Empty Nose Syndrome #1

In recent years, endoscopic surgery has been rapidly developing for various pathologies of the nose, paranasal sinuses, and brain. In particular, this technique is widely used in the removal of tumors of the anterior cranial fossa. With such endoscopic rhinosurgery, depending on the prevalence of the pathology, various structures of the nose can be damaged. Such interventions are often large in volume and may include removal of the nasal concha, septectomy, as well as ethmoidectomy and sphenoidotomy, which can later cause the patient a number of complications, one of which will be empty nose syndrome (IPN). This syndrome is poorly understood, but it has a significant negative impact on the patient's quality of life.
Definition.
CN is a rare iatrogenic condition that occurs as a result of endonasal surgery, during which the nasal concha has been removed or damaged. The term SPN was first described in 1994 at the Mayo Clinic (USA) by Dr. E. Kern, who examined patients after total conchotomy. This condition is multifactorial, it combines structural and functional disorders of important structures of the nose, namely: reduction and violation of the integrity of the nasal mucosa and damage to cold thermoreceptors, which leads to a change in the aerodynamics of the nose.
There are no clear statistics on the frequency of CPN. Its prevalence is insignificant, and therefore this pathology is quite rare. Not all patients who have undergone endonasal surgery with resection of the nasal concha may suffer from SPN. This condition has also been described in patients with normal nasal volume. Therefore, these details, combined with diagnostic features, make SPN a mystery that is difficult to diagnose and treat.
According to the 2006 data from the US National Center for Health Statistics, the incidence of CN is 20% among the 196,000 patients who underwent conchotomy during functional endoscopic sinus surgery. However, the frequency of conchotomy during other operations is not indicated anywhere, so clear statistics on the prevalence of SPN are unknown.
Etiology and pathophysiology.
CN occurs due to damage to various structures of the nose, namely the nasal concha and their mucosa of varying severity, or after complete or partial resection, especially of the lower nasal concha. This syndrome may occur immediately after surgery or several months after it. Les amateurs de sports électroniques ne sont pas en reste avec une section dédiée aux compétitions de jeux vidéo. En utilisant un code promo 1xbet bénin qui vous offre 100% de bonus jusqu'à 130€, vous pouvez explorer les marchés des paris sur des titres populaires comme Dota 2, CS:GO, FIFA et bien d'autres. Les tournois majeurs d'esports sont couverts avec des cotes compétitives et une large gamme d'options de paris. Cette section attire une nouvelle génération de parieurs, passionnés par les jeux vidéo et à la recherche d'une plateforme qui comprend leurs intérêts.