Related Experiment Video
Updated: Jul 11, 2026
06:13
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Surgical treatment for empty nose syndrome
1MetroHealth Medical Center, 2500 MetroHealth Drive, Cleveland, OH 44109, USA. shouser@metrohealth.org
Archives of Otolaryngology--Head & Neck Surgery
|September 19, 2007
Summary
Empty nose syndrome (ENS) patients experienced improved breathing and symptom scores after submucosal acellular dermis implantation. This reconstructive surgery offers a viable option for managing ENS symptoms.
Area of Science:
- Otolaryngology
- Rhinology
- Surgical Innovation
Background:
- Empty nose syndrome (ENS) is an iatrogenic condition causing subjective nasal obstruction despite a patent airway.
- ENS often results from prior nasal surgeries, particularly turbinate reduction.
Purpose of the Study:
- To investigate the efficacy of submucosal acellular dermis implantation for treating empty nose syndrome (ENS).
- To explore surgical repair options for patients suffering from ENS.
Main Methods:
- A case series involving 8 patients diagnosed with ENS.
- Symptoms were assessed using the 20-item Sino-Nasal Outcome Test (SNOT-20) before and after submucosal implantation of acellular dermis.
- Diagnosis of ENS included characteristic symptoms, history of nasal surgery, and positive cotton test.
Main Results:
- Patients reported a statistically significant improvement in symptom scores on the SNOT-20 test (P <= .02).
- Submucosal implantation of acellular dermis effectively simulated missing turbinate tissue.
Conclusions:
- Submucosal implantation of acellular dermis is a promising reconstructive surgical technique for ENS.
- Surgical intervention can lead to significant symptom relief for patients with empty nose syndrome.
More Related Videos
Related Concept Videos
01:30Epistaxis
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
01:29Suctioning the Nasopharyngeal Airway
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
01:24Nose and Nasal Cavity
The nose is composed of an observable exterior segment (external nose) and an internal segment within the skull known as the nasal cavity (internal nose). The external nose, visible on the face, consists of a framework of bone and hyaline cartilage enveloped in skin and muscle and lined with a mucous membrane. This structure is supported by the frontal bone, nasal bones, and maxillary bone and is supplemented by a cartilaginous framework comprising the septal nasal cartilage, lateral nasal...
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
01:28Tracheostomy: Procedure and Tubes
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
01:21Tracheostomy Decannulation
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...