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J Cosmet Med 2021; 5(2): 90-93

Published online December 31, 2021

https://doi.org/10.25056/JCM.2021.5.2.90

Empty nose syndrome treated by autologous auricular cartilage turbinate augmentation: a case report

Tzu-I Wu, MD1 , Chung-Yu Hao, MD1 , Yu-Hsun Chiu, MD, MMS1,2,3

1Department of Otolaryngology, Head and Neck Surgery, Shin Kong Wu-Ho-Su Memorial Hospital, Taipei, Taiwan
2Department of Otolaryngology, Head and Neck Surgery, National Taiwan University Hospital, Taipei, Taiwan
3Institute of Biomedical Engineering, National Taiwan University, Taipei, Taiwan

Correspondence to :
Yu-Hsun Chiu
E-mail: nosebook.tw@gmail.com

Received: June 7, 2021; Revised: June 19, 2021; Accepted: June 22, 2021

© Korean Society of Korean Cosmetic Surgery

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Empty nose syndrome (ENS), once viewed as a psychological issue, is now a recognized complication of turbinate surgery. It is most frequently associated with total turbinate excision. Its symptoms include chronic dryness of the nose and pharynx, paradoxical obstruction of the nose, feeling of suffocation, lack of airflow sensation, and even neuropathic pain. It may cause severe stress upon the patient resulting in mood instability issues. Surgical treatment to augment turbinate volume has been reported to be an effective treatment method. We would like to report a case of ENS treated by autologous auricular cartilage turbinate augmentation.

Keywords: ear cartilage, nasal cavity, natural orifice endoscopic surgery, turbinates, unilateral nasal obstruction

Fig. 1.Fiberscopic images of the right (A) and left (B) nasal cavities. Note the difference between the bilateral lateral walls, depicted as asterisks, due to a lack of inferior turbinate in the left nasal cavity.
  1. Houser SM. Surgical treatment for empty nose syndrome. Arch Otolaryngol Head Neck Surg 2007;133:858-63.
    Pubmed CrossRef
  2. Jiang C, Shi R, Sun Y. Study of inferior turbinate reconstruction with Medpor for the treatment of empty nose syndrome. Laryngoscope 2013;123:1106-11.
    Pubmed CrossRef
  3. Chen XB, Leong SC, Lee HP, Chong VF, Wang DY. Aerodynamic effects of inferior turbinate surgery on nasal airflow--a computational fluid dynamics model. Rhinology 2010;48:394-400.
    Pubmed CrossRef
  4. Sozansky J, Houser SM. Pathophysiology of empty nose syndrome. Laryngoscope 2015;125:70-4.
    Pubmed CrossRef
  5. Thamboo A, Velasquez N, Habib AR, Zarabanda D, Paknezhad H, Nayak JV. Defining surgical criteria for empty nose syndrome: validation of the office-based cotton test and clinical interpretability of the validated Empty Nose Syndrome 6-Item Questionnaire. Laryngoscope 2017;127:1746-52.
    Pubmed CrossRef
  6. Lee TJ, Fu CH, Wu CL, Lee YC, Huang CC, Chang PH, et al. Surgical outcome for empty nose syndrome: impact of implantation site. Laryngoscope 2018;128:554-9.
    Pubmed CrossRef
  7. Jung JH, Baguindali MA, Park JT, Jang YJ. Costal cartilage is a superior implant material than conchal cartilage in the treatment of empty nose syndrome. Otolaryngol Head Neck Surg 2013;149:500-5.
    Pubmed CrossRef

Article

Case Report

J Cosmet Med 2021; 5(2): 90-93

Published online December 31, 2021 https://doi.org/10.25056/JCM.2021.5.2.90

Copyright © Korean Society of Korean Cosmetic Surgery.

Empty nose syndrome treated by autologous auricular cartilage turbinate augmentation: a case report

Tzu-I Wu, MD1 , Chung-Yu Hao, MD1 , Yu-Hsun Chiu, MD, MMS1,2,3

1Department of Otolaryngology, Head and Neck Surgery, Shin Kong Wu-Ho-Su Memorial Hospital, Taipei, Taiwan
2Department of Otolaryngology, Head and Neck Surgery, National Taiwan University Hospital, Taipei, Taiwan
3Institute of Biomedical Engineering, National Taiwan University, Taipei, Taiwan

Correspondence to:Yu-Hsun Chiu
E-mail: nosebook.tw@gmail.com

Received: June 7, 2021; Revised: June 19, 2021; Accepted: June 22, 2021

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Empty nose syndrome (ENS), once viewed as a psychological issue, is now a recognized complication of turbinate surgery. It is most frequently associated with total turbinate excision. Its symptoms include chronic dryness of the nose and pharynx, paradoxical obstruction of the nose, feeling of suffocation, lack of airflow sensation, and even neuropathic pain. It may cause severe stress upon the patient resulting in mood instability issues. Surgical treatment to augment turbinate volume has been reported to be an effective treatment method. We would like to report a case of ENS treated by autologous auricular cartilage turbinate augmentation.

Keywords: ear cartilage, nasal cavity, natural orifice endoscopic surgery, turbinates, unilateral nasal obstruction

Fig 1.

Figure 1.Fiberscopic images of the right (A) and left (B) nasal cavities. Note the difference between the bilateral lateral walls, depicted as asterisks, due to a lack of inferior turbinate in the left nasal cavity.
Journal of Cosmetic Medicine 2021; 5: 90-93https://doi.org/10.25056/JCM.2021.5.2.90

References

  1. Houser SM. Surgical treatment for empty nose syndrome. Arch Otolaryngol Head Neck Surg 2007;133:858-63.
    Pubmed CrossRef
  2. Jiang C, Shi R, Sun Y. Study of inferior turbinate reconstruction with Medpor for the treatment of empty nose syndrome. Laryngoscope 2013;123:1106-11.
    Pubmed CrossRef
  3. Chen XB, Leong SC, Lee HP, Chong VF, Wang DY. Aerodynamic effects of inferior turbinate surgery on nasal airflow--a computational fluid dynamics model. Rhinology 2010;48:394-400.
    Pubmed CrossRef
  4. Sozansky J, Houser SM. Pathophysiology of empty nose syndrome. Laryngoscope 2015;125:70-4.
    Pubmed CrossRef
  5. Thamboo A, Velasquez N, Habib AR, Zarabanda D, Paknezhad H, Nayak JV. Defining surgical criteria for empty nose syndrome: validation of the office-based cotton test and clinical interpretability of the validated Empty Nose Syndrome 6-Item Questionnaire. Laryngoscope 2017;127:1746-52.
    Pubmed CrossRef
  6. Lee TJ, Fu CH, Wu CL, Lee YC, Huang CC, Chang PH, et al. Surgical outcome for empty nose syndrome: impact of implantation site. Laryngoscope 2018;128:554-9.
    Pubmed CrossRef
  7. Jung JH, Baguindali MA, Park JT, Jang YJ. Costal cartilage is a superior implant material than conchal cartilage in the treatment of empty nose syndrome. Otolaryngol Head Neck Surg 2013;149:500-5.
    Pubmed CrossRef

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Journal of Cosmetic Medicine

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