Empty nose syndrome case study

Empty nose syndrome (ENS) is a rare rhinological disorder secondary to excessive loss of nasal turbinate tissue. This case study presents a 33-year-old male who developed ENS following functional endoscopic sinus surgery (FESS). Despite significant improvement of rhinosinusitis severity and incidence, the patient experienced severe facial pain and suffocation sensation during nasal breathing starting several months postoperatively. Diagnosis was confirmed using the ENS6Q and a positive cotton test. An in-office intervention was successful in temporarily alleviating symptoms and improving quality of life. This intervention was placement of intranasal dissolvable packing (Nova Pack). After three weeks, the symptoms did recur. However, the patient was extremely grateful for temporary relief from his symptoms. This case highlights an in-office short-term remedy for ENS severe symptoms, which may be extremely helpful for these difficult-to-treat patients.