Aug 28, 2023
Empty Nose Syndrome (ENS), a controversial and uncommon condition, is most common in people who have had nasal surgery. In spite of the fact that nasal surgery is meant to widen the nasal airways, a very small percentage of people actually have the opposite outcome. ENS therapy also includes the debridement of microorganisms and nasal moisturization.
Experts don't know why ENS occurs. Many doctors think that too much tissue from inside your nose was removed during the nasal surgery, though further research is needed to confirm this.
Even while imaging scans may indicate that your nasal cavity has enough room for you to breathe in and out, having ENS may make it difficult for you to properly inhale. Many people express feeling "suffocated," "hungry" for air, or "emptiness." According to studies, your nose may change physically and functionally following surgery, which may be the cause of ENS. They consist of:
The turbinates are attached to the ends of each of these bony ledges, which aid in separating the sinuses from the nasal cavity. Turbinates are intricate structures that serve numerous purposes. There are a total of three turbinates present on each side of the nose. These turbines' ability to swiftly exchange heat as air is inhaled is one of its main purposes. As a result, breathing cold air through the nose feels warmer.
Turbinates also contribute to adjusting the humidity of the air that is breathed in. In addition, tissue in the turbinates expands and contracts to control the flow of air through the nasal passages. These processes have an impact on air entering the body, but they are also crucial for air leaving the body. The turbinates aid in regulating how much heat or liquid is lost during exhalation.
In more harsh temperatures, turbinates aid the body in maintaining steady amounts of heat, fluids, and oxygen. The turbinates and the nerves that supply them play intricate roles, therefore altering them could result in severe symptoms.
Turbinate surgery is frequently effective in decreasing turbinate size and improving a patient's airflow without any problems. But even mild turbinate operations can result in ENS symptoms.
Most ENS sufferers experience difficulty taking full breaths through their nostrils. Other signs of empty nose syndrome include:
Everybody has a different set of symptoms. After a nose surgery, they could appear weeks, months, or even years later. Many people find it difficult to concentrate on ordinary work because the symptoms of empty nose syndrome might be distracting. In addition to having ENS, people with ENS may also experience anxiety and sadness.
It can be challenging to diagnose ENS because of its lack of understanding. There aren't any established examinations or tests that can determine if you have the condition as of now. After ruling out other illnesses that elicit comparable symptoms, your healthcare professional can then establish a diagnosis. An endoscope, a flexible tube with a tiny camera and light at the end, may be used to examine the inside of your nose to accomplish this.
Various objectives for treatment include:
Typical therapies include:
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