Suicidal thoughts in patients with empty nose syndrome

Chien‐Chia Huang; Pei‐Wen Wu; Cheng‐Chi Lee; Po‐Hung Chang; Chi‐Che Huang; Ta‐Jen Lee

doi:10.1002/lio2.730

journal article Open Access Jan 19, 2022

Suicidal thoughts in patients with empty nose syndrome

Chien‐Chia Huang

Pei‐Wen Wu

Cheng‐Chi Lee

Po‐Hung Chang

Chi‐Che Huang Ta‐Jen Lee

Laryngoscope Investigative Otolaryngology Vol. 7 No. 1 pp. 22-28 · Wiley

View at Publisher Save 10.1002/lio2.730

Abstract

AbstractObjectivesPatients with empty nose syndrome (ENS) suffer from paradoxical nasal obstruction with a patent objective nasal airway. ENS may result from the excessive surgical reduction of the turbinate tissue. ENS patients also experience significant psychological symptoms such as anxiety and depression. In this study, we aimed to evaluate the prevalence of suicidal thoughts in ENS patients and to characterize these patients for early identification.Study DesignProspective case series.MethodsPatients with ENS were prospectively recruited for this study. The Sino‐Nasal Outcome Test‐25 (SNOT‐25), Empty Nose Syndrome 6‐item Questionnaire (ENS6Q), Beck Anxiety Inventory (BAI), and Beck Depression Inventory‐II (BDI‐II) were used to assess ENS patients before and 6 months after nasal reconstruction surgery.ResultsSixty‐two patients with ENS were enrolled. Suicidal thoughts were identified in 23 ENS patients preoperatively and in four patients postoperatively. ENS patients with suicidal thoughts rated significantly higher in the SNOT‐25, ENS6Q, BDI‐II, and BAI total scores than those without suicidal thoughts (all P < .05). “Nose feels too open” was the item in ENS6Q that was significantly more severe in ENS patients with suicidal thoughts than those without suicidal thoughts (P < .001).ConclusionsSuicidal thoughts are frequently identified in patients with ENS. ENS patients with suicidal thoughts experienced significantly more severe symptoms, impaired quality of life, and psychological burden than those without suicidal thoughts. Recognizing individuals who may carry suicidal thoughts and provide appropriate psychological interventions is critical to prevent tragedy.Level of Evidence4

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References

28

[1]

10.1016/j.otc.2009.02.001

[2]

10.1002/lary.24813

[3]

10.1371/journal.pone.0024618

[4]

10.1002/alr.22045

[5]

10.1002/lary.26491

[6]

10.1002/lary.28586

[7]

10.1001/jamaoto.2014.84

[8]

10.1177/1945892419880642

[9]

10.1002/alr.22097

[10]

10.1002/lary.26599

[11]

10.1002/lary.25814

[12]

Huang CC "What drives depression in empty nose syndrome? A Sinonasal Outcome Test‐25 subdomain analysis" Rhinology (2019)

[13]

10.1007/s11882-014-0493-x

[14]

10.1002/lary.26769

[15]

10.4193/rhin13.086

[16]

10.1002/lary.28845

[17]

10.1002/alr.21842

[18]

Beck AT (1996)

[19]

An inventory for measuring clinical anxiety: Psychometric properties.

Aaron T. Beck, Norman Epstein, Gary Brown et al.

Journal of Consulting and Clinical Psychology 10.1037/0022-006x.56.6.893

[20]

10.1097/00005053-200202000-00005

[21]

Kanjanawasee D "Empty nose syndrome pathophysiology: a systematic review" Otolaryngol Head Neck Surg (2021)

[22]

Sleep disorders as core symptoms of depression

David Nutt, Sue Wilson, Louise Paterson

Dialogues in Clinical Neuroscience 10.31887/dcns.2008.10.3/dnutt

[23]

10.31887/dcns.2006.8.2/mthase

[24]

10.1002/lary.21903

[25]

10.1016/j.genhosppsych.2015.02.005

[26]

10.1002/lary.25170

[27]

10.1097/moo.0000000000000544

[28]

10.1002/lary.29593

Metrics

15

Citations

28

References

Details

Published: Jan 19, 2022
Vol/Issue: 7(1)
Pages: 22-28
License: View

Authors

C

Chien‐Chia Huang

Division of Rhinology, Department of Otolaryngology Chang Gung Memorial Hospital and Chang Gung University Taoyuan Taiwan; Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University Taoyuan Taiwan; School of Medicine, Chang Gung University Taoyuan Taiwan

P

Pei‐Wen Wu

Division of Rhinology, Department of Otolaryngology Chang Gung Memorial Hospital and Chang Gung University Taoyuan Taiwan; Department of Otolaryngology–Head and Neck Surgery Chang Gung Memorial Hospital and Chang Gung University Keelung Taiwan

C

Cheng‐Chi Lee

Department of Neurosurgery Chang Gung Memorial Hospital at Linkou Taoyuan Taiwan; Department of Biomedical Engineering National Taiwan University Taipei Taiwan

P

Po‐Hung Chang

Division of Rhinology, Department of Otolaryngology Chang Gung Memorial Hospital and Chang Gung University Taoyuan Taiwan; Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University Taoyuan Taiwan; School of Medicine, Chang Gung University Taoyuan Taiwan

C

Chi‐Che Huang

Division of Rhinology, Department of Otolaryngology Chang Gung Memorial Hospital and Chang Gung University Taoyuan Taiwan; Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University Taoyuan Taiwan; School of Medicine, Chang Gung University Taoyuan Taiwan

T

Ta‐Jen Lee

Division of Rhinology, Department of Otolaryngology Chang Gung Memorial Hospital and Chang Gung University Taoyuan Taiwan; School of Medicine, Chang Gung University Taoyuan Taiwan; Department of Otolaryngology Xiamen Chang Gung Hospital Xiamen China

Funding

Ministry of Science and Technology, Taiwan Award: NMRPG3K0031

Chang Gung Memorial Hospital Award: CMRPG3K2321

Cite This Article

Chien‐Chia Huang, Pei‐Wen Wu, Cheng‐Chi Lee, et al. (2022). Suicidal thoughts in patients with empty nose syndrome. Laryngoscope Investigative Otolaryngology, 7(1), 22-28. https://doi.org/10.1002/lio2.730

Suicidal thoughts in patients with empty nose syndrome

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