Correlation between remnant inferior turbinate volume and symptom severity of empty nose syndrome

Abstract

4. Laryngoscope, 126:1290-1295, 2016.

A prospective, randomized, placebo‐controlled study of inferior turbinate surgery

“…Furthermore, the symptom of nasal obstruction and objective parameters do not always correlate very well . On the other hand, it is wise to remember that the increase in the nasal cavity volume should be optimal instead of too large to avoid making the nose too wide, which might lead to problems such as nasal dryness, crusting, atrophy, worsening of the symptom of nasal obstruction, and empty nose syndrome …”

Intranasal trigeminal function in patients with empty nose syndrome

“…The term near total turbinectomy is used instead of total turbinectomy because in the vast majority of cases a small amount of inferior turbinate can be detected as a remnant, which is usually attached to the lateral wall and/or posteriorly as a small amount of tissue not larger than the 20% of the estimated initial turbinate volume in the endoscopy …”

Investigating hyperventilation syndrome in patients suffering from empty nose syndrome

“…ENS is a rare clinical entity most often occurring after turbinate surgery. In a recent study, ENS with a smaller inferior turbinate volume is significantly associated with specific items from the SNOT‐25 questionnaire such as excessive dryness and facial pain . However, in our series, we also describe three cases of ENS after surgery only affecting the mucosal surface of the turbinates (one case of submucosal resection and two of radiofrequency volumetric tissue reduction of inferior turbinates).…”

“…In a recent study, ENS with a smaller inferior turbinate volume is significantly associated with specific items from the SNOT-25 questionnaire such as excessive dryness and facial pain. 28 However, in our series, we also describe three cases of ENS after surgery only affecting the mucosal surface of the turbinates (one case of submucosal resection and two of radiofrequency volumetric tissue reduction of inferior turbinates). Our findings are in accordance with those of Coste et al 3 and Sozansky et al 29 who defined an ENS subtype with sufficient-appearing turbinate tissue.…”