Treating empty nose syndrome as a somatic symptom disorder

General Hospital Psychiatry
Cédric LemognePierre Bonfils

Abstract

Empty nose syndrome (ENS) is a rare complication of inferior turbinate resection, characterized by a paradoxical nasal obstruction sensation despite decreased nasal resistance. Here we report the case of a 37-year-old patient with ENS and severe functional impairment, who was diagnosed with a somatic symptom disorder and treated accordingly. Cognitive behavior therapy targeting dysfunctional beliefs and avoidance behaviors together with a treatment by venlafaxine resulted in dramatic functional improvement between month 2 and month 4. At month 6, the patient was displaying back-to-normal levels of functioning and was no longer seeking care for ENS. Treating ENS as a somatic symptom disorder might constitute a first-line, safe alternative to surgical treatment.

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Citations

Jul 14, 2016·International Forum of Allergy & Rhinology·Andrew ThambooJayakar V Nayak
Sep 11, 2016·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Kena ShahGuha Krishnaswamy
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Jul 22, 2020·The Laryngoscope·Chien-Chia HuangTa-Jen Lee
Oct 8, 2019·Facial Plastic Surgery Clinics of North America·Jason TalmadgeMartin J Citardi

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