Understanding Empty Nose Syndrome: Causes, Symptoms & Solutions
- Posted on: Apr 15 2025
Empty Nose Syndrome (ENS) is a lesser-known but serious condition that can develop following certain types of nasal surgery. While the name might sound like the nose is physically empty, the reality is more complex—and often frustrating—for those who experience it.
What Is Empty Nose Syndrome?
Empty Nose Syndrome is a condition that results from overly aggressive nasal or sinus surgery, particularly when vital structures within the nose—like the turbinates—are partially or fully removed. These structures help regulate airflow, humidify and filter the air we breathe, and support our sense of smell. When they’re removed, patients may feel as though their nose is blocked or congested, even when their nasal passage is physically open.
How Does ENS Happen?
ENS usually develops after outdated or overly aggressive surgical techniques that remove too much of the nose’s internal anatomy. The most common cause is a partial or complete turbinectomy, where the inferior and/or middle turbinates are removed. While intended to improve airflow, removing these structures can do more harm than good, disrupting the delicate balance of sensation, filtration, and air regulation within the nasal passages.
Common Symptoms of ENS
ENS presents differently in each person, but here are some of the most common symptoms reported:
- A constant sensation of nasal congestion or obstruction
- Frequent sinus infections
- Crusting and nasal dryness
- Reduced or distorted sense of smell (anosmia/parosmia)
- Headaches, facial pain, or inflammation
These symptoms can significantly impact quality of life, often leaving individuals feeling frustrated and misunderstood.
Managing ENS: What Can Be Done?
While ENS can be a chronic condition, there are ways to manage and alleviate symptoms, often without the need for further surgery:
Medical Management
- Treating chronic sinus infections: This can include a course of oral antibiotics, an oral steroid taper, and a specially compounded medicated nasal spray. If these aren’t effective, a non-surgical balloon sinuplasty under IV sedation may be recommended.
- Allergy management: Avoid drying antihistamines and instead opt for sublingual allergy drops after appropriate allergy testing.
- Moisturizing therapies: Regular use of saline rinses, AYR Gel, and compounded sesame oil nasal sprays can help keep nasal tissues hydrated and reduce discomfort.
Can ENS Be Prevented?
Yes—prevention is key, and it starts with choosing the right surgical approach. ENS is a byproduct of older surgical techniques that are no longer the standard of care. If you’re considering nasal or sinus surgery, talk to your ENT about their approach. Ensure they use minimally invasive techniques and prioritize the preservation of all nasal structures.
Modern procedures like balloon sinuplasty are highly effective for addressing sinus issues without risking ENS. They open up blocked sinuses without removing important anatomical structures, offering relief with minimal disruption to normal nasal function.
Final Thoughts
Empty Nose Syndrome is a preventable and manageable condition—but it requires awareness and the right care approach. If you’re dealing with nasal or sinus issues and considering surgery, be proactive. Ask questions, explore modern alternatives, and make sure your surgeon is committed to preserving your nasal anatomy. Your nose does more than just breathe—it protects, senses, and supports your overall well-being.
Schedule a Consultation
If you’re experiencing persistent nasal symptoms or considering sinus surgery, don’t settle for outdated techniques that put you at risk for Empty Nose Syndrome. Be your own advocate—ask questions, explore less invasive options, and choose a provider who prioritizes preservation over removal.
🌿 Protect your nose. Protect your well-being.
Book a consultation with a modern ENT specialist today and breathe easy knowing you’re making an informed, proactive choice.
Call or securely text our clinic today at 512-601-0303 to request an appointment.
Tagged with: Balloon Sinuplasty, Chronic Sinus Infection, Empty nose syndrome, modern sinus surgery, Sinus surgery, Turbinate resection
Posted in: Balloon Sinuplasty, Chronic Sinus Infection, Empty Nose Syndrome, nasal congestion, Turbinate reduction
