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What is Empty Nose Syndrome?
Written by Medicover Team and Medically Reviewed by Dr Alok N Rathi , ENT
Empty Nose Syndrome (ENS) is a rare condition that may develop after nasal surgeries such as turbinate reduction or septoplasty. Despite having clear nasal passages, individuals with ENS often feel as though they can't breathe properly through their nose.
This sensation is typically accompanied by dryness, discomfort, and difficulty with nasal airflow, leading to significant distress.
What are the Symptoms of Empty Nose Syndrome?
Empty Nose Syndrome can cause a feeling of nasal blockage even when the airway is clear. Common symptoms include difficulty breathing through the nose, dryness, nasal crusting, a sensation of too much airflow, and sometimes anxiety or panic due to disrupted breathing. These symptoms can be distressing and often worsen over time without treatment.
Common complaints include
- A feeling of a blocked nose despite it being open
- Nasal dryness and crusting
- Frequent nosebleeds
- Headaches or pressure
- Post-nasal drip
- Reduced ability to smell or taste
- Difficulty concentrating or sleeping
- Sensation of not getting enough air
- Emotional changes such as anxiety or a low mood
These symptoms can impact day-to-day comfort, sleep, and emotional well-being. In severe cases, patients may struggle with social or professional functioning.
What are the Causes of ENS?
Although the exact cause is still being researched, experts believe ENS may result from changes to the nasal anatomy and sensory feedback system following surgery.
Possible contributing factors include:
- Loss or reduction of the turbinate tissue, which helps regulate airflow
- Damage or disruption to nasal sensory receptors
- Altered airflow dynamics within the nose
- Reduced moisture or mucus, leading to bacterial imbalance
The condition is still considered underrecognized and somewhat controversial, as its symptoms do not always correlate with visible structural abnormalities.
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Get Second OpinionHow is Empty Nose Syndrome Diagnosed?
Diagnosing Empty Nose Syndrome can be challenging, as symptoms may not match physical findings. Doctors usually rely on a combination of patient history, nasal endoscopy, and CT scans to rule out other conditions.
Healthcare professionals usually rely on:
- Patient-reported symptoms
- Nasal endoscopy to visually inspect internal structures
- Elimination of other causes (e.g., infections, allergies)
- Airflow studies or imaging when needed
- Diagnosis often involves ruling out more common nasal issues before considering ENS as the cause.
What are the Treatment Options for Empty Nose Syndrome?
Treatment for Empty Nose Syndrome focuses on relieving symptoms and improving airflow and nasal moisture. Options may include nasal lubricants, humidification, medications, and in some cases, surgery. The goal is to restore nasal function and comfort.
Non-Surgical Management
- Saline rinses and nasal sprays to maintain moisture
- Humidifiers for nighttime use
- CPAP therapy in some cases
- Nasal gels or estrogen creams to regenerate tissue
- Antibiotic sprays, if infections are present
- Behavioral support for associated anxiety or mood changes
Surgical Interventions
Surgery may be considered for severe cases. These procedures aim to restore volume inside the nasal cavity by implanting materials that mimic natural turbinate function.
Tissue grafts, fillers, or customised implants may help rebalance airflow and reduce discomfort.
Who can be affected by ENS?
ENS most often impacts individuals who have undergone surgical procedures to improve nasal airflow. While most patients recover without complications, a small percentage may develop ENS even months or years after surgery.
Can Empty Nose Syndrome be Prevented?
Preventing ENS entirely is not always possible, but surgical techniques matter. Conservative approaches that preserve turbinate function, such as radiofrequency or submucosal reduction, may lower the risk.
It's essential to discuss the potential risks of turbinate removal with your ENT surgeon before nasal surgery.
When Should You See a Doctor for Empty Nose Syndrome?
You should see a doctor if you feel like your nose is blocked or dry, even though your nasal passages are open. People with Empty Nose Syndrome (ENS) often describe a feeling of not getting enough air, even when breathing normally. Other symptoms may include dryness, burning, crusting, headaches, or a sense of suffocation.
If these symptoms started after nasal surgery, like turbinate reduction, or are getting worse, don't ignore them. ENS can affect your sleep, breathing, mood, and quality of life. Early care from an ENT (ear, nose, and throat) specialist can help manage your symptoms and improve comfort.
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Our Experience with Empty Nose Syndrome Care.
At Medicover Hospitals, we understand the challenges patients with Empty Nose Syndrome face. Our team of ENT specialists uses advanced diagnostic techniques and precision-based treatment plans to restore breathing comfort.
Whether you're struggling with symptoms after nasal surgery or seeking long-term relief, we offer complete care in a supportive environment. From expert consultation to modern surgical techniques, we're here to help you breathe better and live better.
