ENT Doctor in Istanbul

24/07/2025

https://www.youtube.com/watch?v=_Dgo_fzAoWg

Mucus Hypersecretion and Allergic Rhinitis May Be Protective in Patients with ENS (Empty Nose Syndrome)

Empty nose syndrome (ENS) is a serious clinical condition that develops after excessive surgical removal or reduction of nasal tissue. It manifests as abnormal expansion of the nasal air passages and symptoms such as paradoxical nasal obstruction, air hunger, burning, and dryness. Patients with ENS often report that their noses are "open," but experience a feeling of breathlessness and insufficient nasal airflow. This condition is associated with the disruption of the complex balance in nasal physiology associated with accelerated and altered nasal airflow resulting from anatomical changes. Changes in the nasal mucosa over time due to the rapid airflow are common in patients with ENS. Furthermore, conditions such as mucus hypersecretion and allergic rhinitis may be protective in patients with ENS. In patients with ENS, nasal secretions become increasingly dry and sticky. In patients with increased nasal secretions, such as those with allergic rhinitis, the nasal mucosa is naturally moist, protecting it from damage associated with rapid air exposure.

The Protective Effect of Mucus Hypersecretion
Mucus is one of the nasal mucosa's most important defensive barriers. It protects the airways from foreign particles, microorganisms, and environmental irritants while also serving a moisturizing function. Because the surface area of the nasal mucosa in ENS is reduced, mucus production generally decreases, creating dryness, irritation, and vulnerability to infection.

However, excessive mucus production, or mucus hypersecretion, has been observed in some ENS patients. This can improve patient comfort by reducing the feeling of dryness. It can also contribute to the regeneration of the mucosal barrier, thereby balancing the intranasal defense system to some extent. This makes mucus hypersecretion a potentially compensatory mechanism.

Positive Aspects of Allergic Rhinitis
Allergic rhinitis is an immune-related condition that often presents with symptoms such as nasal congestion, rhinorrhea (runny nose), sneezing, and itching. Because the nasal cavity is abnormally enlarged in patients with ENS, the nasal congestion of allergic rhinitis may not be evident. Increased nasal discharge, itching, and sneezing may be more pronounced. While these symptoms are generally considered negative for patients with ENS, allergic rhinitis may also have protective effects in some ways, such as:

Increases mucus production: Allergic rhinitis keeps the inside of the nose moist by increasing the activity of the mucous glands.

Promotes mucosal regeneration: The immune response can stimulate the regeneration of mucosal cells.

Stimulates nerve endings: Nerve endings activated during allergic processes can stimulate the perception of nasal airflow, which is lost in the ENS, to some extent.

Therefore, in some patients with ENS, mild allergic symptoms may contribute to a more tolerable symptomatic course of the disease. In the patient in the video, despite having both inferior turbinates (inferior conchae) almost completely removed, the nasal mucosa is mostly moist and healthy, pink in color.

In light of these observations, supporting mucus production or managing allergic rhinitis in a controlled manner may be considered a therapeutic approach in the treatment of patients with ENS.

Future studies will more clearly elucidate the effects of these pathophysiological conditions on the ENS, enabling more holistic management of the disease.

While mucus hypersecretion and allergic rhinitis are generally viewed as negative conditions, they can play a protective and compensatory role in complex cases such as empty nose syndrome. These physiological adaptations can provide an important support mechanism in alleviating the destructive symptoms caused by ENS.

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20/07/2025

https://www.youtube.com/watch?v=rsLZhtM7Z5E

Septum Perforation 3x2 cm Repair - Before and After



Our patient, who had previously undergone rhinoplasty and turbinate radiofrequency surgery at a different clinic, presented to our clinic with a large septum perforation (nasal septum hole) measuring 3x2 cm. During the endoscopic examination, it was observed that the perforation severely disrupted nasal airflow. Due to the nearly complete excision of the right inferior turbinate, the patient also exhibited symptoms of empty nose syndrome (ENS), particularly in the left nasal cavity. The patient also had left nasal valve collapse, and nasal valve surgery was performed in that area.

The patient underwent open septum perforation repair using a temporalis fascia and cartilage graft. Postoperatively, internal silicone splints were placed inside the nose and maintained for three months to promote mucosal healing.

During the follow-up examination, an endoscopic examination performed during the removal of the silicone splints revealed complete closure of the septum perforation. This video combines the patient's preoperative endoscopic images with a video of her recovery three months postoperatively.

The closure of the septum perforation normalized nasal airflow and significantly improved the symptoms of empty nose syndrome.

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12/07/2025

✨ One Year Post-Op: Droopy Nose Tip Aesthetic Transformation ✨

https://www.ent-istanbul.com/2025/07/the-result-after-one-year-on-our.html



A year has passed since our droopy nose tip correction, and the results speak for themselves—more lifted, defined, and naturally balanced. With tehse rhinoplasty techniques, we've carefully elevated the nose tip and refined the nasal tip's support. Today’s outcome offers lasting elegance, improved proportions, and a refreshed facial harmony. The subtlety and permanence of this result truly highlight the art and science behind rhinoplasty.

12/07/2025

🩺 Nasal Fracture (Broken Nose) – What You Should Know

https://www.ent-istanbul.com/2018/04/nasal-fracture-broken-nose.html



A nasal fracture is a break or crack in the nasal bones—most commonly caused by trauma such as sports injuries, falls, vehicle accidents, or physical assaults. As the most frequently fractured facial bone, it often leads to pain, swelling, bruising, bleeding, and sometimes difficulty breathing or a visible deformity.

Diagnosis typically starts with a physical exam (noting tenderness, crepitation, deformity) and may involve X-rays or CT scans in complex cases. Treatment depends on whether the fracture is displaced. Non-displaced fractures heal naturally, while displaced ones often require a closed reduction—ideally within the first 3–5 days, before swelling makes correction more difficult.

Proper aftercare—such as cold compresses, head elevation, avoiding nasal trauma and nose protection devices improve outcomes and minimize complications.

29/06/2025

https://www.youtube.com/shorts/2REeH6fDuG8



https://www.ent-istanbul.com/search?q=male+rhinoplasty
https://www.ent-istanbul.com/2018/04/rhinoplasty-istanbul.html

In this short video, we present the side profile results of a natural male rhinoplasty performed on a male patient with an overprojected and upturned nasal tip and a prominent dorsal hump (arched nose). The surgical goal was to create a more balanced, masculine, and natural-looking nasal profile without feminizing the face.

The patient's nasal tip projection and rotation were carefully reduced, and the dorsal hump was smoothed while preserving strong nasal lines to maintain a natural male appearance. The result is a refined, proportionate nose that harmonizes with the rest of the facial features.

This type of rhinoplasty requires precise planning and technique to ensure that the nose remains strong and defined, avoiding an "overdone" or artificial look.

🔍 Watch the transformation unfold from before to after, showcasing how male rhinoplasty can improve profile aesthetics while keeping the nose natural and masculine.

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24/06/2025

5-Minute Nose Job with Filler: Quick, Non-Surgical Nose Reshaping

https://www.ent-istanbul.com/2019/06/5-minutes-nose-job-with-filler-in-istanbul.html
https://www.ent-istanbul.com/2018/04/cost-of-non-surgical-nose-job-in-istanbul.html



In today’s fast-paced world, not everyone has the time—or the desire—for traditional surgery. That’s where the 5-minute nose job comes into play. Also known as a non-surgical rhinoplasty or liquid nose job, this innovative procedure uses dermal fillers to reshape the nose in mere minutes—without scalpels, sutures, or downtime.

What Is a 5-Minute Nose Job?
A 5-minute nose job is a cosmetic procedure where hyaluronic acid-based fillers are strategically injected into specific areas of the nose. The goal is to smooth out bumps, lift the nasal tip, or straighten the profile—creating a more balanced and symmetrical appearance.

Who Is It For?
This treatment is ideal for patients who:

Want to correct a dorsal hump (nasal bump)

Have minor asymmetries

Wish to lift the nasal tip

Are considering rhinoplasty and want a preview of the potential results

Prefer a non-permanent, reversible option

It’s important to note that this is best for patients seeking refinements, not those requiring structural correction or size reduction.

Advantages of the 5-Minute Nose Job
Instant results with no downtime

Minimally invasive—no incisions or general anesthesia

Quick procedure: typically takes 5–15 minutes

Reversible: hyaluronic acid fillers can be dissolved

Affordable compared to surgical rhinoplasty

While convenient, non-surgical rhinoplasty is temporary, with results lasting around 6–12 months. Also, because the nasal area contains critical blood vessels, the procedure should only be performed by experienced and qualified professionals to avoid rare but serious complications like vascular occlusion.

The 5-minute nose job offers a compelling alternative for those looking to make subtle yet effective nasal changes without going under the knife. Whether you're testing out a new look or avoiding surgery altogether, this treatment delivers impressive transformations in record time.

22/06/2025

https://youtu.be/gRjF2XE5REQ

Prominent Ear Surgery (Otoplasty - Auriculoplasty - Pinnaplasty) Before and After Transformation



👉 In this video, we present striking before and after images from patients who underwent prominent ear correction surgery — also known as otoplasty, auriculoplasty, or pinnaplasty. This aesthetic operation helps reposition protruding ears closer to the head, restoring facial symmetry and boosting confidence, especially in individuals who have been self-conscious about ear prominence since childhood.

Otoplasty is a safe, effective, and life-enhancing procedure performed under local or general anesthesia. It is commonly done in children above the age of 5 and adults who seek a permanent solution to correct ear shape, position, or asymmetry.

Whether you're considering this procedure for yourself or your child, this video provides clear visual insight into how auriculoplasty reshapes ears with natural and harmonious results.

You can check the links below to learn the technical details of the otoplasty operation.

https://www.ent-istanbul.com/2018/04/ear-plastic-surgery.html
https://www.ent-istanbul.com/2018/11/modified-technique-otoplasty.html
https://www.ent-istanbul.com/2018/12/advantages-and-disadvantages-of-modified-technique-otoplasty.html
https://www.ent-istanbul.com/2020/11/modified-technique-Auriculoplasty.html

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21/06/2025

Watch the transformation of a thick-skinned male patient with a droopy nose. See how advanced rhinoplasty techniques improve nasal tip support and overall facial harmony.



https://www.ent-istanbul.com/2025/06/rhinoplasty-for-droopy-nose-in-thick-skinned-male-patient.html

21/06/2025

https://youtu.be/W9ak_ZAuCJ4?si=q0Z2ufSXuxrG24OX

Watch the transformation of a thick-skinned male patient with a droopy nose. See how advanced rhinoplasty techniques improve nasal tip support and overall fa...

21/06/2025

Revision Rhinoplasty Operation For "Under Projected Nose, Retracted Ala and Left Alar Pinch Deformity"

https://www.ent-istanbul.com/2025/06/revision-rhinoplasty-operation-for.html

01/06/2025

Top Home Remedies for Flu Infection: Natural Ways to Relieve Symptoms

https://www.ent-istanbul.com/2019/04/home-remedies-for-flu-infection.html



The flu (influenza) is a common viral infection that affects the nose, throat, and sometimes the lungs. Symptoms like fever, cough, sore throat, fatigue, body aches, and chills can make you feel miserable. While medications can help, many people find relief using simple, natural remedies at home.

Here are some effective home remedies to ease flu symptoms and support your recovery.

1. Stay Hydrated
Flu often leads to dehydration due to fever, sweating, and loss of appetite. Drinking plenty of fluids like water, herbal teas, and clear broths helps keep your body hydrated and supports your immune system. Warm liquids can also soothe a sore throat and loosen mucus.

2. Rest and Sleep
Your body needs extra energy to fight off the flu virus. Getting plenty of rest and sleep gives your immune system the strength to recover. Avoid physical and mental stress during this time.

3. Use Steam Inhalation
Inhaling steam helps relieve nasal congestion and soothe irritated airways. Add a few drops of essential oils like eucalyptus or peppermint to hot water and breathe in the steam. Be careful not to burn yourself.

4. Saltwater Gargle
A saltwater gargle can ease sore throat pain and reduce inflammation. Mix half a teaspoon of salt in a glass of warm water and gargle several times a day.

5. Warm Herbal Teas
Herbal teas made from ginger, chamomile, or lemon with honey are not only comforting but also help reduce inflammation and relieve throat irritation. Honey has natural antibacterial properties and helps soothe coughs.

6. Boost Immunity with Nutrition
Eat light but nutritious foods that are easy to digest. Chicken soup, fruits, and vegetables rich in vitamin C (like oranges, kiwi, and bell peppers) can strengthen your immune response.

7. Humidify the Air
Using a humidifier or placing a bowl of water near a heater can add moisture to dry indoor air. This helps keep your nasal passages moist and eases coughing and congestion.

8. Apply Warm Compresses
Warm compresses on the sinuses or chest can reduce pressure, relieve pain, and improve blood circulation in the affected areas.

9. Use Menthol or Eucalyptus Balms
Topical balms containing menthol or eucalyptus oil can be applied to the chest, back, or throat to help relieve cough and nasal congestion.

When to See a Doctor

While home remedies can provide relief, consult a healthcare provider if you experience:

High fever lasting more than 3 days
Difficulty breathing or chest pain
Severe sore throat or ear pain
Persistent vomiting or dehydration
Worsening symptoms after initial improvement

Flu symptoms can be draining, but with rest, hydration, and natural remedies, most people recover within a few days. These home remedies can help relieve discomfort and speed up healing. However, always consult your doctor for personalized advice, especially if symptoms are severe or prolonged.

31/05/2025

https://www.youtube.com/watch?v=7unLAbKKJj4

Diagnosis of Empty Nose Syndrome (ENS) and Atrophic Rhinitis with Endoscopic Examination: A Close Look at the Case



Applications made with complaints of nasal congestion are among the most frequently encountered conditions in ENT practice today. However, complications that may develop after some surgical interventions can seriously affect the quality of life of patients. In this article, I share the endoscopic examination findings of a patient whose inferior turbinates were surgically cut and removed almost completely and who developed empty nose syndrome (ENS) and atrophic rhinitis symptoms within a few years.

Case Summary

You can find details, symptoms, diagnosis and treatment approaches regarding the endoscopic examination of a patient with ENS and atrophic rhinitis in this article.
Our patient had undergone intranasal surgery in different clinics in the past due to chronic nasal obstruction. During the procedure, the inferior turbinates were almost completely resected. Although symptomatic relief was initially achieved, a few years after the surgery, the patient developed symptoms of ENS and atrophic rhinitis, especially in the right nasal cavity.

Symptoms of this patient
A feeling of nasal obstruction despite taking in air
Nasal dryness and crusting
A feeling of fullness and pressure in the nasal region
Chronic postnasal drip
Olfactory disorders
Psychological disorders (such as anxiety, depression)

These symptoms are typical symptoms of ENS. The most striking aspect of this syndrome is that the patient does not feel the air flow and describes this situation as "I can't breathe".

Endoscopic Examination Findings

During the endoscopic evaluation, it was observed that the right nasal cavity was enlarged, and the mucosal surface was thinned and dry. More pronounced on the right side; loss of brightness, crusting and accumulation of inflammatory dry secretion in the mucosa were remarkable. The disruption of the anatomical integrity of the inferior turbinate caused the loss of airflow balance. Mucosal atrophy reflected the typical findings of atrophic rhinitis.

Similar findings were present in the left nasal cavity, although less, and it was observed that the mucosa was dry and reddened and direct contact with air negatively affected the integrity of the mucosa. Although a very small portion of the inferior turbinate remained in the left nasal cavity; it may have provided a partially healthier nasal mucosa compared to the other side.

The Relationship Between Empty Nose Syndrome and Atrophic Rhinitis

Empty nose syndrome is a condition that often develops as a result of excessive surgical intervention. Excessive removal of turbinate tissue disrupts the balance of intranasal airflow and causes mucosal receptors to lose their function. This situation causes the brain to perceive obstruction even when there is no actual obstruction in the body (a feeling of air hunger).

Atrophic rhinitis is a progressive disease that usually progresses with dry mucosa and susceptibility to infections. When seen with ENS, the severity of symptoms increases and the treatment process becomes more complicated. Endoscopic examination is a very valuable method in the diagnosis of ENS and atrophic rhinitis. Early diagnosis of these complications, especially in patients who have had aggressive turbinate surgery in the past, is critical in terms of improving quality of life and preventing progressive damage.

Treatment Approach

The treatment of ENS and atrophic rhinitis requires a multidisciplinary approach. Nasal moisturizers, saline irrigations, topical antibiotics and mucosal protective agents are usually used as the first step. However, in advanced cases, surgical interventions such as intranasal tissue volume-reducing implant applications or tissue transfer may be considered.

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