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TE- 06-22-2008
The Wide Nasal Cavity Syndrome - more appropriate than ENS..
This book by E. Huizing which JR found (Functional Reconstructive Nasal Surgery, from 2002) does not stop to amaze me: It has an entire chapter which begins on page 285 about "Surgery of the Wide Nasal Cavity": Surgery of the Wide Nasal Cavity Pathology The wide nasal cavity is a well-known pathological entity. Because of its specific set of symptoms, one might speak of the "wide nasal cavity syndrome." The most frequent causes are atrophic rhinitis, ozena, and postoperative widening of the nasal cavity following turbinate resection or surgery for polyposis and tumors. The symptomatology of the wide nasal cavity syndrome is highly variable. Several factors play a role, in particular the quality of the mucosa and submucosa and the anatomical configuration of the widened nasal cavity. Postoperative Widening of the Nasal Cavity Pathological enlargement of the nasal cavity is a common rhinological entity. Its most frequent cause is resection of the inferior and/or middle turbinate. It is also seen following surgery for polyposis and sinusitis or tumor resection. Turbinate Reduction and Resection Unfortunately, a wide nasal cavity syndrome due to reduction or resection of the inferior turbinate (and/or middle turbinate) is still frequently seen. When caused by (subtotal) turbinectomy, it can hardly be considered a complication. In our opinion, it is a "nasal crime". This iatrogenic condition can easily be avoided by reducing a hypertrophic turbinate using one of the intraturbinal function-preserving techniques (see p. 279). Ethmoido-sphenoidectomy Surgery for polyposis and/or chronic sinusitis is another well-known cause of wide nasal cavity syndrome. Symptoms may occur particularly when the middle turbinate is resected. Whether or not symptoms occur depends upon the extent and the location of the widening and the quality of the mucosa. Personally I think that the name: "The Wide Nasal Cavity Syndrome" is much more descriptive of our suffering and symptoms than: "Empty Nose Syndrome".

sh- 06-22-2008

either is preferable to secondary atrophic rhinitis I think ENS has stuck at this point

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