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Treating empty nose syndrome as a somatic symptom disorder.

Cédric Lemogne1, Silla M Consoli2, Frédéric Limosin1

  • 1Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France; AP-HP, Hôpitaux Universitaires Paris Ouest, Service de Psychiatrie de l'Adulte et du Sujet Âgé, Paris, France; Inserm, U894, Centre Psychiatrie et Neurosciences, Paris, France.

General Hospital Psychiatry
|March 11, 2015
PubMed
Summary

Empty nose syndrome (ENS), a rare complication of turbinate surgery, can be effectively managed as a somatic symptom disorder. Cognitive behavioral therapy and venlafaxine significantly improved patient function, offering a safe alternative to surgery.

Keywords:
Empty nose syndromeFunctional somatic syndromesSomatic symptom disordersSomatoform disordersTreatment

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Area of Science:

  • Otolaryngology
  • Psychiatry
  • Symptomology

Background:

  • Empty nose syndrome (ENS) is a paradoxical condition following inferior turbinate resection, presenting as a sensation of nasal obstruction despite objective findings of reduced resistance.
  • ENS can lead to severe functional impairment and distress for affected individuals.

Observation:

  • A case study involving a 37-year-old patient with diagnosed ENS and significant functional deficits is presented.
  • The patient's condition was identified as a somatic symptom disorder.

Findings:

  • Treatment with cognitive behavioral therapy (CBT) and venlafaxine led to substantial functional recovery in the patient.
  • Significant improvement in functioning was observed between two and four months of treatment.
  • At six months, the patient had returned to baseline functioning and no longer required ENS-specific care.

Implications:

  • Managing Empty Nose Syndrome as a somatic symptom disorder may offer a safe and effective first-line treatment approach.
  • This psychiatric-focused management strategy could reduce the need for further surgical interventions in select ENS patients.
  • Further research into the efficacy of cognitive behavioral therapy and pharmacotherapy for ENS is warranted.