Empty nose syndrome is an uncommon but real condition that can follow certain nasal surgeries. It is often misunderstood, so here is a clear, careful overview of what it is and how it is approached.
What it is
Empty nose syndrome describes a paradoxical feeling of nasal obstruction or ‘not enough airflow’ despite an open-looking nose, often after significant turbinate reduction. The sensation is real and can be distressing.
Symptoms patients describe
Common complaints include a feeling of not being able to breathe well despite clear passages, dryness, crusting, and difficulty sensing airflow.
How it’s approached
Evaluation is careful and individualized. Management ranges from conservative measures that improve humidification and comfort to procedures aimed at restoring nasal architecture in select cases.
Frequently asked questions
Is empty nose syndrome common?
No — it is uncommon, but it is a recognized condition worth evaluating by an ENT.
Can it be treated?
Approaches range from conservative measures to select procedures, individualized to you.
What causes it?
It is most associated with extensive turbinate reduction, though not everyone who has that develops it.
Who should I see?
An otolaryngologist experienced with nasal airway and reconstruction.
Talk to a specialist
If you have breathing symptoms after nasal surgery, Request a consultation.
Dr. Hootan Zandifar, MD, FACS, is a double board-certified facial plastic surgeon and otolaryngologist in Beverly Hills and Santa Monica.
