Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France; AP-HP, Hôpitaux Universitaires Paris Ouest, Service de Psychiatrie de l'Adulte et du Sujet Âgé, Paris, France; Inserm, U894, Centre Psychiatrie et Neurosciences, Paris, France.
Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France; AP-HP, Hôpitaux Universitaires Paris Ouest, Service de Psychiatrie de l'Adulte et du Sujet Âgé, Paris, France.
Gen Hosp Psychiatry. 2015 May-Jun;37(3):273.e9-10. doi: 10.1016/j.genhosppsych.2015.02.005. Epub 2015 Feb 25.
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.
空鼻综合征（ENS）是下鼻甲切除术后的一种罕见并发症，其特征是尽管鼻腔阻力降低，但仍存在矛盾的鼻塞感。我们在此报告一例 ENS 伴严重功能障碍的 37 岁患者，该患者被诊断为躯体症状障碍，并接受相应治疗。针对功能失调信念和回避行为的认知行为疗法，以及文拉法辛治疗，导致患者在第 2 至 4 个月期间功能显著改善。在第 6 个月时，患者的功能恢复到正常水平，不再因 ENS 寻求治疗。将 ENS 视为躯体症状障碍可能构成手术治疗的一线安全替代方案。
