A patient with chronic rhinosinusitis develops severe nasal obstruction despite a wide, patent nasal cavity on examination. The patient reports feeling suffocated with a sensation of inadequate airflow. What is the most likely diagnosis?
- A Atrophic rhinitis
- B Non-allergic rhinitis with eosinophilia syndrome (NARES)
- C Empty nose syndrome (secondary atrophic rhinitis) ✓
- D Cerebrospinal fluid rhinorrhea
Correct answer: C. Empty nose syndrome (secondary atrophic rhinitis)
Explanation
Empty nose syndrome is a form of secondary atrophic rhinitis that occurs following turbinate surgery, most commonly aggressive turbinate reduction or resection. Despite an objectively patent nasal airway, patients experience paradoxical nasal obstruction and a suffocating sensation. The pathophysiology involves loss of turbinate tissue disrupting normal airflow sensation and nasal aerodynamics.
Reference: Cummings Otolaryngology: Head and Neck Surgery, 7th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.