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Wednesday, 31 December 2014

Etiology.

http://en.wikipedia.org/wiki/Empty_nose_syndrome

The turbinates are known as the main humidifying, heat exchanging, air-filtering, airflow controlling and airflow sensing structures of the nose. They control heat, humidify and filter the airflow by streamlining it around them as it progresses through the nose, thus significantly increasing the mucosal surface that comes into contact with the airflow. Their integrity and function is crucial for maintaining nasal and sinus health and physiology. Built aerodynamically from anterior to posterior they are designed to not over obstruct breathing while processing the airflow.

Other predominant symptoms are lack of a good night's sleep and chronic Fatigue.

http://en.wikipedia.org/wiki/Empty_nose_syndrome

Other predominant symptoms are lack of a good night's sleep and chronic fatigue.The chronic nature of the physical symptoms has a significant impact on the patient's quality of life and sense of well-being, causing difficulty concentrating, pre-occupation with symptoms, anxiety, and clinical depression.Also, development of asthma and chronic bronchitis is not uncommon, as the nose is the guardian of the lungs.

3) Neuropathic Pain.

http://en.wikipedia.org/wiki/Empty_nose_syndrome

Chronic inflammation and neurophatic pain in pharynx, eustachian tube, throat, larynx, trachea, in more severe cases - in bronchi and lungs. Chronic hoarse voice and cough can also take place. This is caused by insufficiently processed (moisturised, warmed, cleaned) air passing through the respiratory system. ENS can also serve as an prerequisite for asthma.

Without good and constant airflow Sensation.

http://en.wikipedia.org/wiki/Empty_nose_syndrome

Without good and constant airflow sensation of the air flowing through the nose, the nervous feedback to the central nervous system is that of suffocation and or undifferentiated breathing difficulties arise.

2) Paradoxical Obstruction.

http://en.wikipedia.org/wiki/Empty_nose_syndrome

The feeling that the nose is stuffy, often accompanied by a constant or frequently occurring troubling feeling of suffocation generated by poor airflow feedback from the nasal mucosa, either because of atrophy of the trigeminal nerve endings that are supposed to generate this sensation, their lack of responsiveness because of the mucosa becoming too dry or going through metaplasia, or simply because of the loss of normal nasal aerodynamics following the turbinectomy.

Main Symptoms.

http://en.wikipedia.org/wiki/Empty_nose_syndrome

The main physical symptoms are:
1) Chronic nasal dryness Often leads to chronic mucosal inflammation and pain. Chronic inflammation can cause areas of the mucosa to atrophy and this is why some studies refer to this condition as "secondary atrophic rhinitis".At least one large study concluded that it can take 7.1 years, on average, for symptoms of atrophic rhinitis to appear and urges the examining physician to look for early signs and to try to counter them with self-administered daily nasal irrigations and moisturization by the patient.

Normal Nose before and after Turbinectomy.

http://en.wikipedia.org/wiki/Empty_nose_syndrome