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Symptom Assessment of Patients with Allergic Rhinitis Using an Allergen Exposure Chamber
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Published on: March 3, 2023

Empty nose syndrome.

A Coste1, P Dessi, E Serrano

  • 1Service d'ORL et chirurgie cervicofaciale, centre hospitalier intercommunal, 40 avenue de Verdun, CrĂ©teil cedex, France. andre.coste@chicreteil.fr

European Annals of Otorhinolaryngology, Head and Neck Diseases
|April 20, 2012
PubMed
Summary
This summary is machine-generated.

Empty nose syndrome (ENS), a rare complication of nasal surgery, causes paradoxical obstruction due to altered nasal airflow. Management focuses on conservative treatments and preventing the condition through careful surgical planning.

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Area of Science:

  • Otolaryngology
  • Rhinology
  • Surgical Complications

Background:

  • Empty nose syndrome (ENS) is a poorly defined complication following nasal or sinus surgery, particularly inferior turbinectomy.
  • Its pathophysiology is unclear but may involve impaired nasal airflow regulation and sensory receptor dysfunction.
  • Neuropsychological factors are also suspected contributors to ENS symptoms.

Purpose of the Study:

  • To elucidate the characteristics of Empty Nose Syndrome.
  • To outline diagnostic criteria and management strategies for ENS.
  • To emphasize preventive measures for this surgical complication.

Main Methods:

  • Review of clinical presentation and diagnostic findings in ENS patients.
  • Analysis of current management approaches, including conservative and surgical options.
  • Discussion of preventive strategies to mitigate ENS development.

Main Results:

  • ENS is characterized by paradoxical nasal obstruction despite objectively wide nasal airways.
  • Diagnosis relies on correlating a specific symptom complex with objective findings of nasal patency.
  • Management is challenging, with surgery reserved for severe cases and aiming to narrow the airway.

Conclusions:

  • Early identification of nasal dyspermeability resistant to medical treatment is crucial for prevention.
  • Conservative management should be prioritized, with surgical intervention reserved for refractory cases.
  • Prioritizing conservative surgical techniques and thorough pre-operative assessment can help prevent ENS.