Having Nasal Surgery? Don’t You Become An Empty Nose Victim!
From the Midwest Book Review …. The nose is an organ of the human body can Be achieved with a number of serious diseases for sant. The problem My include conditions such as rhinosinusitis, allergic rhinitis, the empty nose syndrome (ENS). He only T these last res ann es that m doctors have come and understand treat ENS. But there are still a large number of m Doctors do not know this syndrome and the options of treatment that patients have choose. A patient’s ENS m Me, Christoph
(20 reviews)
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Tags: Become, Don't, Empty, Having, Nasal, Nose, Surgery, Victim
September 5th, 2010 at 1:21 am
Review by Reader Views for Having Nasal Surgery? Don’t You Become An Empty Nose Victim!
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Reviewed by Paige Lovitt for Reader Views (9/07)
ENS sufferer, Christopher Martin, has written a very comprehensive book about his experience with ENS. ENS, or Empty Nose Syndrome, is defined in this book as, “…a cluster of symptoms in individuals who had a turbinate reduction or excision surgery that resulted in removal of too much turbinate tissue, leaving the nose “empty or wide open and the turbinates unable to function properly.” Turbinates, which are located in our nasal cavities, help to warm and humidify air. When a person has turbinate reduction surgery, this can lead to ENS if too much turbinate tissue is removed. This problem is iatrogenic in origin, meaning that it is caused by medical treatment and not something that is genetic in origin.
An ENS sufferer is described as having, “…the sensation of not getting enough air despite a wide open nasal cavity, nasal dryness, and thick, sticky mucus.” In addition to having their quality of life reduced as a result of this, many people that have ENS also are highly susceptible to depression and future sinus problems.
Mr. Martin wrote this book with the hope of making people aware of the complications that can result from turbinate reduction surgery. He offers suggestions for alternative treatments that could be used to avoid having this surgery. People who have sinus, allergy and postnasal drip problems would also benefit from these treatments which include natural, medical, dietary, and environmental remedies.
Mr. Martin has been dealing with this issue for ten years. He openly discusses his experiences with a variety of medical doctors and the differing opinions that he was offered. He felt fortunate to finally be able to find the doctors that were able to help him with his problem. These doctors also help contribute to this book. His personal disclosures make the book very interesting. I was also very impressed with the amount of references that he cites in each chapter to help back up his information.
People that would benefit from reading “Having Nasal Surgery?” include those close to people with ENS, people considering turbinate reduction surgery, those suffering from ENS, those with sinus and allergy problems, and the doctors involved with this type of treatment. I cannot imagine a more comprehensive, yet easy-to-understand source of information for the people whose lives would be improved by accessing this information. I truly hope that people who are planning to have nasal surgery will find this book before they go through the surgery, and not have to experience what Mr. Martin and numerous other people have had to.
September 5th, 2010 at 2:10 am
Review by Walter Ballenberger for Having Nasal Surgery? Don’t You Become An Empty Nose Victim!
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How would you feel if you went into a surgical procedure to help alleviate a physical problem, only to learn after the surgery is completed that the surgeon created a much more devastating problem than the one you went into surgery to cure, even though the surgeon followed accepted medical practices? In fact you also later find out that over 50% of the people who come down with this artificially created illness meet the definition of clinically depressed, and this is on top of and because of the awful physical anguish which was the result of the initial surgery. And the icing on the cake is that the problems caused in surgery cannot be reversed. The above scenario sounds almost unreal, but this is what happens to victims of ENS, or Empty Nose Syndrome.
Anyone who is contemplating sinus surgery should read this book. Also, anyone who has a friend, colleague, or family member who is facing sinus surgery should urge those people to read this book as well.
Christopher Martin has written an important book about ENS. In layman’s terms what happens is this: during sinus surgery all or a portion of the turbinates in the nose are extracted. It has been fairly common practice in the past for turbinates to be cut out because they sometimes can block nasal passages. Not much was known about the functions of the turbinates, and it was felt that extracting them wouldn’t cause much harm. In fact the term ENS did not even appear until 1994 when Dr. Kern, formerly of the Mayo Clinic, coined the term when he was treating patients complaining about sinus infections and congestion, which was puzzling because their nasal passages were wide open. In fact they appeared to have an empty nose, and thus the term was coined for this condition. These people felt so miserable that, according to Dr. Kern, two of the patients he was treating committed suicide.
Martin discusses the basics about how the nose works. He talks about mucous tissue, cilia, and how mucus in the nose is normally disposed of. Of course he discusses the turbinates and the functions they perform, such as directing air flow, providing air flow resistance, warming and humidifying air before it reaches the lungs, etc. He discusses the symptoms of ENS, traces the history of various nasal surgical procedures, even discusses the politics of ENS and why many ENT specialists are not very aware of it or don’t consider it seriously. He also talks about various surgery options and gives an opinion about which procedures are the safest and most risky in terms of ENS.
And of course he tells his own story. Here is a young man of only 27 years of age with a young family. He has had to deal with this condition virtually all of his adult life. Here is an excerpt: “While there are times I have felt confident and strong, I will concede there are times when I cried. I cried because of the severity of this problem and the constant management of it. I cried because I want to have more energy for my wife and children, for people other than myself, but I find myself preoccupied with my nose and depleted of such energy. It seemed selfish to be so consumed with my nose, but I could not avoid it. I wish I could say that I never complained, but I cannot. It is ENS with which I have been dealing and ENS is a difficult condition to endure.” Martin offers extensive commentary about how he personally deals with his condition and gives suggestions and encouragement for other ENS sufferers.
In the Introduction of the book, Dr. Wellington S. Tichenor, a medical specialist in sinusitis in New York City who often treats patients who have had surgeries that did not work, says the following: “I have been overwhelmed by the devastation that ENS patients experience. As a result of an iatrogenic (caused by medical treatment) origin, the lives of these productive individuals have been profoundly affected. Before their surgery they could go about the lives with varying degrees of difficulty, but after it they were completely disabled.” He adds, “Too many surgeons today believe they can indiscriminately remove large amounts of turbinate tissue and, indeed, there remains controversy in the field whether this surgery can be done with minimal complications. I am a strong proponent of conservative turbinate surgery that consists of removing the smallest amount of tissue possible.”
If I were to criticize the book I would offer the opinion that Martin is sometimes too technical. I understand why he is doing this, as he wants to fully explain the condition and what to do about it. However, he often sounds like an ENT, which he is not. He clearly explains in his disclaimer at the outset of the book that he is not a medical professional, and I expect he had several ENTs review the book, and they apparently didn’t ask him to change what has been published. For all I know everything he says and every medical term he uses are correct, and I would not be surprised if that were the case. It just seems to me that he sounds at times like an ENT, and I would respectfully question his credentials to do so.
What is clear, however, is that he certainly has sufficient credentials to speak about ENS, and his message is powerful and important and clearly overrides the comments in the previous paragraph. I personally have had two sinus surgeries and consider myself lucky and thankful that Empty Nose Syndrome hasn’t happened to me. For a few dollars to buy the book and a couple of hours to read it, sinus sufferers who are considering surgery can learn a great deal about their condition and can possibly prevent themselves very serious problems in the future. It is certainly worth the time and money.
September 5th, 2010 at 2:48 am
Review by BookReview.com for Having Nasal Surgery? Don’t You Become An Empty Nose Victim!
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The frightening thing about the human body is that it can break down in thousands of ways, and it is impossible to prepare for every contingency. Between the endless variety of specialty doctors, conditions dramatized by hospital television shows and words far larger than an average vocabulary, it’s easy to be either terrified by the possibilities or caught off guard when an unheard of condition enters your life.
When this happens, the only way to confront the problem is to educate yourself as best you can – and if you have empty nose syndrome (ENS), Christopher Martin’s “Having Nasal Surgery? Don’t You Become An Empty Nose Victim!” is the ideal resource. One of the first books on the subject, it is ideal for both the typical person considering nasal surgery and doctors who may not know enough about the condition.
ENS, as Martin describes it, is a condition resulting from the removal of inner tissue known as turbinates following nasal surgery. This removal leaves the patient unable to breathe properly, with a string of chronic health problems including shortness of breath, nasal dryness, thick mucus and an inability to sleep. The discomfort caused by these symptoms frequently leads to distraction and depression, especially since many doctors don’t even know how to treat ENS.
Martin, who has lived with ENS since 1997, provides it with a much-needed personal connection. He tells his story in detail, beginning with his flawed surgery and showing specifically how the condition impacted his life and the choices he had to make. Through it all, with the exception of a few wistful “what if” statements, Martin maintains a positive tone and a desire to move forward.
The book is not only useful for those looking for a personal story of ENS, but also to anyone who suffers from it and is looking for relief. Martin provides the reader with a comprehensive list of treatments, ranging from practical everyday remedies (even providing recommendations on what brand of nasal spray and gel to use) to recommending a certain type of surgery if necessary. For those who are looking for more in-depth information on ENS, he includes an appendix of medical texts, websites and specialized doctors.
“Having Nasal Surgery?” is an ideal sourcebook on ENS – informative without being dense, written in a coherent style and filled with first-hand experience on the condition. It’s a book that all nasal doctors should have on their shelves and be ready to pass onto patients looking for answers.
September 5th, 2010 at 2:50 am
Review by S. kramer for Having Nasal Surgery? Don’t You Become An Empty Nose Victim!
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I have read through the book and have found it really helpful. Chris’ story is inspiring…how he has suffered with ENS for so long and manages to still have a positive outlook. I think it covers a lot of important information, both technical and emotional. It is a book that many people could read – sufferers of ENS, friends and family, people thinking about getting surgery. It has helped me to gain a better understanding of what to expect, what turbinates are, their functions in the body, and how to better live with this serious condition. Oh! I wish I was informed like this before the surgery. I would definitely suggest this book to my friends and family so that they have a better understanding of what ENS is and what it entails. There are so many people every year who get butchered by doctors who for one reason or another do not inform their patients properly of the procedure and possible side effects. This is a problem in many areas of medicine. Chris’ book is a reminder not to go blindly into surgery but also to live bravely with things one cannot change.
September 5th, 2010 at 3:23 am
Review by Tom for Having Nasal Surgery? Don’t You Become An Empty Nose Victim!
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This is a must read for anyone that has had or is considering sinus surgery!
If it has been suggested to you that sinus surgery can correct your problems you absolutely need to read this book and do your research! Complications to sinus surgery can be life-altering and the damage permanent. As a victim of aggressive sinus surgery I can attest that these symptoms are very much real and can alter your reality in ways that I never imagined. I believe a great many ENT’s do not fully understand the extreme importance the nose and sinuses play in the quality of life. With good intentions they can often remove too much tissue and bone in effect leaving the nose with the inability to function normally with regards to nasal cycles,moisture control,airflow and the health of the lungs. Chris does a wonderful job in explaining the importance of a healthy nose and sinus and the roles each structure plays in nasal health. If you do not know what a Turbinate is or what it does READ THIS BOOK!
Chris has put alot of time and effort in detailing everything a sinus suffer should consider before having surgery. Thankfully the ENT field is slowly beginning to understand that a very conservative approach should be applied when doing surgery. Chris explains each option a patient should discuss with the doctor performing the surgery. Each method is reviewed and rated for the possible outcomes and the conservation of important nasal tissue and structures.
If you have had sinus surgery done and are having problems Chris has outlined things you can do to help relieve some of the symptoms. For those having ENS type symptoms there are things you can do to help improve your sinus health. Chris describes things that he has personally tried that work and what others have used to find relief. Those that suffer from ENS type symptoms can find some comfort in the new methods Chris discusses in his book, to help rebuild important turbinate structures that have been removed in previous surgeries. Chris has first hand knowledge of how Alloderm implants may help improve the quality of life of ENS patients. With research into stem cell therapy and tissue regeneration the future is brighter. The important point that Chris makes is that ENS can be prevented if a conservative approach is used. Once removed, turbinates do not grow back. Conservation of nasal tissue is essential!
I can’t recommend this book enough. I think it should be required reading for all those practicing ENT’s that perform sinus surgery. Anyone suffering from sinus problems can find solutions that may make surgery unnecessary. Those that have had surgery and find their problems even worse than before surgery can also benefit from therapies and techniques Chris has outlined in the book. If you are considering having sinus surgery and have spoken to others around you that have had surgery it’s important that you ask what was actually performed. Chances are they can’t go any further than to say hey had a deviated septum corrected. It’s of utmost importance that you go into surgery knowing EXACTLY what will be preformed and by what method. I went in for deviated septum and came out with an EMPTY NOSE!
Bravo to Christopher Martin for bringing the devastating problem upfront for discussion and sharing his personal story so that we can learn and hopefully prevent this devastating problem.
Tom