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Understanding This Overlooked Condition: Empty Nose Syndrome (ENS)

Empty Nose Syndrome most often occurs after aggressive nasal surgery, particularly turbinate reduction or removal meant to help improve breathing.

ENS patients struggle with ongoing, unexplainable feelings of congestion even though their nasal passages are technically “open.” This paradox creates understandable confusion and distress.

Most commonly, Empty Nose Syndrome affects those who have undergone surgery to correct chronic sinusitis or deep functional breathing obstruction. According to the American Rhinologic Society, the exact mechanisms triggering ENS are still under study, but symptoms are thought to result from changes in nasal airflow, humidity sensing, and nerve damage.

Empty Nose Syndrome: Effects and Challenges

treatment for empty nose syndrome: dr. hancock evaluating a female patient's nose

Because general practitioners often misunderstand Empty Nose Syndrome, we hear from so many Boca Raton patients feeling invalidated or dismissed, leading to isolation and even a sense of hopelessness.

ENS is a condition that can affect so many aspects or life, including:

  • Panic or claustrophobic feelings triggered by constant breath awareness.
  • Trouble focusing, leading to work, family, and relationship strains.
  • Constant nasal dryness/burning sensation.
  • Interrupted sleep, especially an inability to sleep horizontally or in preferred positions.
  • Anxiety or depression linked to constant breathing pain.
  • Decreased exercise tolerance.
  • Eventual avoidance of all physical activity, even previously loved activities.
  • Lowered quality of life.

Understanding the Root Cause of Empty Nose Syndrome

The root causes of Empty Nose Syndrome aren’t totally obvious. Here’s what we know so far: ENS is most commonly associated with partial or complete resection of the inferior or middle turbinates – i.e. structures that warm, humidify, and direct airflow through the nose.

Without healthy nose turbinates, nasal sensation and function can become seriously disrupted. This can cause miscommunication between nasal nerves and the brain, making the patient feel congested, uncomfortable, and even suffocated despite normal airflow. It’s these sensory dysfunctions that likely contribute to all the physical and emotional symptoms of ENS.

Treatment for Empty Nose Syndrome: What Are My Options?

While Empty Nose Syndrome is difficult to prevent entirely, today’s relief focuses on preserving as much turbinate tissue as possible during and after nose or sinus surgery.

While there’s no universal cure, ENT specialists work closely with patients to build custom Empty Nose Syndrome treatment plans that improve comfort, post-procedure functionality, and restore a sense of understanding about what’s happening with your own body.

  • Moisture-retention strategies and humidification.
  • Use of topical ointments or saline gels to reduce dryness.
  • Precise surgical reconstruction of the nasal airway, using several techniques.
  • Holistic approaches, including behavioral therapy and/or medication to manage the mental health toll of the condition.
empty nose syndrome treatment boca raton: dr. hancock at nsibr

Why NSIBR for Your Empty Nose Syndrome Treatment Care?

The Nose and Sinus Institute of Boca Raton is one of South Florida’s only centers fully dedicated to complex nasal and sinus care. Our double board-certified facial plastic surgeons have been treating Empty Nose Syndrome and related disorders since 1987.

They pioneered many of the advanced, minimally invasive nasal techniques in use worldwide today – including stereotactically guided sinus surgery and balloon sinuplasty – and they remain national leaders in the field. Their Total Nose Approach™ allows patients to address both functional and cosmetic issues in the same setting, ensuring fully customized, patient-first care.

Proven Treatments for Empty Nose Syndrome: NSIBR’s Relief

Our approach to every patient’s empty nose syndrome treatment is precise, gradual, and backed entirely by the latest medical research into airway science.

Good Candidates For Empty Nose Syndrome Treatment Boca Raton

You might be a good candidate for treatment for Empty Nose Syndrome if you:

  • Had prior turbinate reduction or sinus surgery and feel worse afterwards.
  • Experience a sensation of too much air or “empty” breathing.
  • Can’t sleep well due to discomfort breathing through the nose.
  • Have nasal dryness or crusting that worsens over time.
  • Avoid physical activity due to nasal discomfort.
  • Feel anxious, trapped, or hyper-aware of breathing.
  • Have seen multiple doctors but still lack a clear diagnosis

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Devoted To Serving All Our Local Communities

Conveniently located in Boca Raton, our ENT doctors serve Boca Raton and all surrounding communities in Palm Beach and Broward Counties

Take the First Step Towards Relief

Don’t continue suffering from this difficult and distinct condition. There are compassionate, effective ways forward, from double-board-certified specialists at NSIBR.

FAQs About Empty Nose Syndrome Boca Raton

Our goal is to restore a sense of comfortable airflow and reduce dryness or suffocation feelings. This may involve a combination of nasal structural support, moisturization, and psychological relief. Our doctors are here to help you.

Symptoms can feel pervasive and long-lasting, but they are not always permanent. With the right combination of therapies and follow-up, many patients experience significant improvement in their quality of life and return to their old lifestyles.

Some patients feel better in a few weeks, especially with moisturization therapy. Surgical solutions or implants may take longer (up to a few months) but many report steady progress over time.

Start Healing with Empty Nose Syndrome Boca Raton Experts

You don’t have to keep searching for answers. Relief begins today, with a compassionate conversation.

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What our patient says

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  • I drove three hours to meet Dr Hancock and have her operate on my nose. Her expert care and staff helped my through a difficult experience I’m having. The entire staff and office staff are nice caring and really professional. I’m so blessed to be in their care.

    Robert Edlow starstarstarstarstar

  • Very knowledgeable doctors that helped me with all my sinus and nasal issues. Dr. Nachlas and Hancock are really the best at what they do and happy I found this place. Also Sandy was so nice and walked through everything in detail each step of the way. Will certainly recommend to others!

    Koral Duygulu starstarstarstarstar

  • My experience was great from start to finish. The entire staff was very professional and helpful. Dr. Nachlas is best at what he does. I can actually breath better and feel more energetic through out the day. My sleeping has improved as well.

    Dee starstarstarstarstar

  • I drove three hours to meet Dr Hancock and have her operate on my nose. Her expert care and staff helped my through a difficult experience I’m having. The entire staff and office staff are nice caring and really professional. I’m so blessed to be in their care.

    Robert Edlow starstarstarstarstar

  • Very knowledgeable doctors that helped me with all my sinus and nasal issues. Dr. Nachlas and Hancock are really the best at what they do and happy I found this place. Also Sandy was so nice and walked through everything in detail each step of the way. Will certainly recommend to others!

    Koral Duygulu starstarstarstarstar

  • My experience was great from start to finish. The entire staff was very professional and helpful. Dr. Nachlas is best at what he does. I can actually breath better and feel more energetic through out the day. My sleeping has improved as well.

    Dee starstarstarstarstar

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