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A nasal strip, external nasal dilator strip or nasal dilator strip is a type of adhesive bandage with embedded plastic ribs or splints that is applied across the bridge of the nose and sides of the
nostrils A nostril (or naris , plural ''nares'' ) is either of the two orifices of the nose. They enable the entry and exit of air and other gasses through the nasal cavities. In birds and mammals, they contain branched bones or cartilages called turbi ...
, to assist in keeping the airway open. They are believed to make breathing easier and for that reason are used during athletic exertion and as an aid to reduce congestion or to prevent snoring. Various studies have indicated that they do not have a performance-enhancing effect. They are also used by
race horse Horse racing is an equestrian performance sport, typically involving two or more horses ridden by jockeys (or sometimes driven without riders) over a set distance for competition. It is one of the most ancient of all sports, as its basic pr ...
trainers Sneakers (also called trainers, athletic shoes, tennis shoes, gym shoes, kicks, sport shoes, flats, running shoes, or runners) are shoes primarily designed for sports or other forms of physical exercise, but which are now also widely used fo ...
on horses for similar reasons; they are thought to reduce airway resistance and lower the risk of
exercise-induced pulmonary hemorrhage Exercise-induced pulmonary hemorrhage (EIPH), also known as "bleeding" or a "bleeding attack", refers to the presence of blood in the airways of the lung in association with exercise. EIPH is common in horses undertaking intense exercise, but it h ...
(EIPH), plus reduce fatigue and aid post-race recovery.


Human use

In humans, the nasal valve is the narrowest part of the nasal aperture and when exercising, this area is subjected to
negative pressure Negative pressure may refer to: * Negative value of a pressure variable * Negative room pressure, a ventilation technique used to avoid contaminating outside areas * Negative pressure ventilator, also known as an iron lung * Negative-pressure wou ...
and becomes smaller. Nasal strips adhere to the skin, holding open the
anterior nasal aperture The piriform aperture, pyriform aperture, or anterior nasal aperture, is a pear-shaped opening in the human skull. Its long axis is vertical, and narrow end upward; in the recent state it is much contracted by the lateral nasal cartilage and the g ...
and prevent it from collapsing. When properly applied, they lift and widen the space in the nasal passage. They are a drug-free method to maintain airway flow and are available as an
over the counter Over-the-counter (OTC) drugs are medicines sold directly to a consumer without a requirement for a prescription from a healthcare professional, as opposed to prescription drugs, which may be supplied only to consumers possessing a valid prescr ...
product. They have no reported side effects other than possible skin irritation from the adhesive. Studies indicate that they are useful in increasing nasal cavity volume in the front three centimeters of the human nose, and for that purpose could be an alternative to decongestive nose sprays, but nasal strips are not particularly helpful for congestion in the
posterior nasal apertures The choanae (singular choana), posterior nasal apertures or internal nostrils are two openings found at the back of the nasal passage between the nasal cavity and the throat in tetrapods, including humans and other mammals (as well as crocodilia ...
. They also have been shown to reduce snoring loudness and improve quality of sleep. Subjects wearing the strips in tests indicated that they believed that the strips helped them breathe more easily, and they are of particular interest to those human athletes who have to wear a mouthguard and need to be able to breathe more through their nostrils than their mouths. Studies have not necessarily demonstrated that athletic performance is increased, but people wearing them seem to have far less
dyspnea Shortness of breath (SOB), also medically known as dyspnea (in AmE) or dyspnoea (in BrE), is an uncomfortable feeling of not being able to breathing, breathe well enough. The American Thoracic Society defines it as "a subjective experience of brea ...
or shortness of breath while exercising.


Equine use

In horses, they are viewed as helpful because the animals cannot breathe through their mouths, only through their nostrils. As with humans, the equine design helps keep the nasal valve from collapsing due to the negative pressure created by physical exertion. However, their primary benefit is to prevent bleeding in the lungs (EIPH), not to directly enhance performance. The equine version was invented by two veterinarians, James Chiapetta and Edward Blach. In the 1990s, they were inspired by the human product to attempt to create a similar device for horses. They had observed horses on
treadmill A treadmill is a device generally used for walking, running, or climbing while staying in the same place. Treadmills were introduced before the development of powered machines to harness the power of animals or humans to do work, often a type o ...
s and saw that, under exertion, the equine nasal passage also narrowed due to the tissue being sucked in. They worked out a licensing agreement with CNS, the company that manufactured the human "Breathe Right" brand of nasal strips in 1997 (now owned by Foundation Consumer Brands) where the company manufactured the equine form of the nasal strip, and paid royalties to Chiapetta and Blach. The equine version was first used publicly at the 1999
Breeders' Cup The Breeders' Cup World Championships is an annual series of Grade I Thoroughbred horse races, operated by Breeders' Cup Limited, a company formed in 1982. From its inception in 1984 through 2006, it was a single-day event; starting in 2007, ...
horse races and the
2000 Summer Olympics The 2000 Summer Olympics, officially the Games of the XXVII Olympiad and also known as Sydney 2000 (Dharug: ''Gadigal 2000''), the Millennium Olympic Games or the Games of the New Millennium, was an international multi-sport event held from 1 ...
. In 2001, they parted ways with CNS and formed their own company, Flair, and in 2008, Chiapetta acquired Blach.


See also

* Nasal clip *
Oral appliance A mandibular splint or mandibular advancement splint is a prescription custom-made medical device worn in the mouth used to treat sleep-related breathing disorders including: obstructive sleep apnea (OSA), snoring, and TMJ disorders. These dev ...


References

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External links


Noson Nasal Dilator
Horse health Respiration Sports equipment