u/Dull-Ebb1388

Does ENS stem from excessive resection or nerve damage?

Hello everyone. I’m a male in my 30s currently struggling with chronic nasal congestion and vasomotor rhinitis. I’ve been researching Empty Nose Syndrome (ENS) and have a question regarding its pathophysiology.

Since ENS isn't fully defined medically, I'm curious about your perspective:

  1. Is it primarily a structural issue where excessive reduction of the inferior turbinate disrupts aerodynamics (e.g., failing to create necessary turbulence)?
  2. Or is it caused by nerve damage within the turbinate mucosa?

From my studies so far, it seems the physical loss of turbinate volume is the main culprit. I haven’t come across any cases of "ENS with intact volume" caused solely by nerve damage.

What are your thoughts or experiences on this? I’d love to hear your opinions.

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u/Dull-Ebb1388 — 3 days ago