Worried about turbinate reduction and empty nose syndrome (ENS). What is the incident rate?

Question

In 2014 I had routine inferior turbinoplasties (AKA "powered endoscopic turbinoplasty") which preserves the layer of mucosa that senses airflow. The doctor didn't resect the turbinates, and says that he hasn't had any patients with ENS. I don't experience any sensation of suffocating, sleep disturbances, or dry nose, but do have shallow, anxious breathing/anxiety. What is the incident rate for ENS for this procedure? I'm stuck with the negative thoughts that I've permanently damaged myself.

Hong Ryul Jin, MD · Answer

From what you have mentioned, I don't think you need to worry about the ENS. Typical ENS includes dry and cold air directly hitting the throat, no sensation of nasal breathing, chest discomfort, and nasal dryness. There is a considerable individual variation in the recurrence of ENS. Even with little turbinate remained, one does not complain at all and the other who has almost entire turbinate remained complain of ENS. Not only the turbinate mass but also the mucosal integrity and quality influneces development of ENS. From the history and symptoms you mentioned, I don't think it is an ENS. Don't worry too much!

Mark Ginsburg, DO · Answer

If the method used for turbinoplasty preserved the mucosa then you should not have to worry.  Empty nose syndrome was more prevalent with older techniques where turbinates were removed and mucosa destroyed.

Worried about turbinate reduction and empty nose syndrome (ENS). What is the incident rate?

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