Steven Houser, M.D. is featured in an April Cleveland Magazine article, “Cleveland Cures”, which examines nine ways Cleveland offers the best medical care in the United States. Dr. Houser is associate professor of otolaryngology at Case Western Reserve University and director of rhinology, allergy and sinus at Metro Health Medical Center, and is one of the few ENTs in the United States to treat Empty Nose Syndrome (ENS).
Dr. Houser’s innovative treatment for ENS is discussed as # 4 of the 9 ways Cleveland offers the best medical care in the U.S, in the section, “Knowing the Nose”.
Tracing Dr. Houser’s early interest in ENS as a third-year resident at Cleveland Clinic, the article describes the way in which implantation of cadaver dermis in the nasal turbinates can help improve ENS symptoms, such as nasal airflow sensation. Dr. Houser’s treatment focuses on improving nasal sensation and breathing in patients who experience paradoxical obstruction, a central feature of ENS. According to the article, Dr. Houser believes that ENS occurs from poor healing that can take place following surgery to reduce the nasal turbinates, where nerves fail to regenerate. Patients report a 40 to 80 % improvement following treatment with Dr. Houser. Patients from all around the world come to Cleveland to see Dr. Houser.
You can read the full article HERE.
NasalCripple.com is a new Empty Nose Syndrome web resource created by James Skinner who is an ENS sufferer. James intends the website to be a comprehensive database of ENS-related content with news stories, journal articles, videos, books, presentations, and more.
ENSIA would like to thank James for taking the initiative to create this website and for his hard work in making it a reality. NasalCripple.com is sure to be a valuable tool for raising ENS awareness as well as a fantastic resource for patients, medical professional and the public.
Click here to visit “Nasal Cripple”.
ENS awareness is furthered through voluntary contributions – so if anyone has ideas, wants to volunteer, or help in any way, they are welcome to contact ENSIA. ENSIA appreciates any offer to contribute and is willing to provide support in whatever way we can.
Computational Fluid Dynamics and Trigeminal Sensory Examinations of Empty Nose Syndrome Patients (Article & Study)
Ohio State University (OSU) released ENS CFD study results and published an article entitled “Computational Fluid Dynamics and Trigeminal Sensory Examinations of Empty Nose Syndrome Patients”. Brief summary of the article:
“This prospective case control study investigated the pathogenesis of ENS, examining changes in nasal aerodynamics and nasal trigeminal sensory function among a small group of ENS patients. The results indicated that a combination of factors may contribute to the development of ENS including: paradoxically distorted nasal aerodynamics, impaired sensorineural sensitivity, and potential predisposing conditions.
Decreased nasal resistance and flowrates were observed in the ENS patients using computational fluid dynamic (CFD) simulations. The results showed significantly increased airway cross-sectional area post-surgery, especially in the inferior region, which paradoxically resulted in significant flow rate reduction. Paradoxically, inferior turbinate (IT) reduction did not draw more airflow to the airway surrounding the IT; rather, there was a reduction of airflow intensity surrounding the IT for all ENS patients.
Altered airflow patterns were also observed. Pre-surgical nasal airflow patterns were evenly distributed throughout the inferior and lateral regions of the nasal airway, while post-surgical nasal airflow patterns showed a reduced airflow intensity surrounding the inferior turbinate. In addition, new airflow patterns were directed toward the middle meatal region in a narrow jet.
ENS patients were found to have significantly lowered menthol lateralization detection thresholds (LDT) in an assessment of nasal trigeminal sensitivity compared to healthy controls. Since nasal trigeminal sensitivity potentially mediates the perception of airflow, this finding confirmed nasal neurosensory impairment among the ENS patients.
An interesting finding of the study demonstrated that symptoms related to ENS did not necessarily result from the most radical resection of turbinate tissue“
Hyperlink to the full article: https://www.ncbi.nlm.nih.gov/pubmed/28278356
Important: the study continues and patients still get enrolled – don’t miss your chance to participate! It will help you understand your ENS case better and also will contribute to better understanding of ENS and its qualitative research. More details can be found at:
Dear ENS patients,
This year is ending, and wonderful winter holidays are awaiting us – Christmas and New Year. It is a very special time: time when we summarize the results of the completed year and make plans and resolutions for the upcoming year; time when we leave old things that do not serve us behind and look forward to start a new year filled with hope and inspiration. Also, it is the time of year filled with miracles and beauty; time when strong universal energies encompass the world and humanity gets united. On this special occasion, ENSIA would like to take advantage of this exceptional time and share a Prayer for ENS patients and their families. There could not be better time than now for such an endeavor!
“Therefore I tell you, whatever you ask for in prayer, believe that you have received it, and it will be yours.” (Mark 11.24)
We would like to suggest reading and feeling the following Prayer in your Heart every day 1x or 2x a day starting from today and ending on Dec 31.
Also, since the effect of any Prayer is stronger when several (the more the better) people gather to pray together, we would like to offer reading this Prayer on specifically appointed times to create a powerful egregor and send out a collective intention. The times of collective prayers are:
- December 22 at 2pm (14:00) GMT+0
- December 25 at 2pm (14:00) GMT+0
- December 31 at 2pm (14:00) GMT+0
In order to calculate time at your location, you can use the following GMT calculator: https://greenwichmeantime.com/gmt-converter/.
Important to note:
- You do not have to inform us about your participation. It should be an intimate conversation between you and God/Universe
- Other ENS patients will be praying together with you at the same time at their own geographical locations
- It does not matter whether those who pray are physically together or far apart since we all are connected in Spirit
- Prayer concerns only those ENS patients who willingly participate in it and accept the intended effect
Your participation will help ENT scientists from Stanford assess some of basic physiologic and geographic associations to ENS, and its impact on measurable aspects of quality of life.
Data collected from the research survey will contribute to an upcoming Stanford University study on ENS.
Participants should be between 19-75 years of age; have had sinus surgery, with inferior turbinate resection or reduction; and, be diagnosed with ENS or have symptoms of ENS (for example: nasal burning, nasal openness, and/or paradoxical nasal obstruction).
To participate in the ENS survey, please follow the link: https://goo.gl/forms/DpwruqOU0VsQAAUF2.
For additional questions, please contact ENSIA at email@example.com.
Dear Members of ENSIA and Friends,
We are very pleased to announce that new neuro-mucosal treatment for ENS patients has become available in Germany. The treatment methods are based on scientific evidence & developments done by Prof. Bader – a world-renowned stem cell & regenerative medicine researcher.
The treatment is performed in Acqua Clinic (Germany, Leipzig) by ENS-friendly ENT doctors. Appointment can be made by writing an email to Mrs. Heike Hachmeister at firstname.lastname@example.org.
Video about Acqua Clinic can be viewed here.
Additional information can be acquired by contacting ENSIA’s Secretary at email@example.com – please contact us, and we will send you a brochure with more details.
We wish you all the best and hope that this treatment will help improve your condition.
In Memory of Melisa, Our Daughter, Died May 23, 2015 at the Age of 33 Years
“Melisa was a very sociable and friendly person. She had studied tourism to become a stewardess. She loved to travel and discover other cultures. When traveling, she complained of pain in her ears, which led her to consult our family doctor and an ENT specialist in Quebec who offered her a septoplasty because her nasal septum was deviated.
He never mentioned to Melisa that she would suffer an “intervention on her turbinates.’’ He just told her that he wanted to make more room in her nose so that air would flow more easily. If Melisa had been warned that her turbinates would be operated upon, she would have flatly refused to undergo this mutilation. This operation took place in 2007. When our daughter retrieved her operative report, it mentioned “full and dwindling septorhinoplasty of inferior turbinates, bilateral”.
A few months after the procedure, she was not very well, and developed several symptoms which were first: nasal dryness. To clear secretions, she had had to use constant force that became increasingly long and painful and provoked exhaustion and extreme fatigue. Allergies and asthma attacks followed. In the absence of inferior turbinates, the passage of air was too turbulent, the air was not filtered, warmed or humidified. She also had facial pain in the eyes, ears, throat and recurring headaches. She had pain in the lungs and they felt “frozen”. Melisa drank hot water and ate breadcrumbs to mitigate her chest pain and to have more sodium in the blood. Since 2008, she received allergy injections to offer desensitization.
Obviously, the result was predictable: job loss, poor quality of life, and return to our home. With time, her state and condition of life had gotten progressively worse, so she saw her ENT in September 2013. He found several symptoms that she developed. In October 2013, Melisa was on sick leave of work for empty nose syndrome and was hospitalized urgently in May 2014 for anaphylaxis (severe allergic reaction that can cause death).
In May 2015, our daughter met another ENT and his diagnosis was without a call, stating that Melisa had developed “a total paralysis of the sinus function as tissues and sinuses were dead and there was nothing more to do “. He advised her not to have surgery because her mucosa was severely atrophied. She preferred to know the truth rather than have false hope. She found this otolaryngologist human and listening: he had taken the time to explain things.
Her nose was so dry that it could not assume more normal respiratory functions to such a point that she had to live permanently plugged to an integrated flow humidifier unit received in 2014. Without this machine, our daughter was automatically suffocating as there was too much air coming in, and it was too cold, so her lungs and bronchi where inflamed, causing asthma attacks that could last for hours and hours. She could not live without this machine, or the chest pains were unbearable like if her lungs were in an “ice pack” … horrible! She had been diagnosed empty nose syndrome by this ENT.
Her friend, Carole, suffering from atrophic rhinitis due to a bilateral turbinectomy and cauterization of the inferior turbinates, with whom she communicated and who supported her, asked her what she loved most in life.
Here’s what Melisa replied in writing: “Let’s say that since I am disabled and cloistered at home, plugged to a machine, I try to enjoy the small moments of happiness with my family and I try to find soul peace to be able to leave quietly in a near future …. I do not have any quality of life, therefore I do not even know what I like; I do not know it because I cannot do anything! The disease weakened me to an extreme level! I try to take care to read, listen to music, read newspapers, be aware of news and take relaxing time thinking of nothing. It feels good. “
Shortly before her death, Melisa wrote “I made a prayer. I asked the Lord to give me a place beside him. I know you expect me and my place is already ready in your kingdom. To live in peace and without pain with you, my Lord. I leave you my soul to dance in a new life full of love forever because health is the greatest wealth in the world. Amen. “
We hope that this pathology, empty nose syndrome, will be recognized by the medical profession because we cannot conceive that such an operation could cause so much suffering and cause irreparable loss of our child.
We also insist that our daughter has died following a long illness on May 23, 2015, in our residence and did not commit suicide as other victims of empty nose syndrome have done.
Her parents that will keep forever Melisa in their hearts.”
Marcelle and Jean-Yves Champion, Canada
(translated from French)
Melisa’s VIDEO Testimony can be viewed here: https://www.youtube.com/watch?v=f_yoDPpTEFI
Anyone who is interested in getting a nasal airflow evaluation, can now obtain a FREE evaluation if you participate in the OSU study on Nasal Congestion & Smell Loss. By participating, you will have your airflow evaluated using Computer Fluid Dynamics (CFD) analysis. This could be an important part of your ENS treatment to correct your airflow.
For those who also have smell loss, this is a great opportunity too. Patients do NOT have to have both issues (congestion & smell) in order to participate, so either you have a nasal obstruction or smell loss due to ENS, you are welcome to participate in the study.
IMPORTANT: No need to travel to Ohio! Simply send your CT scans, medical records, & fill out some forms by e-mail. After you contact them, they will provide you with a list of all the necessary documents that need to be filled out and sent to them together with your CT scans.
They need as many ENS patients as possible to participate, since 200 patients are required for the study.
Information about study: http://ent.osu.edu/research/nasal-physiology-lab/index.cfm
For additional questions, please contact ENSIA at firstname.lastname@example.org.
Valley Events Founder’s Health Problems (due to ENS) Could Spell the End of Popular Service (News, Canada)
“Now his ongoing health concerns are compelling him to give up a volunteer service that is uber important to our community. James started the Valley Events website listing of everything going on in the wider Valley several years ago. It has become the go-to place to find out what’s happening. “I sat down with James in 2008 because he had spent years waiting for the medical system to help relieve his breathing and sleep problems. It’s been a long, long wait. […] Most of his efforts at self-education were dismissed. His symptoms were misdiagnosed or ignored.” Read article: click here Source: Kings County News, Canada Author: Wendy Elliott
“I sat down with James in 2008 because he had spent years waiting for the medical system to help relieve his breathing and sleep problems. It’s been a long, long wait. […] Most of his efforts at self-education were dismissed. His symptoms were misdiagnosed or ignored.”
Read article: click here
Source: Kings County News, Canada
Author: Wendy Elliott
“When Erika Schneider had surgery to address a common nasal complaint in the early 2000s, she was expecting a relatively speedy recovery. The operation to fix her allergy symptoms and snoring was fairly routine. It was an easy outpatient surgery, to correct a deviated septum — the thin bony structure in the centre of the nose.
- “I wasn’t going to have to stay overnight. I just didn’t think it was going to be that big of a deal, and I was not told of any complications,” she said.
Unfortunately what followed was more than a decade of pain, discomfort and sleepless nights — underpinned by an alarming sensation. To this day, Ms Schneider feels like she can’t breathe,
A recent interview about ENS by ENSIA’s member Erika Schneider and ENS-authority Dr. Steven Houser (MetroHealth, USA)
Read article: click here
Watch video: click here
Source: RN (Australia)
Author: Norman Swan
We are proud to announce that ENSIA has become a Member Association of EURORDIS (European Association of Rare Diseases) as of July 2016.
EURORDIS advocates for patients, promotes health care policies and services for people living with rare diseases, and advocates for policies that promote the development of medicines and therapies.
ENSIA’s status as a Member Association means that the ENS community will be represented by EURORDIS and this representation will serve as an additional voice for ENS in Europe.
Like Trying to Come Up for Air: Empty-Nose Syndrome Sufferers Feel Invisible (San Diego Reader, USA)
“It’s pure, unremitting hell,” says Robert Gerlach, 34, of Lemon Grove, who was diagnosed with empty-nose syndrome following a nasal surgery in 2011”
Read article: click here
Source: San Diego Reader
Author: Thom Senzee
“There is this thing called Empty Nose Syndrome and it’s REALLY Bad. I don’t know what your issue is but you’ve already had enough removed, don’t do any more” (Anonymous doctor from Group Health, Redmond WA 2008)
“I work in Aerospace Engineering and after being diagnosed with “E.N.S.” I had seen many studies regarding the computer modeling of airflow patterns through the nose and I realized that I had the scientific capabilities to do my own CFD (Computational Fluid dynamics) aerodynamics study regarding the surgically altered airflow through my nose. I am a unique patient in that since I work in engineering and I collect and analyze data for a living, I have a meticulously detailed and well documented case of E.N.S.
I will be presenting sleep data, CT scans and “CFD” flow models (based on my CT scans) which document my condition before and after 2 destructive surgeries. I will also be releasing CFD results that show the improvement I saw after getting nasal “Implants” at some point in the near future. I have decided to share my research and my personal story which documents my rather debilitating condition in the hopes that it advances the understanding both among doctors and patients regarding the inherent dangers and risks associated with “aggressive” nasal surgeries. I hope to once and for all dispel some of the controversy and misconceptions regarding ENS to this very day by providing solid fact based measurable evidence, even regarding how and why ENS destroys one’s ability to sleep. Far too often ENS symptoms are referred to as “subjective” by doctors who cannot seem to measure the damage which (besides dry sclerotic or missing tissue), is largely internal but is in fact very real and gravely serious.”
Dr. Rosario La Rosa, an otorhinolaryngologist from Bologna, Italy, discusses Empty Nose Syndrome and the specialized center for the diagnosis and treatment of ENS at the Clinic Villaba in Bologna. Ear or septal cartilage is used as graft for reconstruction of the turbinates. Graft preparation and implant sites are guided by a three-dimensional CT images using a software based system.
Read article: click here
Source: GVM Care & Research (Italia)
“I got empty nose syndrome in 2011 and I truly died on that operating table. Empty Nose Syndrome is the worst condition to live with on this planet. You get ENS when a sinus surgeon cuts too much turbinate tissue out of your sinuses. The turbinate tissue sends signals to the brain and heart informing the body how much oxygen the body is getting. When your turbinates are damaged or too much is taken out, you truly will want to die. It feels like suffocating or drowning 24/7. Your whole body will go into a nervous system meltdown. It feels like my entire body is melting. My heart is throbbing because I can never catch my breath. When I got it, I didnt sleep for the first 2 months, I sat there shaking in bed, my head spinning, I just keep begging for a quick death. I hope by writing this, I can convince everyone to stay away from turbinate reduction surgeries. My doctor told me that it would help me breath through my nose better, instead I have one foot in my grave. ENT Doctors are covering up this condition. I went to 3 doctors, all 3 said I look like I have ENS, but not one of them will put it into my medical file. So when I die, no one will know it was the ENS. I beg you all to spread the word about this condition. […] These doctors are just getting away with the torture of so many lives. ENT doctors keep saying this condition is a thing of the past, something that only happened 50 years ago. […] In the year 2011, me being only 22 years old, walked into the operating room and was murdered. […] All I needed was my septum repaired, instead I got death sentence (cancel that, torturing sentence). If I choose to live, I will be tortured. […] this condition often gets worse as time goes on too. Please dont make the same mistake I did. I cant even really blame myself. […] all I needed was my septum repaired, not this. WHY ME? […] WHY in this time and age of technology is this still happening? My mother died of severe emphysema from smoking, and now I have to die from a disease that is a million times worse. Please, save the lives of others. I will continue to spread the word till my death. Peace be with you all.” / Anonymous ENS sufferer
I hope by writing this, I can convince everyone to stay away from turbinate reduction surgeries. My doctor told me that it would help me breath through my nose better, instead I have one foot in my grave. ENT Doctors are covering up this condition. I went to 3 doctors, all 3 said I look like I have ENS, but not one of them will put it into my medical file. So when I die, no one will know it was the ENS. I beg you all to spread the word about this condition. […] These doctors are just getting away with the torture of so many lives. ENT doctors keep saying this condition is a thing of the past, something that only happened 50 years ago. […] In the year 2011, me being only 22 years old, walked into the operating room and was murdered. […] All I needed was my septum repaired, instead I got death sentence (cancel that, torturing sentence). If I choose to live, I will be tortured. […] this condition often gets worse as time goes on too.
Please dont make the same mistake I did. I cant even really blame myself. […] all I needed was my septum repaired, not this. WHY ME? […] WHY in this time and age of technology is this still happening? My mother died of severe emphysema from smoking, and now I have to die from a disease that is a million times worse. Please, save the lives of others. I will continue to spread the word till my death. Peace be with you all.”
/ Anonymous ENS sufferer
Presentation by Assoc. Prof. S. Houser (MetroHealth)
View slides: click here
An article gives a brief, but comprehensive ENS overview, including:
* Explanation of ENS
* ENS Symptoms
* “Paradoxical obstruction”
* ENS and Atrophic Rhinitis
* Current ENS treatment options
* and other information regarding ENS
Read article: click here (Source: Bionity)
Some quotes of ENT specialists:
“… The excess removal of turbinate tissue might lead to empty-nose syndrome. Excess resection can lead to crusting, bleeding, breathing difficulty (often the paradoxical sensation of obstruction), recurrent infections, nasal odor, pain, and often clinical depression. In one study, the mean onset of symptoms occurred more than 8 years following the turbinectomies.”
““Removal of an entire inferior turbinate for benign disease is strongly discouraged because removal of an inferior turbinate can produce nasal atrophy and a miserable person. Such people unfortunately are still seen in the author’s offices; these people are nasal cripples.”
“Unfortunately, a wide nasal cavity syndrome due to reduction or resection of the inferior turbinate (and/or middle turbinate) is still frequently seen. In our opinion, it is a “nasal crime.”
Read article: click here
Source: Newport Buzz
Removing bones in the nose can lead to nightmarish complications.
The Internet has lit up with conversations about an obscure complication from nose surgery this month, after an article titled “Empty Nose Syndrome – the real murderer of the doctor-stabbing case?” started circulating.
The tragic case happened last month in the No.1 People’s Hospital of Wenling, Zhejiang Province, where Wang Yunjie, the chief physician of the ear-nose-throat department, was stabbed to death by Lian Enqing, a patient who had been dissatisfied by surgery performed at the hospital, the Global Times reported on November 1.
Lian was reportedly suffering from nasal obstruction, headaches and insomnia after nose surgery, but several examinations showed nothing wrong. Lian’s family suspected him of having psychological problems and forced him to accept mental treatment.
The article said Lian killed the doctor because Lian suffered from Empty Nose Syndrome (ENS), a side effect of nasal surgery.
Some typical online commentary, in a QQ group named ENS, came from a patient who only gave his surname as Zhang. “Now I have become used to the pain. But it was terrifying for the first few years, because nobody understood,” he said.
Zhang told Metropolitan that he has had ENS for more than nine years, and it has made him depressed. During the group chat, Zhang and a few other patients mentioned phrases such as “a life worse than death,” “commit suicide” and “kill the doctors” a few times.
There are dozens of groups like this, and many of the groups have over 100 participants.
Read more here.
Click here to help Dylan fight against Empty Nose Syndrome !
Hi my name is Penny,
He was just finally starting to get back on his feet after years of being ill when he had to have yet another sinus surgery in 2013. He had the misfortune of having his Nasal Turbinate’s removed during this last surgery. The result of which is a condition known as Empty Nose Syndrome (ENS). ENS is a highly debilitating and disabling condition caused by overly aggressive surgical damage of the vital nasal structures. (…)
An article on the french version of Slate about Empty Nose Syndrome and the story of Brett Helling. French ENSIA members, please share!
An in-depth article about Empty Nose Syndrome, based on the tragic story of Brett Helling, one of most recent ENS’ victims, and featuring some of the most important ENS experts, just appeared on Buzzfeed.
Be our HERO: Become an ENSIA SUPPORTER of our LIFE-SAVING organization! Help ENSIA and ENS sufferers – who are incurably sick and completely disabled – by donating and participating in our awareness-raising campaigns. Every voice and penny counts! For more information on how to get involved, please visit the “Help Us!” page at http://ensassociation.org/how-can-you-help/
It has long been speculated by both ENS members and ENS-knowledgeable doctors alike that, due to his multiple nose surgeries, Michael Jackson suffered from ENS.
Like many ENS sufferers, Mr. Jackson suffered from years of insomnia. He was inappropriately prescribed the anesthetic drug propofol to help him sleep for 60 consecutive days shortly before his death, the overdose of which was believed to have caused his cardiac arrest. Despite helping you wake up refreshed, propofol disrupts the sleep cycle and renders no restorative rapid eye movement (REM) sleep. In 1998, Mr. Jackson informed his dentist who specializes in anesthesia, Dr. Catherine Quinn, that his sleep with propofol constituted the “best sleep I ever had.”
Our collective suspicion that Michael Jackson suffered from ENS was confirmed during the Jackson wrongful death trial when family practitioner, Dr. Alimorad Farschian, testified on August 21st, 2012 that his insomnia was a direct result of a ‘possible’ “empty nose syndrome.” (the link to the video: https://www.youtube.
ENSIA is now oficially on Facebook! Please follow our updates, help us raise awareness, and promote the development of a cure at https://www.facebook.com/
Be our HERO: Become an ENSIA MEMBER by filling out the application form here <http://ensassociation.org/
Thanks to ugrading the system and ENSIA is happy to announce that it is opening new membership applications. Please join us by following this link: http://ensassociation.
ENSIA is now oficially on YouTube. PLease check out our Channel with informative videos, ENS patients’ testimonials, discussions and reviews on the public interntaional television channels related to ENS, doctors’ discussions, and much other useful information. You can find all that at https://www.youtube.com/
ENSIA was established as an International Association, incorporating ENS patients, ENS-friendly doctors, and research scientists from around the world in Fall 2014. ENS is a little known, but severely debilitating post-surgical nasal condition that affects millions of people worldwide, and our membership reflects that. ENSIA includes members from numerous countries, including Europe, Australia, the United States, India, China, South America, and Latin America.