More success for patient advocacy of ENS
More success for patient advocacy (that's us :lol: ) in increasing the medical establishments awareness to ENS. Here's a new article that written by ENTs and meant for educating allergists how to recognise all kinds of different conditions that can cause chronic sinusitis and rhinitis. After this article many more allergists will be familiar with the concept of ENS and hopefully help identify ENS patients that come to them complaining of un-explained nasal symptoms suspected (most of the time falsely) as simple allergic rhinitis: J Allergy Clin Immunol. 2007 Nov 2; Nasal and sinus endoscopy for medical management of resistant rhinosinusitis, including postsurgical patients. Tichenor WS, Adinoff A, Smart B, Hamilos DL. Center for Allergy, Asthma and Sinusitis, New York, New York, NY; New York Medical College, Valhalla. Nasal endoscopy has been practiced by allergists since the early 1980s; however, allergists in general have not embraced endoscopic evaluation of patients with sinus disease, either before or after surgery. Allergists are in a unique position to render medical (as opposed to surgical) care of patients with sinusitis. There has been a growing realization that endoscopy is a valuable procedure for the evaluation and medical treatment of patients with difficult sinusitis. This has resulted in the need for a resource to allow allergists to understand the nature of endoscopic findings in patients with sinusitis, either preoperatively or postoperatively. This article introduces the findings at endoscopy that are common in patients with sinusitis, including those that may be seen after surgery. The findings include perforation of the septum, retained secretions, small surgical ostium caused by postoperative ostial stenosis, previous Caldwell Luc procedure, recirculation of mucus, hyperplastic nasal disease, synechiae, recurrent disease in previously unaffected sinuses, empty nose syndrome, frontal sinus disease, dental disease, and other, more complicated entities.

Well as much as the word needs to get out it's starting to sound like ENS is now being officially accepted. I'll suspect that allergiest will more likey be inclined to accept ENS since it doesnt conflict with any of their treatments.

ENS wareness and formalization is increasing all the time. So we must be doing something right! 8) Now an important Kosher stamp by Harvard School of Medicine: The Harvard Medical School Guide to Healing Your Sinuses By Ralph B. Metson, Steven Mardon, Published 2005 McGraw-Hill Professional (162-163): Empty Nose Syndrome In the past, it was fairly routine for ENT doctors to remove the entire inferior turbinates during surgery, and they occasionally removed the middle and superior turbinates as well. We know now that removing too much turbinate bone and tissue from inside the nose can cause a troubling phenomenon called empty nose syndrome (ENS). To avoid this disorder, surgeons today are much more likely to leave the turbinates or at least a portion of them. Nevertheless, some people who have had extensive nasal surgery struggle with ENS, which has several symptoms. Without turbinates, incoming air remains dry. Mucus tends to thicken and form crusts that are prime targets for bacterial overgrowth, leading to inflammation and infection. But the hallmark of ENS is a sense that you're not breathing well through your nose – even though you really are. Turbinates provide resistance to incoming air, so their absence prompts a disquieting feeling that you're not inhaling enough air. Paradoxically, people with ENS often say they feel congested, when in reality the problem is too much air flow. Treatment involves keeping the nasal passages moist to ease the dryness-related symptoms. Saline irrigation should be done several times a day and can be supplemented with moisturizing nasal sprays. Infections usually can be kept to a minimum by applying an antibiotic ointment once or twice a day.