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Rhinotillexomania Manifesting as Empty Nose Syndrome
Eve Tranchito1, Nipun Chhabra2,3,4
1Northeast Ohio Medical University, Rootstown, OH, USA.
The Annals of Otology, Rhinology, and Laryngology
|August 17, 2019
Summary
Compulsive nasal picking (rhinotillexomania) can cause symptoms mimicking empty nose syndrome (ENS), even with open airways. This case highlights a novel presentation of rhinotillexomania with ENS-like features.
Area of Science:
- Otolaryngology
- Psychodermatology
Background:
- Rhinotillexomania, or compulsive nasal picking, is a behavioral disorder.
- Empty Nose Syndrome (ENS) is characterized by paradoxical nasal obstruction despite patent nasal airways.
Observation:
- A patient presented with severe rhinotillexomania and chronic nasal obstructive symptoms.
- Nasal endoscopy revealed widely patent nasal passages, inconsistent with typical obstruction.
Findings:
- The patient's symptoms closely mimicked those of ENS.
- This presentation suggests rhinotillexomania can induce ENS-like obstructive sensations.
Implications:
- This is the first reported case of rhinotillexomania manifesting with features suggestive of ENS.
- Recognizing this link is crucial for accurate diagnosis and management of patients with nasal complaints and compulsive behaviors.
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