Empty nose syndrome: diagnosis and treatment | Ohio State Medical Center


Empty nose is a pathological condition that’s
kind of been ill-defined. Here at The Ohio State University Wexner Medical
Center, we’re working to better define this disease process. Usually people have this sensation of nasal
obstruction or inability to move air through their nose. Oftentimes this is paradoxically noticed when
you put a scope in the nose. You notice the patient actually has a lot
of room and that there is not actually a mechanical type of obstruction. You can liken this to if you were to take
a menthol or some sort of mint in the mouth, you know, you get that cooling sensation in
your nose. Now that doesn’t actually change any of the
dynamics or physiology in the nose but it gives you that cooling sensation. If you were to take the contrary or the opposite
scenario, in which that you don’t get that cooling sensation, that’s kind of what empty
nose is. They do have the room but the problem is a
sensation problem – they’re not able to feel it. And that type of disease process can have
a very adverse effect on types in terms of people’s quality of life cause they always
feel like they have a terrible cold. Here there are two competing theories. It’s either that patients have too much loss
in the fact that they don’t feel the pressure of the pressure of the air going by or they
simply don’t have the nerve endings present in order to feel this air movement. This is often tackled or treated by different
types of implants that we can put in the nose and also different types of substances that
we can do use to induce types of growth in terms of nerves and sensation. Here at the Ohio State Wexner Medical Center
what we do that’s different is we work with researchers to do 3D modeling of the sinonasal
airway and really study the dynamics of how the air flows after surgery has changed or
reshaped the sinonasal cavity or other types of disease processes have adversely impact
the sinonasal cavity to produce this rare disease.

10 thoughts on “Empty nose syndrome: diagnosis and treatment | Ohio State Medical Center

  1. Thank you so much! IL be going over for injections next year hopefully! your works and progress are truly appreciated 🙂

  2. Thank you for your interest in helping ENS sufferers with further research and therapies. It is not hard to believe that this a seriously under reported disorder which needs considerable more research

    As someone that has suffered for over 20 years with this disorder I would like to give my opinion on why people are suicidal when they are afflicted with this disorder.
    I believe it starts with the noses decreased ability to heat and humidify the lungs properly which causes the sufferer to hypo ventilate. The lungs need a certain amount of heat and humidity to exchange oxygen and carbon dioxide properly and when this thresh hold is breached the lungs cannot keep up with the proper gas exchange.
    The person says he feels like he is suffocating which causes anxiety, depression and feelings of impending doom.

    This is how I come to my conclusions regarding ENS

    1. Implants can help some patients by diverting air flow back to functional turbinate tissue which allows more conditioning of air to reach the lungs .

    2. Implants have less of a chance of helping patients that don't have sufficient remaining functional turbinate tissue for air to be diverted back to.

    3. Why can people with normal functioning noses who breath through their mouths not experience ENS suffocation?
    People with normal noses have lungs that are fully saturated with heat and humidity from prolonged nasal breathing.
    If you were to block off a normal person's nose for a prolonged amount of time only allowing mouth breathing they would start to feel ENS suffocation.

    4. Why do ENS sufferers not experience relief when mouth breathing? Saliva doesn't have the ability to humidify air like nasal mucus does. The mouth structurally can't heat and humidify air like the nose.

    5. ENS sufferers in warmer more humid climates suffer less than people from colder dryer climates.

    6. ENS sufferers report improved breathing when they have increased mucus production from sinus drainage or having a cold .

    To solve ENS , more work needs to be done with regenerative medicine to regenerate turbinate tissue and restore the function of the nose.

    I think one of the main debilitating symptoms of ENS could be proved with a blood gas analysis test of ENS patients.
    I think this would show there is an imbalance of oxygen and carbon dioxide in the blood.

    Again thank you for the work you are doing to bring awareness to Empty Nose Syndrome.

  3. Please check out these sites for more info regarding ENS

    https://en.wikipedia.org/wiki/Empty_nose_syndrome
    http://ensassociation.org/
    http://emptynosesyndrome.org/links/

  4. Thank you so much I look forward to traveling to Ohio to get examined by one of your ents because I can't take this anymore. I am not who I used to be.

  5. My doctor decided to reduce my turbinates which made me feel like cold air was rushing into me when I breathed through my nose. Air moving way faster than before, so cold it hurt. He did this surgery without asking me, he just decided to do it while he was repairing my broken nose. I was devastated to well over a year. I tried everything to help myself sleep at night. Nasal gel, warm towels, face masks, nasal plugs etc.. finally I read a blog and it changed my life. This person said to swab with sesame oil. It is thicker than other oils. Lasts all day then use it before bed. It healed my mucus membrane and made the air I breath feel warm, the correct temperature. I could finally sleep at night. I hope this simple cure will help people!

  6. what about people who really do have an obstruction and breathing is extremely difficult. Stop wasting time on those that only imagine that they can't breathe (hypercondriacs)!

  7. It is no related to air sensation but to air pressure inside the laung. Normal ppl can suck air throughout their nose with lower resistance if compared to blowing it out throughout their nose. This normal operatin creates an AVERAGE pressure inside the laung that is higher then the atmosphere pressure. However, the excessive T. reduction will reverse the normal situation by making air sucking process throughout the nose harder than blowing it out, throughout the nose. This will create an AVERAGE pressure inside the laung that is lower than the atmosphere pressure which leads to bad oxygen transfer. Because of this disorder, ppl. feels better if they use a CPAP machine.
    Hopping that you do focus on this side of the matter.
    Best regards.

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