

[@erikharrison]

Love the pin

[@VikVeerENTSurgeon]

Ken's birthday coming up soon as well!

[@psiwagy4150]

Doc,have you ever treated seuperior semicircular canal dehiscence?

[@VikVeerENTSurgeon]

Hi, answered this before. I prefer to avoid middle fossa surgery. I go trans mastoid or use the round window baffle. Probably best to find someone that does all three.

[@maiab1234]

I'm really struggling with the CPAP face mask. Moving onto a small mask tonight, wish me luck.

[@carwoman43]

My dad worked for a company (Xomed) that made a product like this. It was in high demand in FL in the early 80's given the high use of cocaine..

[@sarithasaritha5818]

I am dr Saritha I massage the inner and outer side of my nostril with thumb and index finger smeared with coconut oil good for my snoring and sleep apnoea

[@user-si3wz2nb4h]

Can you share more about this? 🙏

[@Betinasorangeboxcom]

I think you’d wonderful, you obviously care. Wish you were my ent specialist 😊