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Facial Plast Surg Clin North Am. 2019 Nov;27(4):465-475. doi: 10.1016/j.fsc.2019.07.005.

Management of Postsurgical Empty Nose Syndrome.

Author information

1
Department of Otolaryngology, Medical College of Wisconsin, 3400 Market Lane, Kenosha, WI 53144, USA.
2
Department of Otolaryngology, Stanford University School of Medicine, 801 Welch Road, Stanford, CA 94305, USA.
3
Department of Otorrhinolaryngology, The University of Texas Health Science Center at Houston, McGovern Medical School, 6431 Fannin Street, MSB 5.036, Houston, TX 77030, USA. Electronic address: martin.j.citardi@uth.tmc.edu.

Abstract

Empty nose syndrome (ENS) is a controversial condition associated with disruption of nasal airflow caused by excessive loss of turbinate tissue. ENS arises after total or near-total inferior turbinate resection. Patients present with intense fixation on the perception of nasal obstruction. Diagnostic tools to assess for empty nose syndrome include a validated patient questionnaire and the office cotton test. Treatment involves topical moisturization, behavioral/psychiatric assessment/treatment, and surgical reconstruction. Current data show promising long-term efficacy after surgical intervention. Postprocedural ENS is best prevented by minimizing inferior and middle turbinate tissue loss.

KEYWORDS:

Atrophic rhinitis; Cotton test; ENS6Q; Empty nose syndrome; Nasal airway; Turbinate; Upper airway

PMID:
31587766
DOI:
10.1016/j.fsc.2019.07.005

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