Empty Nose Syndrome

  • Edward C. Kuan
  • Jeffrey D. Suh
  • Marilene B. Wang
Rhinitis (JJ Oppenheimer and J Corren, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Rhinitis

Abstract

Empty nose syndrome (ENS) is a rare, late complication of turbinate surgery. The most common clinical symptoms are paradoxical nasal obstruction, nasal dryness and crusting, and a persistent feeling of dyspnea. Little is known about the pathogenesis of ENS, though it is speculated that anatomical changes leading to alterations in local environment, disruption of mucosal cooling, and disruption of neurosensory mechanisms are strongly implicated. The diagnosis is clinical, though often difficult to make due to the poor correlation between subjective and objective findings. Medical therapies include mucosal humidification, irrigations, and emollients. Surgical therapy should be reserved for refractory cases and may involve turbinate reconstruction, most commonly using implantable biomaterials. Ultimately, prevention of this feared complication through turbinate-sparing techniques is essential.

Keywords

Empty nose Turbinates Atrophic rhinitis 

Notes

Compliance with Ethics Guidelines

Conflict of Interest

Edward C. Kuan, Jeffrey D. Suh, and Marilene Wang declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Financial Disclosures

None

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Edward C. Kuan
    • 1
  • Jeffrey D. Suh
    • 1
  • Marilene B. Wang
    • 1
  1. 1.Department of Head and Neck SurgeryDavid Geffen School of Medicine at UCLALos AngelesUSA

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