A case of surgical treatment for patients with symptoms similar to empty nose syndrome using a columella widening

Abstract

This study aimed to address a unique case of external nasal valve insufficiency characterized by subjective symptoms of excessive air entry into the nose and throat discomfort despite the absence of apparent anatomical abnormalities or underlying diseases. We focused on devising a novel surgical approach to alleviate patient symptoms and highlighted the importance of considering the structural and functional aspects of nasal airflow in diagnosis and treatment. Paranasal sinus computed tomography and acoustic rhinometry were used to evaluate the anatomical and functional abnormalities. The nose scale was used to assess the subjective symptoms. The patient experienced significant improvement in breathing comfort following surgical intervention. Imaging revealed a widened columella, and the subjective symptoms were alleviated. Acoustic rhinometry measurements within the nasal cavity showed no substantial changes, likely due to the surgical focus on the external nasal valve. This case highlights the complexity of diagnosing and treating external nasal valve insufficiency without traditional anatomical abnormalities. Successful symptomatic management using this novel surgical technique highlights the need to consider structural and functional factors in nasal airway assessments. Further research is encouraged to refine the diagnostic tools and validate the effectiveness of innovative interventions for external nasal valve insufficiency in larger cohorts.

Keywords

• columella widening
• empty nose syndrome
• external nasal valve deformity
• nostril narrowing