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Empty nose syndrome (ENS) is a clinical syndrome, the hallmark symptom of which is a sensation of suffocation despite a clear airway. This syndrome is often referred to as a form of secondary atrophic rhinitis. ENS is a potential complication of nasal turbinate surgery or injury.
Nasal surgery is a specialty including the removal of nasal obstruction that cannot be achieved by medication and nasal reconstruction. Currently, it comprises four approaches, namely rhinoplasty, septoplasty, sinus surgery, and turbinoplasty, targeted at different sections of the nasal cavity in the order of their external to internal positions.
Before surgery all important landmarks and reference points must be identified and marked. Important landmarks are the hairline, frown lines, location of the supratrochlear vessels, outline of the defect, nasal and lip subunits. [1] Then templates are made using the intact side of the nose to make a precise symmetric reconstruction of the nose.
Most surgeries are completed in 60 minutes or less, while the recovery time could be up to several weeks. Put simply, septoplasty is a surgery that helps repair the passageways in the nose making it easier to breathe. This surgery is usually performed on patients with a deviated septum, recurrent rhinitis, or sinus issues.
The nasal cavity is kept closed for a period of 6 months/each; then an examination is done - if the crusts have disappeared, a revision surgery is performed and the nasal cavity is reopened. The theory behind this procedure is that the closed nasal cavity has time to heal. [citation needed]
The surgery lasts roughly one hour and does not result in any cosmetic alteration or external scars. Nasal congestion, pain, [8] drainage or swelling may occur within the first few days after the surgery. [9] Recovery from the procedure may take anywhere from two days to four weeks to heal completely. [citation needed] Septal bones never regrow ...
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Complications from endoscopic sinus surgery are rare, but can include bleeding and damage to other structures in the area including the eye or brain. [21] Many physicians recommend a course of oral steroids prior to surgery to reduce mucosal inflammation, decrease bleeding during surgery, and help with visualization of the polyps. [12]