Clinical analysis of submucosal Medpor implantation for empty nose syndrome

Yuan Yun Tam, Ta Jen Lee, Chia Chen Wu, Po Hung Chang, Yi Wei Chen, Chia Hsiang Fu, Chi Che Huang*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

33 Scopus citations

Abstract

Background: Empty nose syndrome (ENS) describes symptomatology and radiographic findings after surgeries on turbinates. The treatment of ENS is still debatable. Purpose: To analyse clinical outcomes of submucosal Medpor® implantation for ENS. Methods: A total of 18 patients underwent submucosal Medpor® implantation from 2006 to 2011. We applied SNOT-22 (Sino- Nasal Outcome Test) for statistical survey of the patients' symptoms before and after surgery. Results: Two patients were lost to follow up after the surgery. Most of the patients developed ENS-related symptoms gradually within 2 years to 16 years after the previous nasal surgery or treatment. The sites of submucosal implantation are mainly septum and nasal floor, unilaterally or bilaterally. There is a signifficant improvement of SNOT-22 pre-operatively to one year post-operatively. Conclusions: The symptomatolgy remains the most important point when dealing with patients with ENS. Submucosal implantation of Medpor® is a feasible surgical treatment to ENS. A positive cotton test is suggested for the surgical indication and planning.

Original languageEnglish
Pages (from-to)35-40
Number of pages6
JournalRhinology
Volume52
Issue number1
DOIs
StatePublished - 2014
Externally publishedYes

Keywords

  • Cotton test
  • Empty nose syndrome
  • Medpor®
  • Paradoxical nasal obstruction
  • Submucosal implantation

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