Empty Nose Syndrome

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Empty Nose Syndrome is a rare but serious condition that can develop after nasal surgery, such as turbinate reduction or septoplasty.

At its core, Empty Nose Syndrome is characterized by a paradoxical sensation of nasal obstruction, despite a clear and open nasal passage. This occurs due to the disruption of the delicate balance of airflow and sensory feedback within the nasal cavity, often resulting in symptoms that significantly impact quality of life.

Patients with Empty Nose Syndrome may experience persistent symptoms such as dryness, difficulty breathing, a sensation of airlessness, and sometimes chronic nasal congestion. These symptoms are often accompanied by secondary issues, including sleep disturbances, fatigue, anxiety, and depression. The condition arises when the nasal turbinates, which play a crucial role in humidifying and regulating airflow, are excessively reduced or removed.

At our hospitals, we offer state-of-the-art diagnostic tools to assess airflow patterns, nasal functionality, and patient-reported symptoms. Our expert team specialises in advanced treatment options designed to restore nasal functionality and improve patient comfort. These include regenerative therapies, nasal implants, and mucosal restoration procedures tailored to each patient’s specific needs. We also integrate multidisciplinary care, involving ENT specialists, pulmonologists, and psychologists, to address both the physical and emotional dimensions of ENS.

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Our hospital network spans multiple locations across Europe, bringing world-class empty nose treatment facilities closer to you with highly trained specialists and state-of-the-art technology. Each clinic is strategically located in major cities, allowing our patients to choose the location that best suits their needs, providing flexibility for consultations, procedures, and follow-up care.

Our medical consultants will advise you on the best choice for your treatment in one of our leading hospitals. 

Treatment of Empty Nose Syndrome

At our hospital, we provide innovative, patient-centered treatments for Empty Nose Syndrome (ENS) to address its debilitating symptoms and restore nasal function. ENS requires a specialized approach that combines cutting-edge medical interventions with a deep understanding of the condition’s complexity. Our treatment programs are designed to target the root causes of ENS, focusing on airflow regulation, tissue restoration, and overall patient well-being.

One of the key options we offer is regenerative and restorative therapies, which aim to repair and rejuvenate the nasal structures. Using advanced techniques such as platelet-rich plasma (PRP) and autologous fat grafting, we promote healing, improve mucosal health, and restore nasal tissue volume to optimize airflow dynamics and provide long-term relief. For patients with significant turbinate loss, we offer customized nasal implants designed to restore the structure of the nasal cavity. These implants not only enhance airflow regulation but also mimic the natural function of the turbinates, reducing the airless, dry sensation often experienced by ENS patients.

To address chronic dryness, we focus on mucosal hydration and restoration. Our treatments include medical-grade nasal moisturizers, specialized saline sprays, and humidification systems tailored to support mucosal regeneration and alleviate discomfort. Sensory dysfunction is another critical aspect of ENS, and we provide therapies such as neuromodulation and nerve stimulation techniques to retrain the nasal sensory nerves, helping patients regain a more natural sensation of airflow.

Recognizing the profound impact ENS can have on mental health, our hospital integrates multidisciplinary support into treatment plans. A team of ENT specialists, pulmonologists, and mental health professionals works together to address both the physical symptoms and the emotional challenges associated with ENS. For those needing additional psychological support, cognitive behavioral therapy (CBT) and access to support groups are also available.

Diagnostics of Empty Nose Syndrome

At our hospitals, the diagnostic process for Empty Nose Syndrome (ENS) is comprehensive and patient-centered, combining advanced medical technologies with a detailed clinical assessment. Our specialists begin with an in-depth consultation to understand the patient’s medical history, symptoms, and any previous nasal surgeries or treatments. 

Nasal endoscopy is performed to visually examine the nasal cavity and assess any structural abnormalities, such as turbinate atrophy or scarring. Advanced imaging techniques, such as CT or MRI scans, are utilized to evaluate the anatomical structures and airflow dynamics within the nasal passages. We also use specialized tools like computational fluid dynamics (CFD) modeling to analyze airflow patterns and pinpoint areas of dysfunction. To assess sensory nerve function, neurosensory testing is conducted, which helps evaluate the patient’s ability to perceive airflow and temperature changes. 

Additionally, patients may undergo psychological assessments to address the emotional and mental health impacts of ENS. Our multidisciplinary approach ensures that every aspect of the condition is evaluated, enabling us to create personalized treatment plans tailored to each patient’s unique needs.

Complications of Empty Nose Syndrome

ENS is rare problem that is a complication of poor surgical technique. 

In the vast majority of patients, resection of the turbinates by any means, including older techniques which simply resected turbinate structures with surgical scissors, was effective in improving symptoms of nasal obstruction.  Many otolaryngologists who utilize these older techniques are unaware of ENS and have had good surgical outcomes for most patients.  As a result, when patients complain of persistent nasal obstruction after an overly-aggressive turbinate resection, it was often incorrectly assumed that the patient’s nasal airflow was significantly improved and that the symptoms were psychosomatic.  Otolaryngologists are the experts in nasal airflow, so primary care physicians would often defer to their judgment.  As a result, many patients with ENS suffer the double victimization of having an iatrogenic problem created by over-aggressive surgery and then being told that their symptoms “do not make sense” and can be cured with behavioral therapy.

ENS patients usually experience psychiatric problems, including chronic fatigue, frustration, irritability, anger, anxiety, and depression. As a result, a significant negative impact on the quality of life and increased risk of mental health disorders are frequently reported. In severe cases, patients may struggle to maintain relationships, employment, and daily activities. Their focus is centered on their nasal and suffocation symptoms. Cognitive behavioral therapy or counseling may be helpful for anxiety and depression. Medications can also be useful.