Can Fixing the Collapsed Internal Nasal Valve in a Person with Previous Turbinate Reduction Cause Empty Nose?

Question

I was wondering if it is possible that my collapsed internal nasal valve is preventing me from experiencing signs of Empty Nose Syndrome after submucousal inferior turbinate reduction and cuterization? I am thinking about revision rhinoplasty to fix the collapse but am worried about making matters worse and ending up with an empty nose.

Thomas A. Lamperti, MD · Answer

Your question boils down to whether improving your nasal airway with opening up your narrowed internal nasal valve will set you over the edge and cause excess nasal airflow.

	You should have an experienced nasal surgeon examine your nose to see how much inferior turbinate tissue you have remaining after your prior reduction. More conservative turbinate treatment that maintained as much normal turbinate skin lining as possible makes empty nose syndrome less likely

William Portuese, MD · Answer

An empty nose is caused from over resection of either the middle or inferior turbinates.  This will have only minimal bearing on the nasal valve.  If the nasal valve is collapsed, the most common way to correct it is with a spreader graft.  This graft is often fashioned with cartilage that is harvested from the patient&rsquo;s own nasal septum or ear.

Robert Mounsey, MD · Answer

If you have a collapse of the internal nasal valve this can create significant nasal problems.  Turbinate reduction can be performed in many different ways.  The longevity of these procedures can be varied.  Revision rhinoplasty may be a very good option to correct these problems.

Steven Wallach, MD · Answer

A collapsed middle vault can be treated with a spreader graft and should improve the collapse and may improve breathing. It should not cause an empty nose syndrome.

Chase Lay, MD · Answer

What Dr. Vipond had explained is very accurate.  In your case you need to get a few consults with facial plastic surgeons who are ENT-trained to see if this could really be an issue for you.  Unless you are having problems with a dry nose and crusting now you may not after improving your valve collapse.  Is it possible you'd need a humidifier in your bedroom in the winter?  Yes, but true empty nasal syndrome is rare in cases where a submucosal resection of the turbinates was performed.  There was a time when ENT surgeons literally cut the turbinates out, partially.  It wasn't good.

	Make sure you get a few consults.

	Best of luck

	Chase Lay, MD

Can Fixing the Collapsed Internal Nasal Valve in a Person with Previous Turbinate Reduction Cause Empty Nose?

Answers (7)

Answer: Collapsed middle vault

Answer: Collapsed middle vault

Answer: Revision rhinoplasty and empty nasal syndrome.

Answer: Revision rhinoplasty and empty nasal syndrome.

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Everything you need to know about Revision Rhinoplasty

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Can Fixing the Collapsed Internal Nasal Valve in a Person with Previous Turbinate Reduction Cause Empty Nose?

Answers (7)

Answer: Collapsed middle vault

Answer: Collapsed middle vault

Answer: Revision rhinoplasty and empty nasal syndrome.

Answer: Revision rhinoplasty and empty nasal syndrome.

Browse related questions

Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.