Common Nasal Issues, Discussed by Dr. Nicholas Panella

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Nicholas J. Panella

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Mar 11, 2023

To help my patients and the many local people in East Tennessee, I want to discuss the most common nasal issues—and help people find a solution for them.


What Are Turbinates?


The turbinates are essential for proper airflow through the nasal passages. They also help filter and clean the incoming air and provide defense against foreign particles and bacteria.

Turbinates can become enlarged or swollen due to allergies or other conditions, leading to blocked airflow, which results in symptoms such as congestion and difficulty breathing.

Leading Causes of Agitated Turbinates


Whether it's somebody that's had allergies their entire life or just the cumulative effect of the things that are in the environment finally building up, the problem could be allergies.

So over time, nasal passages eventually get blocked.

Trauma can cause agitated turbinates, but some people are just born with large turbinates. This means they are bigger than average and too big for their body.

Since turbinates can take up a lot of space, this can lead to issues for many adults with enlarged turbinates.

Interesting Facts About Your Nose

The lower part of the nose is cartilage. It's essentially a cartilage framework with skin draped on top of it. When we're looking at a nose to diagnose nasal issues, it’s easy to tell when the septum and the turbinates don’t look too bad.

One of the next places we like to look is at the cartilages, because sometimes we see two separate problems.

Occasionally, the cartilages need to be stronger. So every time you take a breath in, they collapse, and when they collapse, it feels like you've got a valve that's being closed.

Another common problem is the cartilage areas are too narrow. This could be a result of trauma or could be something the patient was born with.

These narrow areas shut off the air that's trying to come into the nose.

How to Know What is Causing Your Nasal Issues

At Ear, Nose & Throat Consultants of East Tennessee, we use a headlight and a nasal spectrum to evaluate the cause of your nasal obstruction.

If you’d like to discover what is causing your nasal issues, please schedule an appointment with us.

How to Protect Your Turbinates

First, we will take a detailed medical history and perform a physical examination to determine the underlying cause of the pain.

Once a diagnosis is made, we’ll develop a treatment plan tailored to your needs.

This may include lifestyle modifications, such as avoiding allergens or using a saline nasal spray to help reduce congestion.

Additionally, we may recommend in-office treatments such as nasal irrigation, turbinate reduction, or endoscopic sinus surgery.

No matter the cause of the pain, an experienced ENT doctor can help alleviate it and help you find relief. Don’t suffer in silence—seek out the help of an experienced ENT doctor and schedule your initial consultation today.

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Request a Callback

Scheduling your appointment is simple. Complete the form on this page detailing your preferred location, appointment urgency, and preferred date/time, and we’ll call you to confirm your booking and answer any questions that you may have.

Request a Callback

Scheduling your appointment is simple. Complete the form on this page detailing your preferred location, appointment urgency, and preferred date/time, and we’ll call you to confirm your booking and answer any questions that you may have.

Request a Callback

Scheduling your appointment is simple. Complete the form on this page detailing your preferred location, appointment urgency, and preferred date/time, and we’ll call you to confirm your booking and answer any questions that you may have.

Trusted by Tens of Thousands of Patients as East Tennessee’s Premier Otolaryngology Practice for Over 45 Years

Park West

(865) 531-6325

9430 Park West Blvd.Suite 330 Knoxville, TN 37923

Fort Sanders

(865) 546-5481

501 20th Street Suite 204 Knoxville, TN 37916

Lenoir City

(865) 657-9593

576 Ft. Loudoun Medical Ctr. Drive Suite 207 Lenoir City, TN 37772

Trusted by Tens of Thousands of Patients as East Tennessee’s Premier Otolaryngology Practice for Over 45 Years

Park West

(865) 531-6325

9430 Park West Blvd.Suite 330 Knoxville, TN 37923

Fort Sanders

(865) 546-5481

501 20th Street Suite 204 Knoxville, TN 37916

Lenoir City

(865) 657-9593

576 Ft. Loudoun Medical Ctr. Drive Suite 207 Lenoir City, TN 37772

Trusted by Tens of Thousands of Patients as East Tennessee’s Premier Otolaryngology Practice for Over 45 Years

Park West

(865) 531-6325

9430 Park West Blvd.Suite 330 Knoxville, TN 37923

Fort Sanders

(865) 546-5481

501 20th Street Suite 204 Knoxville, TN 37916

Lenoir City

(865) 657-9593

576 Ft. Loudoun Medical Ctr. Drive Suite 207 Lenoir City, TN 37772

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©2025 ENT Consultants East Tennessee | All Rights Reserved

©2025 ENT Consultants East Tennessee | All Rights Reserved

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