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Published on: June 20, 2018
Empty Nose Syndrome post radical turbinate surgery.
1Department of Otorhinolaryngology, Faculty of Medicine, Hospital Universiti Kebangsaan Malaysia, 56000 Kuala Lumpur.
The Medical Journal of Malaysia
|June 17, 2008
Summary
Empty Nose Syndrome (ENS), a rare complication of turbinate surgery, can cause nasal obstruction. Medical treatment with steroids and antihistamines significantly reduced symptoms in one patient.
Area of Science:
- Otolaryngology
- Rhinology
- Surgical Complications
Background:
- Empty Nose Syndrome (ENS) is a controversial condition.
- It is a potential sequela of radical turbinate surgery.
- Patients often present with paradoxical nasal obstruction despite patent nasal cavities.
Observation:
- A 50-year-old male with a history of radical turbinate surgery presented with chronic nasal symptoms.
- Symptoms included mucoid nasal discharge and persistent nasal blockage.
- Examination revealed highly patent nasal cavities with minimal turbinate remnants.
Findings:
- Medical management was initiated for the patient's ENS symptoms.
- Treatments included nasal steroids, antihistamines, and leukotriene receptor antagonists.
- A significant reduction in nasal symptoms was observed over several years.
Implications:
- This case highlights the potential efficacy of conservative medical management for Empty Nose Syndrome.
- It suggests that ENS symptoms may be alleviated without further surgical intervention.
- Further research into non-surgical treatments for ENS is warranted.
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