TE
Forum Founder
Joined: 12 Mar 2007
Posts: 1412
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 Posted: Mon Apr 13, 2009 8:53 am Post subject: Two new articles about ENS |
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Two new articles about ENS - point (by Dr. Houser) and counter point (by Dr. Payne):
| Quote: | Otolaryngol Clin North Am. 2009 Apr;42(2):311-30.
The diagnosis and management of empty nose syndrome.
Chhabra N, Houser SM.
Department of Otolaryngology-Head and Neck Surgery, Case Western Reserve University and University Hospitals Case Medical Center, 2500 MetroHealth Drive, Cleveland, OH 44109, USA.
Empty nose syndrome (ENS) is a poorly understood and rare iatrogenic disorder resulting from the destruction of normal nasal tissue. In severe forms, it can be debilitating. In this article, the authors elucidate the distinction between ENS and atrophic rhinitis, and provide a systematic approach to the diagnosis and management of ENS. They urge a judicious and cautious approach to turbinate resection, to help better prevent this sequela of nasal surgery. They state that patients with ENS can be rehabilitated and their quality of life substantially improved with nasal augmentation as a means to help restore nasal anatomy toward the premorbid state.
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| Quote: | Otolaryngol Clin North Am. 2009 Apr;42(2):331-7.
Empty Nose Syndrome: What are We Really Talking About?
Payne SC.
Division of Rhinology and Sinus Surgery, Department of Otolaryngology-Head & Neck Surgery, University of Virginia, P.O. Box 800713, Charlottesville, VA 22908-0713, USA.
The problem with empty nose syndrome is probably not that it does not exist, it is that we cannot adequately explain its existence by what we currently understand about the nose. The result of empty nose syndrome or iatrogenic atrophic rhinitis as a consequence of turbinectomy remains a controversial topic that deserves further scrutiny. It is clear from the literature, that not everyone undergoing a turbinectomy procedure suffers from the debilitating symptoms of either atrophic rhinitis or empty nose syndrome. Thus, it behooves us to evaluate this latter entity with a more critical eye, so that we can avoid creating future sufferers and provide relief to those who have already been afflicted.
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