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1Jack Ackland, USA (1961)2Female patient of Dr. Eugene Kern, USA (1988)3Male patient of Dr. Eugene Kern, USA (1994)4Antonio Fernando De Jesus Jacinto, France (6 Nov 2001)5Male patient of Yong Ju Jang in South Korea6Sylvain Barthélemy, France (2007)7John L. Malamos, USA (2010)8Ludovic Sery, France (2011) PDF9Raphaël Goblet, Belgium (2013) PDF10Stéphane Spinhirny, France (2013)11Brett Helling, USA (2015) PDF12Priscilla Robert, France (2015) External article13Mélisa Champion, Canada (2015) Video14Di Yuemei (狄月媚), China (2016) PDF15Liu Wentao (刘文涛), China (2016) PDF16Zhang Rui (張瑞), China (2016) PDF17Sarah J Ogden, US (2017) PDF18Chen Zhidan (生陈志聃), China (2017) PDF19Scott Gaffer, USA (2018) PDF20Yaniv Oz, Israel (October 2018) PDF21Doloretta Ruggeri Lodge, USA (2019) PDF22Tisoy Briones (Orlando Jr Kangadil Briones), Philippines 2019 PDF23Marcio Goulart, Brazil (2020) PDF24Christian Bruhn, Germany (2020) PDF25Christopher Supalla, USA (2021) PDF26Robert Byrnes, USA (2021) PDF27Luke Botsis, USA (2021) PDF28Rachel Jordan, UK (2021) PDF29Marc Bidaux, France (2021) Blog - Full story (Word)30Maria J Izquierdo, Spain (2022)31Unknown man ends his life in 2022 as a result of ENS PDF32Charly Audes, France (2024) PDF33Johnny Frech, Canadian man (17 May 2024) PDF34Tyler Kuckelman, USA (18 May 2024) PDF35Océane Flavigny, France (2024) PDF file36Sam Treffry, Australia (2024) Blog37Bente Van de Veerdonk, the Netherlands (2024) Internal article38Michael Jackson, USA 2009 External video39Sherri Ann Cutrona, US 2020 PDF40Loan Pham US 2023 PDF file41Man of unknown name from Portugal, 2016 (Under investigation)42Jason Sheftell, US 2013 Article External43Young Chinese man from Jiangxi, (一个江西空小伙先) China 2016. PDF file44Chinese man of unknown name, 200745Wang Baoming (王宝洺), China 2011 PDF file46Ou Xuejun (区学军), China 2012 PDF47Lu Foke (吕福克), China 2012 PDF48Lian Enqing (連恩青), China 2013 PDF
Overview of the content
45cases in the article's compilation, 1961–2024
Peopleclickable index with previous/next navigation
Timelinegraphics and information on time elapsed after nasal surgery
Globaloverview of reported cases and geographic distribution
The figures and conclusions on this page should be read in light of the collection method described in the article itself: the material is based, among other things, on publicly available information and information shared in three English-language ENS groups on Facebook. The navigation below does not alter the original material; it simply makes this long compilation easier to use.
Empty Nose Syndrome · patient cases · nasal surgery · 1961–2024
Empty Nose Syndrome after nasal surgery: documented tragedies, patient cases and statistics
A comprehensive Swedish compilation of reported serious cases following procedures including turbinectomy, turbinate reduction, septoplasty, sinus surgery and other forms of nasal surgery. The page brings together personal accounts, source material, videos, PDF files, statistics and links to separate patient cases.
Most of the people mentioned in this document chose to end the suffering their surgeons had caused them, while others lost their lives after serious long-term health problems associated with the condition. Notably, one person in China received a capital sentence after taking revenge on the surgeon who performed a partial turbinectomy, a procedure that resulted in severe ENS. Another person tragically shot himself at a hospital after attacking the surgeon responsible for his condition. In addition, several individuals in China have been sentenced to life imprisonment for similar revenge attacks on their surgeons.
"Please note that the fatal outcomes presented below represent only an extremely small fraction of all ENS-related fatal outcomes worldwide. This is not even the tip of the iceberg. The list below is based solely on information shared within three English-language ENS groups on Facebook, which together have approximately 5,000 members. Consequently, this information does not reflect the actual worldwide mortality resulting from procedures such as septoplasty, turbinectomy and similar operations. Given the large number of such procedures performed around the world every day, there are reasonable grounds to assume that the total number of fatal outcomes resulting from these procedures amounts to tens of thousands of people worldwide."
Statistics – Serious consequences of Empty Nose Syndrome: 45 documented cases (1961–2024)
Although we do not have a verified mortality figure for ENS, the fact that we can readily find public information on 45 cases clearly indicates that the actual mortality associated with ENS is likely to be considerably higher. The question to ask yourself is:
How many people end their lives as a result of other failed operations? We have never heard of any other procedure that causes the same extreme suffering and fatal consequences as today's aggressive nasal operations. The only comparable treatment is LASIK, which can also cause enormous suffering for the patient – although without the systemic effects associated with ENS.
This "nasal lobotomy" undermines the very foundation of a normal life and makes existence unbearable. If you deprive a person of the ability to breathe, you take away the very essence of life. You do not merely damage their body – you crush their soul. Below is an image showing the distribution of some of the ENS-related fatal outcomes we have identified.
How many people end their lives as a result of other failed operations? We have never heard of any other procedure that causes the same extreme suffering and fatal consequences as today's aggressive nasal operations. The only comparable treatment is LASIK, which can also cause enormous suffering for the patient – although without the systemic effects associated with ENS.
This "nasal lobotomy" undermines the very foundation of a normal life and makes existence unbearable. If you deprive a person of the ability to breathe, you take away the very essence of life. You do not merely damage their body – you crush their soul. Below is an image showing the distribution of some of the ENS-related fatal outcomes we have identified.
The graph below shows how soon after nasal surgery the affected individuals ended their lives. Please note that we do not have complete information for all 45 cases described here. Based on the 35 cases for which the timeline is known, the rate of cases in which people ended their own lives appears to be highest during the first two years after surgery. the number of fatal outcomes then rises again between years 4 and 8 after the procedure.
This is particularly noteworthy because Dr. Eugene Kern has established that the remaining mucosa breaks down, on average, within six years after the turbinates have been destroyed and the nasal cavity widened. In the following video (listen at 14 and 20 minutes) Kern states that, on average, his patients developed fully established secondary atrophic rhinitis after 6.1 years. The increase in documented cases in which people ended their own lives observed in the study between years 4 and 8 therefore corresponds with this timeframe.
Reported ENS-related tragedies (1961–2024) – based on information from three Facebook groups with 5,000 members
Global overview: Reported serious ENS cases with tragic outcomes
Below is a summary of the cases for which we have been able to gather information. For approximately 18 of these cases, videos or podcasts are available and can be accessed through the links next to each name, or alternatively through related blog posts that are also linked. In total, we have collected extensive supporting material amounting to several thousand pages. In many cases, there are official certificates documenting the circumstances in which the individuals lost their lives, documentation from relatives and social-media histories in which the affected individuals themselves documented their suffering. To review this information, please follow the links shown to the right of or beneath the names below. The material presented here supports the conclusion that ENS is an extremely serious condition causing both physical and psychological suffering of such intensity that people feel compelled to end their lives in order to escape the unending torment and torture caused by the condition.
Case 1 of 48Person indexOverview ↑Next person →HomepageJack Ackland, USA (1961)Article (External)PDFBlog post
Jack Ackland was an American military veteran who tragically took his own life at the age of 43. His original ambition had been to become a fighter pilot, but he developed barometric sinusitis, which led to chronic sinus problems. His medical journey took a devastating turn in 1943, when he underwent removal of the turbinates (turbinectomy) and a radical antrostomy (Caldwell-Luc surgery) performed by Dr. R.W. Wright. The surgery, which was criticized as "unnecessary," left him with permanent nasal problems and severe symptoms, including nasal collapse, Empty Nose Syndrome (ENS), chronic headaches and respiratory infections. These complications left him disabled and brought his military career to an end. After the operation, Ackland's health deteriorated rapidly. He was plagued by severe headaches, respiratory infections and joint inflammation, all caused by complications arising from his sinus problems. He moved to warmer climates in the hope of easing his symptoms, but the physical and psychological strain was profound. His constant pain, depression and feeling that he was a burden on his family led to increasing psychological suffering. Despite the disabling nature of his condition, the Veterans Administration (VA) denied him disability benefits for years and changed its decision only after his act of ending his own life. On Father's Day in 1961, Jack Ackland took his own life with a .22-caliber pistol in the back seat of his car, devastated by his condition. His son found him a few hours later, and the tragedy left a lasting mark on his family. Case 2 of 48← PreviousPerson indexOverview ↑Next person →HomepageFemale patient of Dr. Eugene Kern, USA (1988)PDFVideo
Kern discusses his patient; see the video linked above, where he shares the following information: "A 54-year-old white female who complained of nasal stuffiness since a cosmetic rhinoplasty four years earlier. She had also had a nasal injury as a child. She also complained of symptoms such as fatigue, and we talked about this, under the table, over lunch yesterday. Inability to concentrate. Have you ever seen that in any of your patients? Inability to concentrate because of a nasal problem. Six months ago she underwent reconstructive surgery with no improvement. She had allergy treatment for two years with no improvement. And here you can see, I can't read this, sorry, but this is a psychological evaluation. I sent the patient to psychiatry, and the psychiatrist happened to have been an internist before becoming a psychiatrist, and he described her breathing difficulty as dyspnea, and not related to anxiety. That was what he said. This person later ended her own life. And that really got my attention. She ended his own life in 1988, and she warned me about it, and that is why I sent her to the psychiatrist." Case 3 of 48← PreviousPerson indexOverview ↑Next person →HomepageMale patient of Dr. Eugene Kern, USA (1994)PDFVideo
Kern discusses his patient; see the video linked above, where he shares the following information: "The next patient who caught my attention was a 45-year-old white male, a banker and founder from Iowa. He had undergone septal surgery and polypectomy two years earlier. He had developed an inability to concentrate, fatigue, if you will, irritability, breathing difficulties, and he was treated with antibiotics. He was examined by me for evaluation. I inserted a septal button because he had a perforation. There is my surgery from 1993; he had a septal perforation and I inserted a septal button, and he also ended his own life in 1994." Case 4 of 48← PreviousPerson indexOverview ↑Next person →HomepageAntonio Fernando De Jesus Jacinto, France (6 Nov 2001)External articlePDF
Antonio Fernando De Jesus Jacinto, a 41-year-old man, was at the center of a tragic incident involving an ear, nose and throat physician. Jacinto, who had suffered severe nasal problems after what he described as aggressively performed surgery by Dr. Christian Hamman, believed that the doctor had caused him extensive physical harm. Suffering as a result of the operation, he tried to sue Hamman but ultimately failed in his legal action. Emotionally exhausted and with no prospect of redress, Jacinto took matters into his own hands. On Tuesday evening, he entered Dr. Hamman's medical office on Avenue de Flandre in the 19th arrondissement and confronted the surgeon. During the confrontation, Jacinto drew a .25-caliber pistol and shot the doctor in the chest. After the attack, Jacinto is reported to have said, "I told you I would get you," before tragically taking his own life with the same weapon. A patient who was present during the incident recalled: "I was sitting in the doctor's chair when Jacinto came in. I heard a first shot. Then the doctor threw himself at him while he was brandishing his weapon. A second shot rang out, and that was when the doctor collapsed. I found myself face to face with him. Our eyes met and I thought he was going to kill me. But then he raised the hand holding the weapon, pressed the barrel to his temple, began to sweat and pulled the trigger. It was only fifteen minutes later that I realized I had been shot in the ankle." Jacinto did not survive the incident; the doctor survived and is still practicing today. Case 5 of 48← PreviousPerson indexOverview ↑Next person →HomepageMale patient of Yong Ju Jang in South Korea - ENS-related fatal outcome (2005?)
Lecture by Dr. Yong In the 2018 lecture linked above, Dr. Yong mentions that one of his ENS patients ended his own life; listen at 8 minutes and 30 seconds. Quote from the video: "This is the patient I mentioned earlier. This is the patient from 13 years ago (2005?). He had sinus problems, and he also underwent some kind of turbinate surgery. I put him on medical treatment and reconstructed his turbinates with conchal cartilage. One day his family visited me and told me that this man had ended his own life. So that was really shocking to me. We don't know the incidence. It is really difficult to study the incidence." Case 6 of 48← PreviousPerson indexOverview ↑Next person →HomepageSylvain Barthélemy, France (2007)PDFBlogFull story in WordVideo
Sylvain Barthélemy was a French man who developed serious complications after nasal surgery, ultimately leading him to end his own life at the age of 38. He initially suffered from a deviated nasal septum and intermittent nasal obstruction and underwent septoplasty and bilateral turbinotomy in 2005. In 2006, he underwent a second operation in which his middle turbinates were removed and used as grafts to create new inferior turbinates. These procedures resulted in the complete loss of turbinate tissue and severe complications. After surgery, Barthélemy began experiencing severe headaches, chronic pain in the ear, nose and throat region, frequent sinus infections and sleep problems. His symptoms progressed to extreme anxiety, depression and significant behavioral changes. Physical activities such as skiing and paragliding became painful, and he was forced to avoid dry or dusty environments because of increased sensitivity. The highly experimental grafting attempt to create new inferior turbinates using his middle turbinates significantly worsened his condition, and the grafts were rejected by his body. By 2007, he was taking high doses of opioids and receiving psychiatric care, yet his pain remained unbearable. Barthélemy's quality of life deteriorated drastically, and he struggled with constant pain, insomnia and depression to the point that he could sleep only a few hours per night. He began placing damp cotton in his nostrils to ease the pain caused by the air and found confined spaces difficult to tolerate. After three attempts to end their own life, he ultimately passed away after jumping from a 250-meter-high bridge. His family, especially his brother, emphasized that his passing was an escape from unbearable physical pain. He did not end their own life; he ended the suffering his surgeons had caused him. John Malamos lived a happy and active life in Illinois, USA, until complications following a second cosmetic operation transformed his life into one marked by suffering. He originally underwent rhinoplasty to address cosmetic concerns, but because of problems with the first operation, he needed a revision. During this second operation, the surgeon decided to reduce John's inferior turbinates without informing him of the potential risks. This "extra" procedure, which was unrelated to the cosmetic revision, led John to develop Empty Nose Syndrome (ENS), a painful and serious condition that causes sensations of suffocation, extreme nasal dryness, insomnia, anxiety and depression. ENS turned John's former life into something unbearable and deprived him of sleep and the ability to experience normal breathing sensations. Before these operations, John was a well-loved and active member of his community. He was an avid motorcyclist and often traveled with friends across the western United States. He had a stable career as an assistant manager at Costco, where colleagues valued his kindness, warmth and compassionate leadership. Many of John's friends and coworkers continued to share memories of him years After he passed away, emphasizing the positive impact he had on their lives. These memories paint a picture of a man who was close to and engaged with those around him, always ready to offer support and listen. After developing ENS, John's physical suffering became increasingly devastating, and he also experienced severe psychological distress. In his search for relief, he and his father consulted several of the best-known medical institutions in the United States, including the Cleveland Clinic and Mayo Clinic. Unfortunately, there was no treatment for his condition, and the sense of hopelessness, combined with sleep and breathing problems, led to anxiety and depression. John sought help at a mental-health facility, but his suffering persisted because his condition was physically based rather than psychological. John's mental anguish led to several attempts to end his own life, and tragically he ended his own life at the age of 43. His family was devastated but fought for his funeral to be held within the Greek Orthodox Church, arguing that his suffering had physical causes. His brother, Thomas, has shared John's story to warn others about the risks of turbinate reduction and the importance of informed consent in medical procedures. Thomas hopes to prevent similar tragedies by raising awareness of ENS and encouraging patients to participate actively in decisions about their medical treatment, particularly when unnecessary or unwanted procedures are involved. By sharing memories and photographs from John's happier days, Thomas wants to honor his brother as a kind and vibrant person whose life was tragically cut short by his surgeon. Case 8 of 48← PreviousPerson indexOverview ↑Next person →HomepageLudovic Sery, France (2011)PDFBlogStory in WordVideo
Ludovic Sery, born in France in 1980, was a lively and active man who worked as a forklift driver. Before his life took a tragic turn because of a surgical procedure, he lived a normal life with no history of mental illness; he loved sports and enjoyed spending time with family and friends. In 2002, Ludovic underwent a bilateral conchotomy to treat nasal obstruction caused by allergic rhinitis. Unfortunately, just three months after surgery he began to experience a range of severe symptoms associated with Empty Nose Syndrome (ENS). His nose frequently became inflamed, and he suffered from chronic dryness of the throat and mouth. He had difficulty breathing and experienced nighttime headaches, purulent rhinorrhea (nasal discharge containing pus) and unpleasant odors. He also became increasingly sensitive to changes in temperature, which worsened his suffering. Although he sought help from several healthcare providers, Ludovic encountered skepticism about his complaints. His original surgeon, whose name remains unknown, dismissed his symptoms and claimed that the operation had been successful. He was prescribed anti-inflammatory medication and saline solutions for relief. To manage his worsening depression, he was prescribed anti-anxiety medication, antidepressants and sleeping pills. After a first attempt to end his own life in 2005, he underwent a psychiatric evaluation and was hospitalized for a month. As Ludovic's health continued to deteriorate, he felt increasingly isolated and abandoned. His quality of life declined drastically, and he lost his job in 2008 because of frequent absences. Feeling like a shadow of his former self led him to decide on another operation in June 2009, in which acrylic implants were placed in his nose by Dr. Ayoun. Although he reported some improvements, such as less dryness and fewer headaches, his overall condition remained distressing and he continued to suffer. After years of struggling to obtain relief and recognition of his symptoms, Ludovic tragically took his own life in 2011 at the age of 31. He left behind a grieving family who had lost their beloved son and brother. Despite the tragic outcome, Ludovic's story serves as a reminder of Empty Nose Syndrome and the potential risks of surgical procedures, particularly in the ear, nose and throat field. He hoped that others would understand the risks that can accompany seemingly routine operations and became a voice for those suffering in silence. His journey highlights the critical need for accurate information and support for patients both before and after surgery in order to prevent similar outcomes. Case 9 of 48← PreviousPerson indexOverview ↑Next person →HomepageRaphaël Goblet, Belgium (2013)PDFBlogFull story (Word)Video
Raphaël Goblet was born on January 25, 1987, in Brussels, Belgium, and lived in Chaumont-Gistoux. Before surgery, he had a manageable quality of life, but his life changed tragically after he underwent septoplasty and turbinate reduction. The procedures were performed by Dr. Philippe Rombaux, who not only carried out the operation but also inadvertently caused a perforation in Raphaël's septum. After the first operation, Raphaël developed Empty Nose Syndrome, a condition characterized by severe breathing difficulties and a range of debilitating symptoms such as nasal dryness, insomnia and anxiety. Hoping to relieve his condition, he sought treatment from Dr. Gilles Ayoun, who proposed inserting acrylic implants made of polymethyl methacrylate (PMMA) into his nose. Unfortunately, Raphaël's body rejected these plastic implants, leading to further complications. Raphaël's struggle with ENS had a significant impact on his mental health, and he often felt suffocated and desperate. His quality of life deteriorated rapidly, going from manageable to unsustainable. He suffered from severe insomnia and profound distress, which ultimately led to his tragic decision to take his own life on March 7, 2013, at the age of 26. It is important to point out that Raphaël, like many others who undergo similar operations, had not received adequate information about the potential risks of turbinate reduction and septoplasty. Approximately 20% of such operations are performed in a manner aggressive enough to lead to ENS, and during septoplasty many patients are unaware that their turbinates will also be operated on. Raphaël's fatal outcome highlights a serious problem in healthcare concerning the lack of accountability and the need for greater awareness of the risks associated with nasal surgery. After he passed away, his tragic fate continues to influence discussions about patients' rights and surgeons' ethical responsibilities. Case 10 of 48← PreviousPerson indexOverview ↑Next person →HomepageStéphane Spinhirny, France (2013)PDFBlog post
Stéphane Spinhirny was a French man, born in 1982, who tragically took his own life in 2013 at the age of 30. Before he passed away, he underwent septoplasty in October 2011, performed by Dr. Gilles Ayoun, followed by rhinoseptoplasty in October 2012 by Dr. Bönisch. Both operations were intended to address nasal obstruction, a problem Stéphane had suffered from, but he was not adequately informed about the potential consequences of these procedures. After the operations, Stéphane developed symptoms characteristic of Empty Nose Syndrome (ENS), including a constant sensation of nasal obstruction, dryness, crusting, severe insomnia and significant psychological distress. He described the operations as a "butchery," emphasizing how profoundly they affected his mental health and quality of life. Before surgery, he had managed his health adequately, but after the procedures his quality of life became unbearable. Stéphane sought treatment for his symptoms with medications such as Nasonex and Derinox, but continued to suffer from insomnia and depression. He left behind his parents, Denis and Jeannine, and although he filed a complaint with the medical board in 2012, he chose not to pursue legal action. The consequences of his condition deeply affected his family and increased awareness of the risks associated with such surgical procedures. In his final farewell, Stéphane shared his experiences in a testimony. Quote from Stéphane Spinhirny's blog: "The person most likely to kill you is not a relative or a friend, not a robber or a burglar, not a drunk driver. The person most likely to kill you is your doctor." Professor Even estimates that 100,000 fatal outcomes occur accidentally in hospitals every year. "Doctors have a lower intellectual level than the rest of the population; they are stupid, narrow-minded, speak a pseudo-initiated language and are prisoners of an autocratic mindset that makes them believe they possess the exclusive truth." Case 11 of 48← PreviousPerson indexOverview ↑Next person →HomepageBrett Helling, USA (2015)PDFBlogFull story in WordVideoVideo interview
Brett Helling was a 36-year-old musician living in Worthington, Ohio, a suburb of Columbus, when his life took a catastrophic turn following what he believed would be a routine surgical procedure. On January 29, 2015, he celebrated his birthday, surrounded by family and friends who reached out to him through social media. But instead of joy, Brett felt the suffocating weight of an invisible burden that had tormented him for nearly a year. Brett had struggled with allergies and chronic sinus infections since middle school, which led him to seek help from an ear, nose and throat specialist in February 2014. He underwent septoplasty, a common procedure to correct a deviated septum, as well as an unexpected reduction of the turbinates. This additional surgery involved removal of turbinate tissue – important structures in the nose that warm, humidify and filter the air we breathe. Although the procedure was considered routine, it marked the beginning of Brett's nightmare. In the months after surgery, Brett experienced alarming symptoms. At first, he felt that his nose was "too open," a sensation that developed into a constant struggle to breathe. He could no longer breathe comfortably through his nose; every breath became a conscious and laborious effort. His sense of self began to dissolve, and he felt disconnected from the world around him. Friends and family, who had previously been a source of support, became increasingly concerned as he withdrew from social activities and band rehearsals and spent more time at his childhood home. Although he sought medical care, Brett was met with disbelief from many doctors, who dismissed his concerns as mere anxiety or depression. Even when he voluntarily went to the emergency department and pleaded for help, he was met with indifference. The medical community failed to recognize the seriousness of his condition, deepening his despair. In desperation, Brett turned to homeopathic treatments and injections that provided only temporary relief. By the end of 2014, his situation had worsened, and he suffered from insomnia, severe nasal dryness and a constant sensation of suffocation. He felt trapped in a life that had become "unsustainable," marked by anxiety, exhaustion and a profound sense of hopelessness. As Brett struggled with his new reality, his relationships also began to break down, including an important relationship with his girlfriend. He moved back in with his parents and expressed his pain in the words: "I can't live like this. This is unbearable. I want my life back." On February 16, 2015, four days before the first anniversary of his surgery, Brett took his own life by jumping from the Jeremiah Morrow Bridge, the highest bridge in Ohio. In his moving farewell letter, he wrote about his suffering from Empty Nose Syndrome and urged that it not be dismissed as depression alone. "This illness is very real, incurable but 100% preventable," he wrote. Case 12 of 48← PreviousPerson indexOverview ↑Next person →HomepagePriscilla Robert, France (2015)External articlePDFBlogTestimonyVideo
Priscilla Robert's story is a tragic example of suffering that began with a simple medical condition and led to a life permanently changed by surgery. Born in France in 1985, Priscilla was an ordinary person struggling with sinusitis, eye pain and asthma. Her situation began to worsen in 2009, when her sinusitis flared up and led her to seek several medical opinions. Unfortunately, her path toward recovery took a devastating turn. Initially, she underwent laser treatment for swollen turbinates in March 2009. Despite the surgeon's assurances that her breathing would improve, her symptoms persisted. In April of the same year, after expressing dissatisfaction with the result, Priscilla underwent a more invasive procedure: turbinate reduction and septoplasty. The operation was intended to relieve her ongoing nasal obstruction, but instead it became the beginning of a nightmare that would haunt her for years. After surgery, Priscilla experienced a range of distressing symptoms. What should have been a hopeful step toward relief instead led to increasing pain, severe headaches and recurring anxiety attacks. She felt that her life was slipping away as both her physical and mental health deteriorated rapidly. Although she sought emergency care and received further medical assessments, she encountered indifference from healthcare professionals who refused to connect her debilitated condition with the recent operations. This experience left her emotionally isolated and invalidated, as her pleas for help went unheard. By 2011, her quality of life had deteriorated so severely that she could barely eat or sleep. She had lost her sense of smell and suffered from constant nasal obstruction, living in a state of hyperventilation with a nose that continually felt dry and burning. The pressure in her forehead and the sensation of suffocation when lying down became unbearable. Despite her suffering, Priscilla found a small measure of comfort in a support group for people affected by Empty Nose Syndrome (ENS), a condition often overlooked by the medical community. Tragically, Priscilla's physical and psychological torment culminated in her act of ending her own life on August 6, 2015, at the age of 30. Throughout her suffering, she expressed regret at having agreed to the operations and said that if she had been informed of the potential risks, she would never have undergone them. Her testimony stands as a powerful reminder of the complex and serious consequences of nasal surgery and highlights the need for greater awareness and understanding of ENS. Case 13 of 48← PreviousPerson indexOverview ↑Next person →HomepageMélisa Champion, Canada (2015)VideoPDFBlogFull story in Word
Mélisa Champion, born in 1982, was a lively and sociable young woman from Quebec who dreamed of becoming a flight attendant and had a great passion for travel. Her life, however, took a tragic turn after a surgical procedure that was intended to improve her quality of life. In 2007, after experiencing persistent ear pain during a trip, Mélisa sought medical care and was diagnosed with a deviated nasal septum. This led her to an ear, nose and throat specialist who recommended septoplasty, a procedure she believed would be straightforward. What Mélisa did not know was that the operation was far more invasive than she had been told. In addition to the septoplasty, she underwent a complete septorhinoplasty and bilateral reduction of the inferior turbinates through cauterization. Had she been fully informed about the extent of the surgery, she probably would have refused it. The operation took place on November 11, 2007, marking the beginning of a long and painful struggle with Empty Nose Syndrome (ENS). After the procedure, Mélisa began to experience severe nasal dryness and a range of disabling symptoms, including pain in her face, eyes, ears and throat, together with recurring headaches. The loss of her turbinates caused unfiltered air to pass through her nasal passages, resulting in severe allergies and asthma attacks. In her own words, she described the experience as though her lungs were "frozen." Desperate for relief, Mélisa began drinking warm water and eating bread crumbs, as these provided some relief from the pain in her lungs. By 2008, her condition had worsened, leading her to receive allergy shots in an attempt to manage the symptoms. Soon, however, she lost her job and had to move back in with her parents, Marcelle and Jean-Yves, who supported her. In 2013, her health deteriorated further, and she suffered an anaphylactic reaction requiring emergency hospital care. In May 2015, another ENT specialist informed Mélisa that she had developed complete paralysis of her sinus functions and that the tissues in her nose were no longer alive, with no possibility of recovery. The doctor advised against further surgery because of the severe atrophy of her mucous membranes. By this point, Mélisa depended on an AIRVO device, an integrated humidifier that helped her breathe by warming and humidifying the air entering her lungs. This machine became vital to her survival, as it relieved the effects of the cold, dry air that aggravated her bronchial tubes and lungs and triggered painful asthma attacks. Despite her chronic condition, Mélisa found comfort in small pleasures, such as spending time with loved ones, reading and listening to music. She documented her difficulties in a moving video message to raise awareness of ENS and warn others about the potential risks of nasal surgery. During her struggle with this disabling syndrome, she emphasized the medical community's lack of understanding and recognition of ENS and urged others to seek additional opinions before undergoing similar operations. Mélisa's mental health was profoundly affected by her suffering. She went through a prolonged decline in which she felt a deep sense of loss, not only regarding her health but also her ability to work and enjoy life as she once had. During her final days, she expressed a deep acceptance of her condition and prayed for peace in the afterlife, free from suffering. Tragically, Mélisa Champion passed away on May 23, 2015, at the age of 33. her passing was attributed to the prolonged illness caused by ENS, and her parents continue to advocate for awareness and recognition of the syndrome in the hope of preventing others from suffering the same fate. The financial burden of her condition was also heavy for her family, as Mélisa needed a transplant procedure that was available only in the United States or Germany and would have cost more than $50,000. Despite attempts to raise funds, she was unable to obtain the necessary treatment. Mélisa's story stands as a heartbreaking reminder of the importance of informed consent in medical procedures and the devastating consequences of ENS. Her legacy lives on through her family's efforts to secure greater recognition of this syndrome and draw attention to the suffering of those affected. At the age of 54, Di Yuemei, a talented painter and poet, could no longer endure her suffering from ENS and ended her life, a tragic testament to the pain many people endure with this condition. Liu, a 23-year-old from Dalian, endured unbearable suffering because of ENS and tragically ended his life in 2016. Case 16 of 48← PreviousPerson indexOverview ↑Next person →HomepageZhang Rui (張瑞), China (2016)PDFInternal article
Zhang Rui was a 27-year-old woman who worked in the construction industry, a profession requiring both physical strength and endurance. She was preparing to marry and had a supportive family around her. Zhang had completed her education at a vocational school and acquired the skills required for her work. In her free time, she enjoyed being outdoors and spending time with her friends. Her life changed drastically after surgery to treat her chronic rhinitis, a common condition affecting many people. Unfortunately, the operation, performed by a doctor whose name is not stated, resulted in Zhang developing Empty Nose Syndrome (ENS). This condition includes, among other things, a sensation of emptiness in the nose, breathing difficulties and a range of psychological problems. After surgery, Zhang began experiencing severe symptoms including a dry and cold nasal cavity, hyperventilation, insomnia and depression. ENS profoundly affected her mental health, and she felt both abandoned and misunderstood. Feelings of despair and anger grew stronger, while insomnia and anxiety made it difficult for her to function in everyday life. Although she sought help through various treatments, injections and perhaps even implants, she obtained little relief. Zhang had not been adequately informed of the risks associated with the operation before undergoing it, leaving her feeling betrayed and hopeless. About two weeks after surgery, her symptoms began to worsen, and she ultimately succumbed to the overwhelming pain and despair. Tragically, Zhang Rui chose to end her life by jumping from a building, an act reflecting the profound suffering she had endured. She was only 27 years old and left behind a family devastated by the loss. The case is currently under investigation. Sarah Ogden, born in 1994, tragically passed away in 2017 at the age of 22. She most likely underwent septorhinoplasty with simultaneous turbinate reduction. After these procedures, she developed Empty Nose Syndrome, which severely affected her quality of life and made life unbearable. Despite various attempts at treatment, including two AlloDerm graft procedures performed by Dr. Steven Houser, Sarah ultimately chose to end her life, a tragic consequence of complications caused by the surgery. Case 18 of 48← PreviousPerson indexOverview ↑Next person →HomepageChen Zhidan (生陈志聃), China (2017)PDF
Chen, a student at Shandong University, faced major challenges related to ENS and ended his life in 2017. See the PDF file for evidence. Case 19 of 48← PreviousPerson indexOverview ↑Next person →HomepageScott Gaffer, USA (2018)PDFBlog postExternal video
Scott Gaffer, born in 1988, was a talented engineer living in Austin, Texas. Tragically, he took his own life in 2018 after suffering from Empty Nose Syndrome (ENS), a serious consequence of surgery that changed his life. Scott was an intelligent and caring person, known for his humor and compassion. Despite a promising career and close friendships, the course of his life changed dramatically after a surgical procedure in 2010. In 2010, Scott underwent turbinoplasty and septoplasty to treat recurrent sinus infections and a deviated nasal septum. The purpose of the operation was to improve his breathing and correct a long-standing obstruction in one of his nostrils. Nothing suggested the serious complications that would follow. The operations were performed by a female surgeon, followed by Dr. Brent A. Senior and Dr. Das on later occasions. Although the surgery was carried out to relieve his symptoms, Scott did not receive adequate information about the potential risks, which included nerve damage and the development of ENS. After surgery, Scott's health began to deteriorate rapidly. Immediately after the procedure, he experienced a complete loss of airflow resistance, making it difficult for him to breathe normally. He also began suffering from serious symptoms including severe gastrointestinal problems, sleep apnea and psychological challenges such as anxiety and depression. His quality of life, previously good, declined dramatically. Sleepless nights, constant worry and a sense of hopelessness became part of his everyday life. Although he sought help and experimented with various treatments, medications and supplements, his symptoms remained severe and the life he once knew remained beyond his reach. To connect with others experiencing the same suffering, Scott frequently turned to online forums, where he shared his experiences and sought support. He wanted to help others cope with their illness, and his compassion was evident in these interactions. Despite his efforts to find relief, his condition continued to worsen. He felt increasingly isolated, as neither friends nor family could understand the invisible pain he was experiencing. This sense of loneliness and despair weighed heavily on him, and in a farewell letter he wrote, "my health broke before my spirit," clearly conveying the profound emotional strain ENS had caused him. Scott's mental health became increasingly severely affected over the years, particularly as he watched his peers move forward in life while he remained unable to do so. His sense of hopelessness deepened with the realization that he could no longer enjoy ordinary activities for someone in their thirties, such as dating or building a career. On September 21, 2018, one month after his 30th birthday, Scott ended his life. After Scott's fatal outcome, his mother, Beth, shared his story to raise awareness of ENS and the difficulties he had faced. She wanted to highlight the importance of understanding and supporting people who suffer from this devastating illness. Scott's tragic fatal outcome reminds us of the serious need for more information and support for those struggling with the consequences of surgery that leads to ENS. Case 20 of 48← PreviousPerson indexOverview ↑Next person →HomepageYaniv Oz, Israel (October 2018)PDFBlog post
Yaniv Oz, born in Israel in 1992, was a lively and energetic young man with a strong interest in football, strict training routines and a wide circle of friends dating back to his preschool years. He was known for his hard work, loyalty and cheerful personality. As a teenager, Yaniv noticed a slight narrowing in one nostril, but he did not regard it as a serious problem. At the age of 20, during his compulsory military service, he was referred to Hadassah Hospital for a polypectomy, a procedure to remove nasal polyps that also included rhinoplasty. He was not informed of the potential risks or consequences of the procedures, including the possible loss of vital nasal tissue. Two years after surgery, Yaniv appeared to have recovered well and continued playing football, training at the gym and studying. Around 2014, however, symptoms began to emerge – aggression, headaches and insomnia. Although he traveled and lived abroad for more than a year, his health worsened after he returned. He suffered recurrent throat infections, migraines and overwhelming fatigue, making it impossible for him to keep a job. His throat constantly felt blocked, making it difficult to breathe or speak without effort. As his physical condition deteriorated, Yaniv also suffered from severe insomnia, feelings of suffocation and anxiety. Doctors repeatedly told him that his symptoms were psychological and offered psychiatric help and steroids. Yaniv, however, knew that his condition was more than merely psychological. Despite trying various treatments, including acupuncture and voice therapy, his quality of life deteriorated rapidly. He developed depression and isolated himself from friends and family, unable to play football or live the active life he once loved. In the final days before his tragic passing, Yaniv joined a Facebook group for people with Empty Nose Syndrome. He managed to book an appointment with a specialist, but tragically, on the day of that appointment in 2018, Yaniv took his own life by hanging at the age of 26. Yaniv left a farewell letter asking his family to seek justice against the surgeon who had performed his operation, in the hope of preventing others from being subjected to the same suffering. Case 21 of 48← PreviousPerson indexOverview ↑Next person →HomepageDoloretta Ruggeri Lodge, USA (2019)PDFExternal videoBlog post
Doloretta Lodge, affectionately known as Dory, was born in 1961 and passed away in 2019 at the age of 57. She was a warm and caring person who devoted her life to her family, including her husband, children and grandchildren. Family gatherings and home-cooked meals brought her great joy, and she loved taking daily walks with her dog. Although she was not employed when she passed away, she had always worked hard to support her family. In December 2018, Dory underwent routine turbinate cauterization (diathermy/electrocautery) performed by an ear, nose and throat specialist with the aim of relieving her chronic nasal problems. She was given no information, however, about the potential consequences of the procedure. Immediately after surgery, she began experiencing severe symptoms. She described the sensation as though her nose had "a million tiny cuts" and suffered extreme dryness, shortness of breath and an intense sensation of suffocation. These symptoms were caused by the loss of nerves and receptors in the now cauterized turbinates, severely affecting her ability to sense and regulate airflow through her nose. Sleep became virtually nonexistent – she could obtain only ten to thirty minutes of rest per night. The severe sleep deprivation had a profound effect on her health and led to a rapidly deteriorating quality of life. As her condition grew worse, Dory repeatedly sought help from doctors but was met with a lack of understanding and dismissal. Doctors claimed that her problems were psychological and attributed her suffering to depression or anxiety rather than acknowledging the physical consequences of the operation. This repeated gaslighting profoundly affected her mental health and sent her into a spiral of hopelessness and despair. Although she tried several treatments, including antidepressants, saline solutions and humidifiers, she obtained no relief. Her frustration grew as she became increasingly isolated from family and friends, unable to participate in social life because of her severe symptoms. In her search for answers, Dory discovered the term Empty Nose Syndrome (ENS) online and realized that her symptoms matched the condition. She managed to arrange a consultation with a specialist in the hope of receiving treatment that might relieve her suffering. But only days before the appointment, she received a discouraging call from a surgical coordinator, who informed her that the procedure she hoped for might not be able to resolve her problems completely. The news crushed her last hope and left her feeling there was no way forward. During the three months after surgery, Dory went from being a loving and engaged mother and partner to being completely consumed by pain, anxiety and despair. On March 21, 2019, after months of suffering and a sense of hopelessness, Dory took her own life. Her family was devastated by the loss, and her tragic story drew considerable attention to the serious risks associated with seemingly "simple" nasal procedures and the potentially life-changing consequences of Empty Nose Syndrome. Dory's fate is a painful reminder of the importance of informed consent, compassion in healthcare and listening to patients when they experience severe symptoms after surgery. ENS is a real and serious complication of the surgical destruction of the nasal mucosa, and the medical community must take it more seriously. Case 22 of 48← PreviousPerson indexOverview ↑Next person →HomepageTisoy Briones (Orlando Jr Kangadil Briones), Philippines 2019PDF
Tisoy Briones, born in 1992, was a 27-year-old man from the Philippines who worked as a salesperson in a Vans store in Saudi Arabia. His life took a tragic turn after nasal surgery in 2019 that resulted in the devastating condition Empty Nose Syndrome (ENS). Tisoy suffered from enlarged turbinates (turbinate hypertrophy), which caused breathing difficulties. To address this, he underwent turbinate reduction surgery at Al Yousif Hospital in Khobar, Saudi Arabia. The surgeon, Dr. Emadeldein Zefar, performed bipolar cauterization and submucosal resection of the inferior turbinates. Unfortunately, Tisoy was given no information about the consequences of the procedure. Immediately after surgery, he began experiencing severe symptoms, above all a constant sensation of suffocation. His condition deteriorated rapidly, and he became unable to sleep, leading to extreme physical weakness. Despite some treatment, including topical saline solution in the nose, his quality of life continued to decline drastically. Only 1.5 months after surgery, his previously wonderful life had become unbearable. Because of his illness, he could no longer work and became stranded in Saudi Arabia without the financial means to return home. His employer, who did not understand his condition, provided no assistance. Isolated from his family – including his wife, Celyn Briones, and their daughter – Tisoy became increasingly desperate. Tragically, he ended his life in Saudi Arabia in 2019, leaving his family in profound grief. His parents struggled to have his body returned home, and his passing drew attention to the serious risks of turbinate surgery. Case 23 of 48← PreviousPerson indexOverview ↑Next person →HomepageMarcio Goulart, Brazil (2020)PDFBlogFull story (Word)Video 1Video 2Video 3
Marcio Goulart was born on October 9, 1988, in Brazil, where he worked as a successful English teacher. He lived a happy, meaningful and fulfilling life until nasal surgery in 2018 – a procedure that would change his life forever. Marcio underwent a bilateral inferior conchotomy (turbinectomy) combined with septoplasty, during which 90% of his inferior turbinates were removed. The operation was performed by Dr. Andre Luiz Gomes de Araujo at Clinica Otorrinos Centro Medico in Brazil. The result was devastating – Marcio developed Empty Nose Syndrome (ENS) and became permanently disabled. After surgery, Marcio experienced extreme symptoms, including a daily sensation of suffocation, panic attacks and a constant feeling of blockage in his nose, which he compared to breathing through thin straws. His condition made it impossible to perform simple everyday tasks – even walking without feeling as though he were suffocating became a challenge. Despite his suffering, his family had difficulty understanding how serious his condition was. Marcio sought help from several doctors, including Dr. Piazza in Italy, but Dr. Piazza declined to operate on him out of concern that further surgery might worsen the situation. The rejection led to severe depression, and shortly afterward Marcio survived his first attempt to end his own life. Marcio was active on ENS forums, where he shared his experiences and searched for treatment options. Among other things, he considered implants from Dr. Das, but financial constraints made it impossible for him to undergo further medical procedures. As his isolation and despair deepened, Marcio bought a gun online and disclosed his intentions to several friends. On April 25, 2020, after posting a farewell message on Facebook, he took his own life at the age of 32. his passing shocked the ENS community, where he was a valued member known for his kindness and openness. Marcio's tragic story highlights the extreme physical and psychological strain that ENS can involve, as well as the serious risks associated with surgical reduction of the turbinates. His fate underscores the importance of providing patients with thorough information about potential risks before procedures of this kind are performed – and the need for better understanding and treatment of ENS. Case 24 of 48← PreviousPerson indexOverview ↑Next person →HomepageChristian Bruhn, Germany (2020)PDFExternal videoInternal video
Christian Bruhn was a 40-year-old man from Germany who tragically took his own life in 2020 after severe complications resulting from surgery. Born in 1980, he underwent turbinate surgery in 2019 performed by Dr. Seong-Mun Hong, MD, PhD, at GNG Hospital. The procedure, which cost $10,000, was poorly performed and resulted in serious complications. Christian had not been informed of the potential risks and consequences before surgery. Immediately after the procedure, he began experiencing agonizing symptoms, including a constant sensation of suffocation and the feeling of having "two wide-open holes in the nose." He described it as though he could "fit a train or a truck" inside his nose, reflecting the extreme openness of the nasal cavity and the lack of normal airflow resistance. His condition gradually worsened, and he struggled with unbearable shortness of breath, insomnia, recurrent nosebleeds and a profound sense of hopelessness and lack of energy. On February 9, 2020, he expressed his deep despair by announcing his immediate withdrawal from all professional commitments, reflecting his increasingly deteriorating mental health. Hoping to relieve his symptoms, Christian underwent hyaluronic acid injections in preparation for possible implants. He planned to consult Dr. Piazza shortly Before he passed away. Despite these attempts to improve his situation, Christian felt that life was becoming increasingly unbearable. Seven months after surgery, he made the tragic decision to end his life. In a previously recorded video, he expressed his profound pain, his frustration over the failed operation and the daily suffering he was forced to endure because of Dr. Seong-Mun Hong's surgery. Case 25 of 48← PreviousPerson indexOverview ↑Next person →HomepageChristopher Supalla, USA (2021)PDFBlogFull story (Word)Full videoShort video
Christopher Supalla was a 32-year-old accountant from Portland, Oregon, who worked at Precision Castparts Corp. He lived an active life filled with outdoor adventures such as downhill mountain biking, climbing and off-road driving in his Jeep. Chris had a loving family – his parents, Mary and Brian Supalla, and two sisters, Kara and Laura. In 2021, Chris began experiencing nasal obstruction. After consulting three doctors, he underwent septoplasty and turbinate reduction at Oregon Health & Science University (OHSU) under the care of Dr. Timothy L. Smith. Dr. Smith assured him that he had never encountered Empty Nose Syndrome (ENS) in his practice and that only 1–2 millimeters of turbinate tissue would be removed. After surgery, however, Chris began experiencing devastating symptoms. He described feeling as though he had a plastic bag over his head, constantly gasping for air and experiencing a sensation of suffocation. His nose felt dry, painful and empty, with no airflow resistance – typical signs of ENS. Chris could no longer sleep, eat properly or speak without difficulty. Every attempt to rest caused him to wake suddenly in panic with the sensation that he could not breathe normally. Although he contacted his healthcare providers, including Dr. Smith, he was repeatedly told that ENS was unlikely. His family also fought to have Chris's condition recognized, but OHSU refused to formally diagnose him with the syndrome. Chris's suffering, however, was very real and overwhelming. He documented his deteriorating health in text messages to his mother, Mary, describing his growing fear of being alive. During the three months after surgery, Chris's physical and mental health declined rapidly. He experienced a sensation of suffocation so intense that it drove him to despair. On the day he ended his own life, he left a heartbreaking message for his family, apologizing for his decision to end his life but explaining that the suffering was too great to endure. Chris ended his life by hanging, and his official certificate recording the cause and circumstances of the fatal outcome listed asphyxia caused by ligature hanging as a consequence of Empty Nose Syndrome (ENS). Chris's fatal outcome left his family devastated. They have since fought to raise awareness of ENS and the need for better patient information about the risks. Chris's story is a tragic reminder of how misunderstood and disabling this condition can be, and how those affected often face few treatment options and a lifetime of suffering ahead of them. Case 26 of 48← PreviousPerson indexOverview ↑Next person →HomepageRobert Byrnes, USA (2021)PDFBlogFull story (Word)Video
Robert Gerard Byrnes was born on December 13, 1972, in the Bronx, New York, and spent most of his life in Yonkers, NY. He was a dedicated police officer who began his career in 2000 with the MTA Police. He later joined the Rye Brook Police Department and became a sergeant with the Yonkers Police Department in 2007. Robert was deeply loved by his family, including his wife Sheila, his parents Robert and Kathleen Byrnes, and his siblings Raymond and Valerie. Robert was highly educated, having graduated from Archbishop Stepinac High School and earned a bachelor's degree in Criminology from John Jay College, followed by a master's degree in Physical Education from Queens College. He was known for his love of jogging, boxing and painting, and he was also passionate about his Irish heritage, which he celebrated during visits to Counties Mayo and Monaghan. Robert was a beloved uncle to 14 nieces and nephews and a devoted friend to many in his community. In 1997, Robert underwent septoplasty and turbinate reduction to relieve breathing problems caused by a deviated nasal septum. The operation initially provided relief, but in April 2020, during the COVID-19 pandemic, Robert began experiencing serious health problems related to Empty Nose Syndrome (ENS), a condition that often develops later after turbinate reduction and can worsen with age. ENS symptoms caused Robert to struggle with a severely reduced quality of life. In October 2020, after extensive attempts to obtain a diagnosis, Robert and his family traveled to Mayo Clinic, where he was officially diagnosed with ENS. His brother stated during the funeral that the condition had a serious impact on Robert's quality of life. The psychological strain was profound; despite his selflessness, Robert struggled with despair as he reflected on his situation, and he even comforted his brother during his brother's own emotional difficulties. Robert disappeared on February 15, 2021, and was found deceased on May 24, 2021, at the age of 48. It emerged that he had ended his suffering using his service weapon. His tragic story reminds us that ENS is a progressive condition that often worsens with age as the function of the nasal mucosa deteriorates further. The condition can also be worsened by infections such as COVID-19. Case 27 of 48← PreviousPerson indexOverview ↑Next person →HomepageLuke Botsis, USA (2021)PDFBlogLuke's full story (Word)Video
Luke Botsis was born on July 2, 1987, in Albany, New York, and lived a life marked by both personal and professional challenges. Details of his working life are limited, but it is known that Luke was unable to return to work after his nasal operation. As a son and brother, he left behind a family deeply affected by his tragic story. In 2017, Luke underwent turbinate reduction in which his ethmoid sinuses were also opened using a microdebrider. Although the operation was intended to relieve his breathing problems, it instead caused Empty Nose Syndrome (ENS), a devastating condition that would change his life forever and severely diminish his quality of life. Luke expressed his suffering in a Facebook group for people with ENS, writing: "I suspect I have permanent nerve damage, especially given that my ethmoid cells were removed with a microdebrider." After surgery, he began experiencing severe symptoms, including an overwhelming sensation of suffocation, extreme nasal pain and significant discomfort between the eyes. He suspected that he had developed secondary atrophic rhinitis as a direct consequence of the operation, resulting in a morning routine in which he woke with a completely dry nose and greenish crusting. In July 2019, in an attempt to relieve his symptoms, Luke underwent cartilage implant surgery performed by Dr. Das to reduce the open space in his nose following turbinate reduction. Luke reported an improvement of approximately 50% in nasal pain and a reduced sensation of suffocation shortly after the procedure, but he continued to experience significant discomfort. Luke described his situation: "Unfortunately, I still have pain, especially between my eyes and deep inside the upper half of my nose." Although he had paid $10,000 out of pocket for the operation, he was still unable to return to work, and the goal of re-entering working life felt increasingly distant. In addition to the cartilage implant, Luke sought other treatments, including PRP-Acell injections and experimental hyaluronic acid injections. The latter treatment, which cost $900, provided no relief. He also used various moisturizing and lubricating products in his nose, such as Ayr gel and Honey Nose drops, in an attempt to manage his symptoms. The effects of these treatments, however, wore off, and his symptoms remained difficult to manage, contributing to his deteriorating mental health. The sensation of suffocation became so unbearable for Luke that he felt it was driving him insane. On December 9, 2021, after suffering for several years, Luke decided that he could no longer live with the pain and chose to end his life. Luke was only 34 years old when he passed away. Before he passed away, he shared a deeply reflective message on Facebook expressing his thoughts about life and fatal outcome: "fatal outcome is nothing to be afraid of. Remember that you were no longer alive for billions of years before you woke up one day and were born and gained consciousness. Everything dies, even the magnificent sun up in the sky... will one day die." Unfortunately, the identity of the original surgeon is unknown. Case 28 of 48← PreviousPerson indexOverview ↑Next person →HomepageRachel Jordan, UK (2021)PDFBlogFull story (Word)Video
Rachel Jordan, a 38-year-old woman from the United Kingdom, tragically took her own life in 2021 after suffering from severe nasal and breathing problems. Her struggle, which she shared through heartbreaking posts in a Facebook support group, reveals a life filled with desperation and pain. Rachel's journey began several years earlier. She suffered from atrophic rhinitis, causing her nose to become increasingly dry, sore and prone to bleeding. Over the course of a decade, she developed symptoms including extensive crusting, which led her to frequently pick at her nose. This habit caused the nasal mucosa to become red and numb, resulting in a complete loss of sensation. In her own words, Rachel described the sensation that her nose was too open and that her ability to sense airflow had been irreversibly damaged. In 2020, Rachel underwent septorhinoplasty, a procedure intended to correct her breathing problems and improve the appearance of her nose. Despite her hopes, however, the operation significantly worsened her condition and resulted in symptoms typical of Empty Nose Syndrome (ENS). She expressed regret and frustration, acknowledging: "It was stupid. I don't know why I thought surgery would help, but I was desperate." After surgery, Rachel faced numerous challenges. Her inability to breathe normally left her in a constant state of anxiety, affecting both her sleep and everyday life. She often woke early in the morning feeling suffocated and unable to control her breathing. In search of relief, she tried various treatments, including Sertraline (Zoloft) for anxiety, Mirtazapine for sleep, and several topical treatments for nasal dryness such as NeilMed and coconut oil. Unfortunately, none of these treatments provided significant relief, and she continued to suffer from disabling symptoms including dizziness, loud breathing sounds and an overwhelming sense of panic. Although she sought medical advice before surgery, she had not been adequately informed about the risks of the operation. The physical and psychological strain of her condition became unbearable as she struggled to breathe normally. Rachel was a mother, and her condition deepened her despair as she feared for her future and her ability to be present for her young daughter. The cumulative effects of her worsening symptoms and her constant struggle with the fight-or-flight response so common in ENS led to her tragic decision to end her life. After she passed away, the family was left devastated, particularly her young daughter, who must now live without her mother. Case 29 of 48← PreviousPerson indexOverview ↑Next person →HomepageMarc Bidaux, France (2021)BlogFull story (Word)PDFVideo
Marc Bidaux, a 42-year-old man from Finistère, France, born in 1979, left behind a beloved family consisting of a wife and two children. His problems with nasal obstruction began around eight years before his operations. During that time, he tried several different treatments, including the nasal spray Dérinox. Unfortunately, these treatments provided only limited relief from his symptoms, which were primarily caused by allergies. Frustrated by the lack of relief, Marc sought help from several ear, nose and throat specialists, leading to his first operation in June 2015. This procedure, a bilateral reduction of the turbinates, involved removing several millimeters of tissue from the structures. During consultations, Marc expressed concern about the risks of the operation, including the possibility of developing Empty Nose Syndrome. The specialist assured him that it was a minor, risk-free procedure guaranteed to provide relief. Although Marc experienced some initial improvement after this operation, his problems continued. In January 2016, he underwent another partial turbinectomy on the left side, hoping to resolve the remaining nasal obstruction. Unfortunately, this operation marked the beginning of a downward trajectory in his health. In March 2019, Marc suddenly experienced a completely blocked nose for a month and a half, with no apparent explanation for the change. Treatments such as corticosteroids and cortisone sprays provided temporary relief but also caused severe pain. He experienced a burning sensation in the nasal passages and a feeling that his nose was too open, with unfiltered and unwarmed air flowing into his lungs. From that point onward, his quality of life deteriorated rapidly. He suffered painful breathing, facial pain, intense fatigue and severe shortness of breath, leaving him unable to sleep without medication. Marc went from a manageable life to an unbearable condition as he struggled with anxiety and depression (something very common in ENS) and wondered how he could continue fulfilling his responsibilities as a father and employee. Many ear, nose and throat specialists dismissed his concerns, saying: "I'm not going to invent a disease for you; there is nothing wrong." Eventually, a specialist diagnosed Empty Nose Syndrome (ENS), and imaging showed a 90% resection of his inferior turbinates. Degeneration and progressive atrophy of his nasal mucosa were documented, but no corrective surgery was offered. In his search for answers, Marc consulted other specialists, including a well-known professor in Italy, Fabio Piazza, who noted the original surgeon's lack of experience. Despite his hope of finding relief, Marc's symptoms persisted. He struggled every day to retain his energy and joy for life, but ultimately succumbed to the overwhelming despair caused by his condition. Tragically, he took his own life on January 23, 2021. his passing left a profound mark on his family and highlights the urgent need for greater awareness of the risks of nasal surgery, particularly the potential consequences of Empty Nose Syndrome. Marc left behind his wife and two children. Case 30 of 48← PreviousPerson indexOverview ↑Next person →HomepageMaria J Izquierdo, Spain (2022)
The investigation is ongoing; if you have information about Maria, please get in touch! Maria, born in Spain in 1988, underwent septoplasty at some point and probably also had a turbinate reduction at the same time. (It is standard practice to operate on the turbinates during septoplasty.) After these procedures, she developed Empty Nose Syndrome, which led to extreme health problems and a severely reduced quality of life. Maria chose to end her suffering, and therefore her life, in 2022, when she was 34 years old. At present, we have no further information about the specific circumstances. Case 31 of 48← PreviousPerson indexOverview ↑Next person →HomepageUnknown man ends his life in 2022 as a result of ENSPDFBlogReddit
On Reddit there is an account of a man, now known to be Johnny Frech, who underwent septoplasty. The man is said not to have been informed that a turbinate reduction would also be performed in connection with the septoplasty. His wife, who recounts the story, says that before surgery her husband was a happy and healthy person, but immediately after the procedures he felt that something was wrong. After surgery, he could barely sleep at all despite strong prescription sleeping medication. According to his wife, the surgeon refused to take his calls, forcing him and his family to seek another specialist. A senior ear, nose and throat physician at a major hospital diagnosed him with Empty Nose Syndrome (ENS) and confirmed severe nerve damage, as the man could not even feel an instrument along the mucosa until it reached his throat. The unbearable situation led him to take his own life in 2022, leaving his wife and their one-year-old child in profound grief. In addition to her enormous loss, his wife fears the financial consequences and wonders whether legal action against the surgeon is possible. She has been told that malpractice cases involving ENS are difficult to win, particularly after less extensive procedures, but that some cases – especially those involving complete removal of the turbinates, an outdated method – have been successful. She is also deeply frustrated by the widespread medical denial of ENS. While some specialists recognized the condition and provided a clear diagnosis, his original surgeon and others they contacted claimed that they had "never heard of it." She believes that this degree of denial borders on negligence, if not outright malice. She has been encouraged to seek support in the Facebook group "Empty Nose Syndrome Awareness," where individuals share their experiences of ENS and legal battles. ENS has caused enormous suffering and taken many lives, yet the doctors responsible are never, or only extremely rarely, held accountable. This is a tragedy that demands attention. Case 32 of 48← PreviousPerson indexOverview ↑Next person →HomepageCharly Audes, France (2024)PDFBlogTestimony (word)RadioVideo
Charly Audes was a passionate and active young man whose life took a tragic turn after septoplasty and turbinate reduction. A devoted father of two daughters, Charly worked as an order picker for a logistics company. His life was enriched by an early love of sports, especially boxing. At the age of 17, after sustaining a minor injury to his nose during a boxing match, he began experiencing intermittent nasal obstruction. This marked the beginning of Charly's difficulties. In December 2022, he underwent septoplasty with turbinate reduction, performed by Dr. Zielinski. In July 2023, he underwent an additional corrective septoplasty by Dr. Ayoun, followed by a PRP injection from the same doctor in October 2023. Unfortunately, these procedures did not relieve his symptoms; instead, they led to severe pain, episodes of shortness of breath and disabling problems such as brain fog, anxiety and a constant sensation of suffocation. These challenges culminated in a "living hell," in which he felt disconnected from reality, severely affecting his mental health and quality of life. Dr. Ayoun ultimately confirmed his diagnosis of Empty Nose Syndrome (ENS), while Dr. Zielinski continued to deny it until the end. Charly expressed despair over his inability to enjoy life or return to his job because of the breathing problems caused by the nasal surgery. His mental state deteriorated as he struggled with the constant symptoms of ENS. In a farewell letter, he expressed feelings of hopelessness: "I have never wanted to live more than since I got Empty Nose Syndrome, but imagine having to spend every second of your life in this terrible state of air hunger. It is not depression that makes us want to die; it is being unable to live normally and knowing with certainty that it will be like this for the rest of our life." Tragically, Charly took his own life in 2024, leaving behind a wife, two young daughters, his mother and three sisters. His family has since pursued legal action, seeking to raise awareness of the devastating consequences of nasal surgery. In his heartfelt testimony, Charly pleaded for greater awareness and preventive measures concerning turbinate surgery, emphasizing the urgent need to protect future patients from the hell he endured. Case 33 of 48← PreviousPerson indexOverview ↑Next person →HomepageJohnny Frech, Canadian man (17 May 2024)PDF
In 2009, a Canadian man born in 1970 underwent nasal surgery to correct a retracted columella and a drooping nasal tip. The columella is the narrow structure of cartilage and skin between the nostrils that connects the nasal tip to the nasal septum. It provides support to the nose and affects both its shape and function. The procedure was performed by Dr. Ali Esmail, who described it as limited cosmetic surgery. Despite this, the man's turbinates were also operated on, something that was not documented in the operative report. During follow-up visits, the surgeon continued to mislead the patient by blaming any problems on a previous surgeon. The man had not been informed of the risks associated with the procedure, particularly that surgery would be performed on the turbinates. Almost immediately after the operation, he began experiencing symptoms of Empty Nose Syndrome (ENS) as well as extreme nasal dryness, causing constant physical suffering. Although he sought help from several ear, nose and throat physicians (ENT specialists), he was repeatedly dismissed. Most doctors said that his nose "looked normal" and recommended only simple measures such as moisturizing treatments and nasal sprays. Some acknowledged that he suffered from some dryness but dismissed ENS as a possible diagnosis, leaving him in an increasingly hopeless situation. In his search for relief, he traveled to British Columbia to see a specialist, but the proposed hyaluronic acid (HA) injections produced only temporary improvement. Because of financial limitations, he was unable either to continue this treatment or to explore more advanced surgical options. His condition worsened over time, and the unbearable nasal dryness fundamentally affected his quality of life. After 15 years of relentless suffering, he eventually could endure no more. On May 16 or 17, 2024, at the age of 54, he tragically took his own life. He felt that his condition was negatively affecting his family's life and saw no other way out. Before he passed away, he left a letter pleading with the ENT profession to recognize and treat ENS seriously. He expressed his deep love for his wife and children and his wish that his then 53-year-old wife would be able to find happiness again and move forward with her life. his passing has had a profound impact on the family, leaving behind his wife and their two children, aged 24 and 26. The family has chosen not to make his name public because, at the time of writing, they are considering taking the case to court. Case 34 of 48← PreviousPerson indexOverview ↑Next person →HomepageTyler Kuckelman, USA (18 May 2024)PDF
Tyler Kuckelman, a 37-year-old web developer from Texas, underwent rhinoplasty and turbinate reduction in October 2023 with the aim of improving both airflow and the aesthetic appearance of his nose. The operation was performed by a prominent physician in Dallas, possibly Dr. Rod Rohrich. Tyler had not, however, been informed about the potential long-term complications of the procedure, including the risk of developing Empty Nose Syndrome (ENS). In early May 2024, approximately six months after surgery, Tyler began experiencing symptoms of ENS, a condition in which the nose feels blocked despite the airways being open. This seriously affected his physical and mental health and led to profound psychological distress. His quality of life, which had previously been good, deteriorated drastically after surgery, and he struggled to find relief. On May 18, 2024, Tyler tragically took his own life. His family, including his sister Crystal Kulle, was left in deep grief. Since Tyler passed away, Crystal has spoken openly about the dangers of ENS and the lack of clear information about the risks of rhinoplasty and turbinate surgery. His case highlights the importance of better preoperative information and greater awareness of the potential complications of these procedures. Case 35 of 48← PreviousPerson indexOverview ↑Next person →HomepageOcéane Flavigny, France (2024)PDF fileBlog postFull story (Word)VideoFacebookTikTok
Océane Flavigny (1994–2024) was a 30-year-old woman from Cambrai, France. She underwent two cosmetic nasal operations. The first, performed in 2021 by Dr. Marion Beuzeboc, resulted in complications because of a turbinate reduction – a procedure that Beuzeboc later denied having performed. Imaging, however, showed a significant hole in her left turbinate, indicating serious damage within the central part of the inferior turbinate. In April 2023, Océane underwent corrective surgery with Dr. Christophe Gaillard to address the functional problems that had arisen after the first procedure. She had not, however, received adequate information about the potential consequences of her operations, including nerve damage and scar formation that could impair her breathing. After the first operation, she developed severe symptoms including nasal pain, dryness, crusting, an unpleasant odor from the nose, breathing difficulties, insomnia and nasal obstruction. These problems led to a severely reduced quality of life. In her struggle to find relief, she sought support in groups for Empty Nose Syndrome (ENS) and considered treatment with stem-cell injections, but financial limitations made it difficult to access care. Despite her difficulties, Océane maintained a positive online presence, but only weeks Before she passed away she posted a farewell message on her Facebook profile where she wrote the following: "For my funeral, I give someone permission to take a wreath of flowers and throw it backwards to see who will be next." Tragically, she took her own life on May 20, 2024, exactly 12 months and 26 days after her second operation. her passing left her family – her mother and older brother, Julien Flavigny – as well as those closest to her and the people around her in profound grief. After this text was published, we were contacted by an acquaintance of Océane who told us that one of her friends from a forum for people harmed by rhinoplasty had also taken her own life. Her name was Laurie Guern. On May 30, 2024, Laurie Guern's sister wrote the following on her Facebook profile: "I am writing this short note to let you know that my sister Laurie Guern passed away today. I hope she finally finds peace and rest. We miss her... You can say a final goodbye to her at the funeral home in Pleuven, from tomorrow Friday through Sunday. The cremation will take place on Saturday, June 8, at 1:30 p.m. at the Quimper Cornouaille crematorium (15 Allée Meil Stang Vihan)." Laurie Guern therefore became the person who picked up the bouquet thrown backwards at Océane's funeral. These tragic stories highlight the painful reality faced by people who develop complications after rhinoplasty and turbinectomy (surgery on the turbinates). These individuals suffer in silence without receiving the recognition society owes them. Case 36 of 48← PreviousPerson indexOverview ↑Next person →HomepageSam Treffry, Australia (2024)BlogPDF
Sam Treffry, aged 34, tragically took his own life on October 1, 2024, after struggling with the disabling effects of Empty Nose Syndrome (ENS). Sam was a dedicated student of community planning and worked both at a hospital and at a hotel. Although Sam tried to downplay his problems to those around him, he struggled silently with severe ENS symptoms, a condition that arose after routine nasal operations during his teenage years to address sinus problems and snoring. In his farewell letter, Sam revealed his ENS diagnosis, which he described as having caused severe breathing difficulties, insomnia and depression. In the period Before he passed away, he had withdrawn from university and resigned from his jobs, unable to cope with the constant fatigue and mental anguish caused by ENS. On October 1, 2024, Sam tragically chose to end his torment. Sam's operations were performed by Dr. Mooney, a physician who was later imprisoned for other medical errors. His family was unaware of his struggle with ENS until it was too late, and his sudden passing left them devastated. His brother Will shared memories of their time together, including a boat trip that now serves as a bittersweet reminder of Sam's absence. Will's heartfelt tribute underscores the urgent need for awareness of ENS and the importance of stopping these operations, which are associated with several cases each year in which people end their own lives. Case 37 of 48← PreviousPerson indexOverview ↑Next person →HomepageBente Van de Veerdonk, the Netherlands (2024)Internal articleVideoFull story (Word)Facebook
Bente Van de Veerdonk, born on December 28, 1997, in the Netherlands, was a young and driven woman who appeared to be on her way toward a successful and meaningful life. She studied marketing and communications while building a career in childcare. Sadly, Bente's life took a devastating turn after nasal surgery in early 2024 to correct a deviated nasal septum. The operation also included turbinate reduction by coblation (the turbinates were burned to reduce their size). This procedure led Bente to develop Empty Nose Syndrome (ENS), a very serious condition that ultimately became too much for her to endure. In November 2024, unable to bear the constant suffering any longer, Bente made the heartbreaking decision to end her life. The operation, intended to improve airflow through her nose, instead triggered a chain of complications. ENS caused Bente to lose the normal sensation of airflow in her nose, leaving her with a constant feeling of air hunger and the sensation of an extremely open nose. This was accompanied by severe nasal dryness, sores in the nose and intense burning pain that never went away. Postoperative treatments, including corticosteroid nasal sprays, appeared to worsen her symptoms. Bente's struggle extended far beyond the physical pain. She faced major challenges in everyday life, including an inability to sleep (something extremely common in ENS). Day and night she was plagued by hyperventilation, and on several occasions she went as long as five days without sleep. Her constant awareness of her breathing consumed her thoughts and made it almost impossible to focus on ordinary daily activities. Even simple distractions, such as watching television, became unbearable. The condition also caused systemic effects such as dry eyes, ear pain, a constant lump sensation in her throat and burning sensations in her chest and extremities. Bente tried many different treatments, ranging from nasal ointments to warm drinks, and sought help from specialists and online support groups. She openly shared her experiences and described how profoundly ENS affected her mental and emotional well-being. Despite her determination to find relief, her condition only worsened. Her hope of seeing an ENS specialist in Rotterdam and exploring other treatment options was overshadowed by the overwhelming pain and exhaustion. By the end of 2024, her quality of life had deteriorated to such an extent that she saw no way forward. During her final months, the once ambitious and vibrant young woman was completely consumed by the relentless physical pain and emotional exhaustion caused by her condition. Bente left this world far too soon, only 1.5 months before her 27th birthday in November 2024. She became the sixth person that year to take her own life because of Empty Nose Syndrome. How long will ear, nose and throat specialists be allowed to continue performing these procedures before action is taken to prevent such tragedies? Premature and sudden loss of life related to Empty Nose Syndrome
Sleep disorders are very common among people suffering from Empty Nose Syndrome, which is also confirmed by scientific studies. Most people affected by this condition are forced to use sleeping medication to obtain any form of rest – Michael Jackson was no exception.
Jackson passed away on June 25, 2009, after an overdose of propofol, a powerful anesthetic that was used to help him sleep. his passing was ruled a homicide, not a self-inflicted fatal outcome. His personal physician, Dr. Conrad Murray, had for an extended period administered propofol and other medications to treat Jackson's chronic sleep problems. At the time of Jackson's passing, he had received an overdose of propofol, which led to cardiac arrest. Dr. Murray was later convicted of involuntary manslaughter and served a prison sentence for his role in Jackson's passing.
Sherri's health problems began with turbinate reduction surgery in 1991, during which approximately 50% of her inferior turbinates were removed. This procedure led to Empty Nose Syndrome (ENS), a disabling condition characterized by severe nasal dryness, breathing problems, sleep problems and a range of systemic health problems. During her journey, Sherri sought help from several specialists, including Dr. Oren Friedman, who confirmed her ENS diagnosis but gave her little hope of effective treatment. Dr. Friedman prescribed Premarin cream and antibiotic ointments for use in her nose but told her that he would not see her again, leaving Sherri disappointed.
As the years passed, Sherri's health continued to deteriorate. She developed a range of chronic illnesses, including chronic sinus infections, severe asthma, sleep apnea, gastroesophageal reflux disease (GERD), immunoglobulin G (IgG) deficiency and irritable bowel syndrome. Her situation worsened further when her trachea and main bronchus collapsed, requiring major surgery to install mesh support.
Although Sherri underwent experimental nasal implant surgery in 2019 intended to restore nasal volume, she still described her nose as "desert dry." Sherri Ann Cutrona ultimately passed away on July 16, 2020, from complications of a lung infection related to ENS.
Empty Nose Syndrome severely affected her respiratory function, as the absence of filtering turbinates allowed cold, unfiltered air to reach her lungs, increasing her susceptibility to infections. The amputation of turbinate tissue also reduced her ability to produce nitric oxide in the nose, a gas that is crucial for combating bacteria and viruses, both locally in the nose and in the lungs. The investigation into Sherri Ann does not contain a complete cause of the fatal outcome, but conversations with her friends indicate that she passed away from a lung infection, something Sherri Ann had previously suffered many times.
Loan Pham was a 53-year-old woman from the United States who worked at the Tazewell County Health Department and at the University of Illinois College of Medicine. She had planned to begin an MBA program at the University of Illinois. Loan had a medical history marked by chronic maxillary and ethmoid sinusitis as well as septal deviation causing nasal obstruction. After years of perennial allergies and unsuccessful treatments, she underwent surgery in 2003 performed by Dr. Michael J. Gootee. The procedure involved several interventions, including bilateral endoscopic ethmoidectomy and septoplasty, which led to serious complications including Empty Nose Syndrome (ENS).
After surgery, Loan experienced immediate and severe symptoms including facial and nasal pain, breathing difficulties, insomnia and anxiety. Although she sought various treatments, including implants and nerve-blocking injections in the nose, her condition continued to worsen.
In an attempt to relieve the dryness and pain in her nose, Loan chose to move to a warmer climate in the hope of easing her symptoms, but nothing provided lasting relief. Her health and quality of life, which had previously been manageable, deteriorated drastically after surgery. Loan Pham ultimately passed away in 2023 as a result of long-term systemic physical problems related to Empty Nose Syndrome.
Limited information currently available
18-year-old girl from China, 2013 PDF file
passed away unexpectedly after surgery for nasal obstruction, Information from Sun Sulin
30-year-old woman from China, 2013 PDF file
Another young mother lost her life under similar circumstances. Information from Sun Sulin
ENT physician Eugene Kern mentions four ENS-related cases in which patients ended their own lives that he encountered in his practice.
The cases are mentioned, among other places, in his book:
Empty Nose Syndrome: Evidence-Based Proposals for Inferior Turbinate Management.
Two of these individuals are also mentioned in this linked video:
* Female patient of Dr. Kern, USA, 1988. * Male patient of Dr. Kern, USA, 1994
Revenge against surgeons following complications from ENT operations
Case 38 of 48← PreviousPerson indexOverview ↑Next person →HomepageMichael Jackson, USA 2009External videoPDF file
In Michael Jackson's court case, one of his doctors testified that Jackson's insomnia may have been a result of Empty Nose Syndrome (ENS). According to a report by Alimorad Farshchian released by ABC7, Jackson had suffered from insomnia for several years Before he passed away. During the interview, the doctor says that this could have been connected to Jackson's many cosmetic nasal operations, in which an important part of his nose was missing. Dr. Farshchian pointed out that it was possible Jackson had developed Empty Nose Syndrome, which often causes sleep problems. Sleep disorders are very common among people suffering from Empty Nose Syndrome, which is also confirmed by scientific studies. Most people affected by this condition are forced to use sleeping medication to obtain any form of rest – Michael Jackson was no exception.
Jackson passed away on June 25, 2009, after an overdose of propofol, a powerful anesthetic that was used to help him sleep. his passing was ruled a homicide, not a self-inflicted fatal outcome. His personal physician, Dr. Conrad Murray, had for an extended period administered propofol and other medications to treat Jackson's chronic sleep problems. At the time of Jackson's passing, he had received an overdose of propofol, which led to cardiac arrest. Dr. Murray was later convicted of involuntary manslaughter and served a prison sentence for his role in Jackson's passing.
Case 39 of 48← PreviousPerson indexOverview ↑Next person →HomepageSherri Ann Cutrona, US 2020PDFBlogFull story WordVideo
Sherri Ann Cutrona, born sometime in 1962 or 1963, lived in Manchester Township, New Jersey, before she passed away on July 16, 2020, at the age of 57. Sherri worked as an engineer for Heyco Products in Toms River until her retirement. She had a strong interest in dancing, cooking, sewing and going on cruises. Sherri's health problems began with turbinate reduction surgery in 1991, during which approximately 50% of her inferior turbinates were removed. This procedure led to Empty Nose Syndrome (ENS), a disabling condition characterized by severe nasal dryness, breathing problems, sleep problems and a range of systemic health problems. During her journey, Sherri sought help from several specialists, including Dr. Oren Friedman, who confirmed her ENS diagnosis but gave her little hope of effective treatment. Dr. Friedman prescribed Premarin cream and antibiotic ointments for use in her nose but told her that he would not see her again, leaving Sherri disappointed.
As the years passed, Sherri's health continued to deteriorate. She developed a range of chronic illnesses, including chronic sinus infections, severe asthma, sleep apnea, gastroesophageal reflux disease (GERD), immunoglobulin G (IgG) deficiency and irritable bowel syndrome. Her situation worsened further when her trachea and main bronchus collapsed, requiring major surgery to install mesh support.
Although Sherri underwent experimental nasal implant surgery in 2019 intended to restore nasal volume, she still described her nose as "desert dry." Sherri Ann Cutrona ultimately passed away on July 16, 2020, from complications of a lung infection related to ENS.
Empty Nose Syndrome severely affected her respiratory function, as the absence of filtering turbinates allowed cold, unfiltered air to reach her lungs, increasing her susceptibility to infections. The amputation of turbinate tissue also reduced her ability to produce nitric oxide in the nose, a gas that is crucial for combating bacteria and viruses, both locally in the nose and in the lungs. The investigation into Sherri Ann does not contain a complete cause of the fatal outcome, but conversations with her friends indicate that she passed away from a lung infection, something Sherri Ann had previously suffered many times.
Loan Pham was a 53-year-old woman from the United States who worked at the Tazewell County Health Department and at the University of Illinois College of Medicine. She had planned to begin an MBA program at the University of Illinois. Loan had a medical history marked by chronic maxillary and ethmoid sinusitis as well as septal deviation causing nasal obstruction. After years of perennial allergies and unsuccessful treatments, she underwent surgery in 2003 performed by Dr. Michael J. Gootee. The procedure involved several interventions, including bilateral endoscopic ethmoidectomy and septoplasty, which led to serious complications including Empty Nose Syndrome (ENS).
After surgery, Loan experienced immediate and severe symptoms including facial and nasal pain, breathing difficulties, insomnia and anxiety. Although she sought various treatments, including implants and nerve-blocking injections in the nose, her condition continued to worsen.
In an attempt to relieve the dryness and pain in her nose, Loan chose to move to a warmer climate in the hope of easing her symptoms, but nothing provided lasting relief. Her health and quality of life, which had previously been manageable, deteriorated drastically after surgery. Loan Pham ultimately passed away in 2023 as a result of long-term systemic physical problems related to Empty Nose Syndrome.
Limited information currently available
18-year-old girl from China, 2013 PDF file
passed away unexpectedly after surgery for nasal obstruction, Information from Sun Sulin
30-year-old woman from China, 2013 PDF file
Another young mother lost her life under similar circumstances. Information from Sun Sulin
Case 41 of 48← PreviousPerson indexOverview ↑Next person →HomepageMan of unknown name from Portugal, 2016 (Under investigation)
The name and other information are currently unavailable. the fatal outcome occurred in 2016 and is said to have been related to Empty Nose Syndrome, according to information on an Empty Nose Syndrome forum. ENT physician Eugene Kern mentions four ENS-related cases in which patients ended their own lives that he encountered in his practice.
The cases are mentioned, among other places, in his book:
Empty Nose Syndrome: Evidence-Based Proposals for Inferior Turbinate Management.
Two of these individuals are also mentioned in this linked video:
* Female patient of Dr. Kern, USA, 1988. * Male patient of Dr. Kern, USA, 1994
Case 42 of 48← PreviousPerson indexOverview ↑Next person →HomepageJason Sheftell, US 2013Article ExternalPDFObituary
Suspected Empty Nose Syndrome according to a Facebook post by Joyce Cohen on April 30, 2019, read the PDF file for more information about this case. Jason Sheftell was a very well-known journalist who sadly ended his life in 2013 after previously undergoing nasal surgery that had caused him problems. Case 43 of 48← PreviousPerson indexOverview ↑Next person →HomepageYoung Chinese man from Jiangxi, (一个江西空小伙先) China 2016.PDF file
No name is available; the information comes from Sun Sulin and her list of ENS-related fatal outcomes in China. The man ended his life in 2016 as a result of Empty Nose Syndrome. Revenge against surgeons following complications from ENT operations
Case 44 of 48← PreviousPerson indexOverview ↑Next person →HomepageChinese man of unknown name, 2007
In 2002, a male patient underwent nasal septum surgery but later claimed that the results were "unsatisfactory." In 2007, this patient stabbed Dr. Dai Wenhong, a physician at the Ear, Nose and Throat Clinic of Xinxiang Second People's Hospital in Henan Province, a total of 11 times. The stab wounds caused injuries to the chest, back, abdomen and groin. The most severe injury was caused by a stab wound that penetrated the heart. Despite rescue efforts, Dr. Wenhong passed away. Case 45 of 48← PreviousPerson indexOverview ↑Next person →HomepageWang Baoming (王宝洺), China 2011PDF file
This is not a case of Empty Nose Syndrome but concerns laryngectomy (throat surgery). Wang Baoming was a well-respected man who taught calligraphy and lived a fulfilling life. He lived in Beijing, where he and his wife, Mrs. Gong, ran a successful calligraphy school. Together they managed a thriving business and earned a substantial income. Wang was known for his cheerful personality, and his life revolved around his art and his family. Everything changed, however, in September 2006 when he was diagnosed with early-stage laryngeal cancer. Hoping for successful treatment, Wang sought the expertise of Dr. Xu Wen, a well-known throat specialist at Tongren Hospital in Beijing. Dr. Xu performed CO2 laser surgery on his throat, a commonly used procedure for treating early cancer. Wang, however, became deeply dissatisfied with the outcome of the operation. According to him, the surgery had not only failed to remove the cancer completely but had actually worsened his condition. Wang believed that Dr. Xu had handled the tumor incorrectly and left cancerous remnants behind, allowing the disease to spread. This led to two further operations at the Cancer Hospital of the Chinese Academy of Medical Sciences, where surgeons attempted to salvage what they could.
Although Wang survived, the operations caused severe physical changes and permanent disability. After surgery, Wang's situation changed dramatically. He now had a permanent opening in his throat and could no longer speak normally; he was also forced to cover his scars with a beard. Skin from his rib area had been grafted to his chin, causing him to walk with a hunched posture. His changed health and appearance forced him to hide behind dark glasses and a hat whenever he went outside, something that profoundly affected his self-esteem. His previously lively personality faded, and he became withdrawn and depressed. His wife no longer allowed him to look in the mirror because he would often erupt in anger and grief when he saw his reflection, overwhelmed by his disfigurement.
Wang's health problems left him unable to work, leading to a drastic reduction in the family's income. From earning nearly one million yuan annually, they were now forced to survive on barely 1,000 yuan per month.
Wang's mental health deteriorated further, and his relationship with his wife became strained, with frequent outbursts of frustration and violence. His descent into depression and helplessness worsened over the years as he struggled to obtain justice for what he regarded as medical negligence.
Wang and his family sued Tongren Hospital and the Cancer Hospital in 2008, seeking 17 million yuan in damages. The legal process, however, dragged on for several years without a resolution. The case became bogged down in disputes over the authenticity of the hospital's medical records, with Wang accusing the hospital of falsifying documents. These procedural delays made Wang feel increasingly hopeless. His attempts to seek justice through other channels, such as writing letters to health authorities, also produced no results. Over time, Wang felt abandoned by the system, and his sense of betrayal grew.
On September 15, 2011, after three long years of legal battles, Wang reached a breaking point. Earlier that day, he had called his lawyer to urge the court to expedite his case, but no progress had been made. Later that afternoon, Wang arrived at Beijing Tongren Hospital armed with a knife. He sought out Dr. Xu Wen and, in a violent rage, attacked her and stabbed her several times. Dr. Xu suffered serious injuries, including fractures and nerve damage. She was rushed to the operating room, and although her life was saved, the brutality of the attack shocked both the medical community and the public. Wang was arrested shortly after the attack.
In an interview with Wang's wife, Gong, she expressed sorrow over the incident and acknowledged that the attack was wrong, but explained that years of physical suffering, financial ruin and being ignored by the legal system had driven Wang to desperation.
Case 46 of 48← PreviousPerson indexOverview ↑Next person →HomepageOu Xuejun (区学军), China 2012PDFTikTokInternal video
Ou Xuejun, a patient from Shenzhen in China, became the focus of an incident highlighting the growing violence against healthcare workers in China. The tragic event occurred on September 3, 2023, when Ou, frustrated by the unsatisfactory results of his medical treatment, entered the ear, nose and throat department at Shenzhen Pengcheng Hospital and attacked staff with a knife. In a shocking act of violence, he injured four employees, including both medical staff and security guards, two of whom sustained serious injuries. Ou, who had undergone a "bilateral pre-ethmoidal nerve block" earlier in July, had sought help for his rhinitis (nasal obstruction). He felt, however, that the treatment had made him worse, leading to his desperate and violent revenge against those he considered responsible for his condition. Among the injured was Dr. Xiao, a male physician in his thirties who suffered serious head injuries, as well as a female nurse in her twenties who sustained injuries to her hands. Fortunately, authorities later confirmed that none of the injured were in life-threatening condition because they received prompt surgical treatment at Shenzhen People's Hospital and Shenzhen Second People's Hospital.
Violence against healthcare workers has become an increasing problem in China. The incident involving Ou Xuejun is one of several cases of violent attacks on doctors in recent years. At the time of writing, there are reports of at least seven serious cases in which medical personnel have been injured or fatally harmed while on duty, reflecting growing frustrations and tensions in the relationship between doctors and patients in China.
Note: Nerve blocks involve injecting anesthetic into specific nerves (in this case the pre-ethmoidal nerves) in the nose. This helps numb the target area being treated and can reduce pain and discomfort. Because the sensation of airflow in the nose is linked to nerve endings in the nasal mucosa, however, blocking these nerves can cause the patient to experience a loss of sensation of nasal airflow even though the nasal passages are open. This can cause discomfort resembling Empty Nose Syndrome, resulting in sleep problems, breathing difficulties and anxiety.
Case 47 of 48← PreviousPerson indexOverview ↑Next person →HomepageLu Foke (吕福克), China 2012PDFBaidu "China's Wikipedia"News (video)
Lu Foke (吕福克), born in 1961, was a worker at Shougang Power Plant in Beijing and lived in the Fengtai District. Lu had suffered for several years from rhinitis and a deviated nasal septum. These conditions led him to seek medical help on several occasions in the hope of finding relief from his persistent symptoms. Lu first sought care at Peking University People's Hospital on November 15, 2011, where he was treated by Dr. Xing Zhimin. Despite the treatment, Lu remained dissatisfied with the results. His search for a solution continued, and he later visited Aerospace General Hospital in December 2011, where he was again dissatisfied with the care. Lu's frustration grew into anger, and in a fit of rage he physically attacked a doctor at the hospital. In a desperate attempt to obtain relief, Lu underwent septoplasty at a hospital in Tianjin. Unfortunately, the operation failed to relieve his problems. He became convinced that his nose had been further damaged and that he now had Empty Nose Syndrome. After this operation, Lu could not sleep and suffered from tinnitus. He felt deeply mistreated by the healthcare system and blamed the doctors for the worsening of his condition. His behavior became increasingly unpredictable and disturbing – neighbors reported mental-health problems and mentioned violent incidents, including an altercation in which he threatened a couple with an axe.
On April 13, 2012, Lu's frustration culminated in an act of violence. At 10:30 in the morning, he entered Peking University People's Hospital and attacked Dr. Xing Zhimin, cutting her throat and causing serious injuries. Later that evening, at 7:30 p.m., Lu entered the emergency department at Aerospace General Hospital and stabbed another physician, Dr. Zhao Lizhong, in the throat. Dr. Zhao had had no previous contact with Lu. Both doctors survived the attacks, but the incidents shocked healthcare staff and the wider community.
After the attacks, Lu fled and remained at large for 11 days before being arrested by police in Hebei Province. His case received extensive media attention, and Empty Nose Syndrome became a familiar term among the public. During the trial, it emerged that Lu suffered from schizophrenia, a mental disorder that contributed to his unpredictable behavior and reduced his criminal responsibility. Lu was sentenced to 13 years in prison for attempted murder, taking his impaired mental state into account.
The violence committed by Lü had a profound effect on the doctors involved, particularly Dr. Xing, who returned to her clinic but remained permanently marked by the trauma. As a result of the incident, security measures were tightened at hospitals across China. Doctors began purchasing batons for self-defense and altered the layout of examination rooms to better protect themselves. It remains unclear, however, whether the incident led to improved communication about the risks and possible complications of this type of procedure.
Case 48 of 48← PreviousPerson indexOverview ↑HomepageLian Enqing (連恩青), China 2013PDFVideoInternal article 1Internal article 2Chinese news
On October 25, 2013, a tragic incident occurred at Wenling First People's Hospital in Zhejiang Province, China, when former patient Lian Enqing attacked three doctors, resulting in one person losing his life and two others being injured. In March 2012, Lian underwent nasal septum surgery combined with submucosal resection of the inferior turbinates to treat nasal obstruction. After surgery, Lian developed Empty Nose Syndrome, an incurable and severely life-changing condition.
During the following months, Lian returned to the hospital approximately 40 times, insisting that the operation had worsened his condition. Doctors repeatedly tried to convince him that there was nothing wrong with his nose and that his symptoms were unrelated to the procedure. Like many other people suffering from ENS, Lian had not been informed of the potential risks of the procedure.
After surgery, Lian's condition continued to deteriorate, with severe negative effects on sleep and mental well-being, also leading to irritability and a growing sense of stress and depression. Despite several consultations in which doctors maintained that the operation had been successful, Lian became increasingly convinced that they had made a mistake. His mental health deteriorated further, and in August 2013 he was diagnosed with persistent delusional disorder after being admitted to the Shanghai Mental Health Center.
After two months of treatment, his condition showed little improvement. Following discharge in mid-October, Lian's mental state deteriorated rapidly. On October 25, armed with a hammer and a knife, he attacked doctors at Wenling First People's Hospital, focusing in particular on Dr. Wang Yunjie, the surgeon who had performed the operation that caused his Empty Nose Syndrome. Lian stabbed Dr. Wang seven times and also injured two other doctors during the attack.
Before the attack, Lian had left a note on his wall naming the doctors he considered responsible for his suffering. Lian was given a capital sentence for the murder of Dr. Wang, whom he accused of causing his Empty Nose Syndrome. After the verdict, Lian acknowledged that "he wanted to die" because of the severe suffering Dr. Wang Yunjie had caused him.
There are 14 news videos containing interviews with Lian from 2014–2015; search for "連恩青" in the video section at: https://search.cctv.com/index.php and you will find the information. To translate spoken Chinese into English text, you can use the following program: https://app.simplified.com/login
