We Applied PRP Injection for Empty Nose Syndrome!

PRP Injection To Turbinates For Nasal Hyperventilation

Empty Nose Syndrome (ENS) is a rare but serious disorder in which patients feel that their nose is blocked despite having sufficient airflow in the nose (even more airflow than normal). It usually develops after surgical interventions on the turbinates (nasal flesh) located in the nose. Problems such as loss of sensation in the nasal tissues, airflow disorders and mucosal dryness are observed in ENS patients. Air hunger and painful areas in the nose may occur, and a feeling of cold air contact in the nose may occur. This condition causes patients to experience serious discomfort both physically and psychologically. In addition to procedures such as cartilage implantation, filler injection, and modified Young operation for the purpose of narrowing the abnormally widened airway in the nose; PRP (Platelet-rich plasma) and stem cell injections have recently begun to be performed for the purpose of improving mucosal health. In addition to these, fat injections are also performed together with stem cells for the purpose of narrowing the nasal air passage. We performed PRP injection on the patient who came today and had nasal hyperventilation symptoms after previous concha radiofrequency application. The right nasal passage was larger than the left. The patient stated in the cotton test that there was a decrease in complaints, especially when the nasal airway was narrowed on the right. The patient was planned to receive treatment for repeated PRP applications as a priority.

PRP injections have attracted attention as one of the innovative methods in ENS treatment in recent years!

PRP is a plasma obtained from the person's own blood and rich in growth factors. When applied into the nose, it aims to regenerate damaged mucosal tissue and increase blood circulation. In this way, partial recovery of intranasal sensation, improvement of mucosal moisture balance and general reduction of symptoms can be achieved in ENS patients. In office conditions, 10 ml of the patient's blood is taken and the plasma injected for PRP is obtained after centrifugation.

PRP injection is usually applied under local anesthesia, in several sessions at certain intervals. The fact that the application is non-invasive and contains the patient's own biological material makes the
risk of side effects quite low. However, since each patient's clinical condition is different, PRP treatment should be evaluated and planned by an experienced otolaryngologist. Although PRP does not provide a definitive treatment for ENS, it stands out as a promising option in relieving sympt

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Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon

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