Septal Deviation and Hypertrophic Rhinitis Post-Surgery - Otolaryngology

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Deviated septum with hypertrophic rhinitis?


Hello Dr.
Lee: I have a problem with a deviated septum and hypertrophic rhinitis.
I underwent septoplasty and turbinate reduction surgery a week ago.
After researching online, I found that some people had their turbinates treated with a powered microdebrider, but my doctor did not mention using a microdebrider during the surgery, nor was there any charge for it.
I would like to ask, if a microdebrider was not used and it wasn't a typical outpatient laser procedure that allows for immediate discharge, what other methods are available for turbinate reduction? Also, how prevalent is empty nose syndrome among patients in Taiwan? Currently, one week post-surgery, I feel that my nasal passages are clear, but will they become even clearer after a one-month recovery period? I am concerned because they are already quite clear, and I fear the possibility of developing empty nose syndrome.
I appreciate your response.
Thank you.

ye-, 20~29 year old female. Ask Date: 2018/04/03

Dr. Li Jiaxuan reply Otolaryngology


Do you have any nasal obstruction or wound bleeding after the surgery? If so, it might be similar to a technique using a rotating knife; if not, it should be from laser or cryoablation.
Wishing you a smooth recovery.

Reply Date: 2018/04/03

More Info


Hello! Thank you for your inquiry regarding septal deviation and hypertrophic rhinitis following your recent surgery. It’s understandable to have concerns after undergoing a procedure, especially when it comes to the potential outcomes and complications.

Firstly, let’s clarify the surgical techniques used for addressing nasal issues like septal deviation and hypertrophic rhinitis. The most common methods include traditional surgical techniques, such as submucosal resection or excision of the hypertrophied tissue, and more advanced techniques like the use of powered instruments, including the microdebrider or rotary instruments. While the use of powered instruments can provide benefits such as reduced bleeding and quicker recovery, many surgeons still utilize traditional methods effectively. If your surgeon did not mention the use of a rotary knife or charge you for it, it’s likely that a different method was employed, which is still valid and effective.

Regarding your concern about empty nose syndrome (ENS), it is a rare but distressing condition that can occur after nasal surgery. ENS is characterized by a sensation of nasal obstruction despite having a clear nasal passage, often accompanied by dryness and discomfort. The prevalence of ENS is not extensively documented, but it is considered uncommon. Most patients who undergo surgery for septal deviation and hypertrophic rhinitis do not develop this condition, especially if the surgery is performed correctly and conservatively.

As for your recovery, it’s common to experience a sense of improved nasal airflow shortly after surgery. The healing process can take several weeks to months, and many patients notice continued improvement in nasal patency over time. It’s important to follow your surgeon's postoperative care instructions, which may include saline nasal sprays or rinses to keep the nasal passages moist and promote healing.

You mentioned feeling quite open and clear in your nasal passages currently, which is a positive sign. However, it’s natural to worry about the potential for ENS as you heal. It’s essential to maintain open communication with your healthcare provider. If you have concerns about your symptoms or the possibility of developing ENS, don’t hesitate to reach out to your surgeon for reassurance and guidance.

In terms of the overall prevalence of empty nose syndrome in Taiwan, specific statistics may not be readily available. However, it is generally acknowledged that ENS can occur globally, and awareness of the condition is increasing among both patients and healthcare providers.

Lastly, regarding your recovery timeline, while many patients do experience continued improvement in nasal airflow, individual experiences can vary. Factors such as the extent of the surgery, individual healing responses, and adherence to postoperative care can all influence outcomes. It’s crucial to have realistic expectations and understand that while some patients may feel even better after a month, others may take longer to fully recover.

In conclusion, it’s great to hear that you are currently experiencing good nasal airflow post-surgery. Continue to monitor your symptoms and maintain regular follow-ups with your healthcare provider to ensure a smooth recovery. If you have any further questions or concerns, don’t hesitate to ask your doctor for clarification. Wishing you a speedy and uncomplicated recovery!

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