The Diagnosis and Management of Empty Nose Syndrome

Chhabra, Nipun; Houser, Steven M.

doi:10.1016/j.otc.2009.02.001

Cited by 179 publications

(206 citation statements)

References 37 publications

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“…8) Thus, any new transnasal approach must reduce the patients' discomfort after surgery and to avoid excessive mucosal damages and preserve the nasal conchas as far as possible. 3,8,15) In conclusion, we emphasize that the endoscopic skull base approach is one of the least invasive surgical procedures, and represents a very promising therapeutic choice with great potential for further advances. This approach is less invasive than the conventional skull base approaches, but the associated complications can be quite serious.…”

Section: Discussionmentioning

confidence: 87%

Neuroendoscopic Transnasal Surgery for Skull Base Tumors: Basic Approaches, Avoidance of Pitfalls, and Recent Innovations

Shin

Kondo

Saito

2012

Neurol. Med. Chir.(Tokyo)

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Since the introduction of endoscopic technology in the neurosurgical field, the role of transnasal surgery has been dramatically enlarged. With this technique, we can approach the anterior cranial base, parasellar region, clivus, cavernous sinus, and craniovertebral junction, less invasively than with conventional microsurgery. This review describes the two major approach methods in endoscopic skull base surgery, the endonasal approach and the transseptal approach. The endonasal approach uses two nostrils without nasal specula and the mucosa on the sphenoid rostrum and the posterior margin of the nasal septum are removed. In the transseptal approach, only a single nostril is available, but using the nasal speculum, sufficient surgical field can be obtained with only a small incision on the septum. In either approach method, it is very important to avoid excessive mucosal damage and to select the appropriate approach for each patient. The endoscopic skull base approach is one of the least invasive surgical procedures, which is a very promising therapeutic choice with potential for further advances. For better surgical outcomes and further progress, cooperation with rhinolaryngologists who have much more knowledge and experience about nasal surgery than neurosurgeons is essential. We believe this article will contribute to the development of safe and effective surgical procedures, and to the benefit of the patients suffering with intractable skull base lesions.

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Section: Discussionmentioning

confidence: 87%

Neuroendoscopic Transnasal Surgery for Skull Base Tumors: Basic Approaches, Avoidance of Pitfalls, and Recent Innovations

Shin

Kondo

Saito

2012

Neurol. Med. Chir.(Tokyo)

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“…These procedures increase the likelihood of postoperative rhinological complications, including empty nose syndrome. 6,15 In the future, if access limitations can be overcome, endoscopy may allow for improved visualization of the suprasellar space and medial cavernous sinus. 4 This technique may thus improve the surgeon's ability to identify and address residual disease, an important advantage in cases of hormonally active pituitary tumors where complete removal of all tumor cells is required, 10 but of less concern with an RCC, where cyst drainage and partial wall obliteration is associated with a comparable recurrence rate and less endocrine morbidity than complete wall resection.…”

Section: Discussionmentioning

confidence: 99%

Rathke cleft cysts in pediatric patients: presentation, surgical management, and postoperative outcomes

Jahangiri

Tarapore

Blevins

et al. 2011

FOC

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Object Rathke cleft cysts (RCC) are benign sellar lesions most often found in adults, and more infrequently in children. They are generally asymptomatic but sometimes require surgical treatment through a transsphenoidal corridor. The purpose of this study was to compare adult versus pediatric cases of RCC. Methods The authors retrospectively reviewed presenting symptoms, MR imaging findings, laboratory study results, and pathological findings in 147 adult and 14 pediatric patients who underwent surgery for treatment of RCCs at the University of Californial at San Francisco between 1996 and 2008. Results In both the adult and pediatric groups, most patients were female (78% of adults, 79% of pediatric patients, p = 0.9). Headache was the most common symptom in both groups (reported by 50% of pediatric patients and 33% of adults, p = 0.2). Preoperative hypopituitarism occurred in 41% of adults and 45% of pediatric patients (p = 0.8). Growth delay, a uniquely pediatric finding, was a presenting sign in 29% of pediatric patients. Visual complaints were a presenting symptom in 16% of adult and 7% of pediatric patients (p = 0.4). There was no difference between median cyst size in adults versus pediatric patients (1.2 cm in both, p = 0.7). Temporary or permanent postoperative diabetes insipidus occurred in 12% of adults and 21% of pediatric patients (p = 0.4). Kaplan-Meier analysis revealed an 8% RCC recurrence rate at 2 years for each group (p = 0.5). Conclusions The incidence of RCCs is much lower in the pediatric population; however, symptoms, imaging findings, and outcomes are similar, suggesting that pediatric RCCs arise from growth of remnants of the embryonic Rathke pouch earlier in life than adult RCCs but do not differ in any other way. It is important to consider RCCs in the differential diagnosis when pediatric patients present with visual impairment, unexplained headache, or hypopituitarism including growth delay. Although the average RCC size was similar in our pediatric and adult patient groups, the smaller size of the pituitary gland in pediatric patients suggests an increased relative RCC size.

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“…Основной жалобой пациентов при данной патологии является парадоксальная заложенность носа -ощущение за труднения носового дыхания при наличии широких носовых проходов. Это патологическое состояние обусловлено тем, что без достаточного ощущения прохождения воздушного потока через нос цен тральная нервная система не фиксирует процесс дыхания, за счет чего пациент ощущает постоянное его затруднение, чувство удушья и недостаток воз духа при вдохе [8].…”

Section: ятрогенная патология полости носа (обзор литературы)unclassified

“…S. Naftali и соавт. [10] отмечают, что возникновение синдрома пустого носа может быть вызвано уменьшением количества рецепторов, не обходимых для очищения и согревания вдыхаемого воздуха, вследствие чего пациенты при дыхании ощущают сухость и холод при прохождении воздуш ного потока через полость носа [8].…”

Section: ятрогенная патология полости носа (обзор литературы)unclassified

“…Одна из причин появления синдрома пустого носа может быть связана с наличием неврологических расстройств, а также возможной психосомати ческой патологией [9]. Основным критерием в диа гностике синдрома пустого носа, по данным N. Chhabra и S. Houser [8], является чувство зало женности носа, иногда связанное с псевдоощуще ниями удушья, одышки или затрудненного дыха ния. Интенсивность симптомов варьирует в зависи мости от психоэмоциональных особенностей кон кретной личности, что может в значительной мере ограничивать повседневную активность и оказывать влияние на качество жизни.…”

Section: ятрогенная патология полости носа (обзор литературы)unclassified

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Iatrogenic abnormalities of the nasal cavity: A review of literature

Bazarkina¹

2016

Ross. rinol.

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К.П. БАЗАРКИНАФГБУ ДПО «Центральная государственная медицинская академия» Управления делами Президента Российской Федерации, Москва, Россия В статье представлен обзор клинических исследований, посвященных изучению распространенности, диагностике и лечению таких ятрогенных состояний, как синдром пустого носа, перфорация перегородки и синехии полости носа. Значительное внимание уделено вопросам консервативного и хирургического лечения данных патологий. This paper reviews clinical studies dealing with the prevalence, diagnosis, and treatment of iatrogenic conditions, such as empty nose syndrome, nasal septal perforation, and nasal synechiae. Considerable attention is paid to the medical and surgical treatment of this condition.

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The Diagnosis and Management of Empty Nose Syndrome

Cited by 179 publications

References 37 publications

Neuroendoscopic Transnasal Surgery for Skull Base Tumors: Basic Approaches, Avoidance of Pitfalls, and Recent Innovations

Neuroendoscopic Transnasal Surgery for Skull Base Tumors: Basic Approaches, Avoidance of Pitfalls, and Recent Innovations

Rathke cleft cysts in pediatric patients: presentation, surgical management, and postoperative outcomes

Iatrogenic abnormalities of the nasal cavity: A review of literature

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