{"id":144,"date":"2023-04-07T15:34:12","date_gmt":"2023-04-07T15:34:12","guid":{"rendered":"https:\/\/deviatie-de-sept.info\/?page_id=144"},"modified":"2023-08-09T11:04:34","modified_gmt":"2023-08-09T11:04:34","slug":"sindromul-nasului-gol","status":"publish","type":"page","link":"https:\/\/deviatie-de-sept.info\/?page_id=144","title":{"rendered":"Sindromul nasului gol"},"content":{"rendered":"\n<div class=\"wp-block-cover alignfull\"><span aria-hidden=\"true\" class=\"wp-block-cover__background has-background-dim\"><\/span><img loading=\"lazy\" decoding=\"async\" width=\"1849\" height=\"1040\" class=\"wp-block-cover__image-background wp-image-146\" alt=\"\" src=\"https:\/\/deviatie-de-sept.info\/wp-content\/uploads\/2023\/04\/statue-1.jpg\" data-object-fit=\"cover\" srcset=\"https:\/\/deviatie-de-sept.info\/wp-content\/uploads\/2023\/04\/statue-1.jpg 1849w, https:\/\/deviatie-de-sept.info\/wp-content\/uploads\/2023\/04\/statue-1-300x169.jpg 300w, https:\/\/deviatie-de-sept.info\/wp-content\/uploads\/2023\/04\/statue-1-1024x576.jpg 1024w, https:\/\/deviatie-de-sept.info\/wp-content\/uploads\/2023\/04\/statue-1-768x432.jpg 768w, https:\/\/deviatie-de-sept.info\/wp-content\/uploads\/2023\/04\/statue-1-1536x864.jpg 1536w\" sizes=\"auto, (max-width: 1849px) 100vw, 1849px\" \/><div class=\"wp-block-cover__inner-container is-layout-flow wp-block-cover-is-layout-flow\">\n<p class=\"has-text-align-center has-large-font-size\">Sindromul nasului gol<br>(Empty Nose Syndrome)<\/p>\n<\/div><\/div>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"has-ast-global-color-4-background-color has-background\"><strong>Sindromul nasului gol (sau pe englez\u0103 ENS = Empty Nose Syndrome)<\/strong> este o posibil\u0103 complica\u021bie debilitanta a interven\u021biilor chirurgicale la nivelul cornetelor nazale. ENS este un sindrom clinic care este adesea considerat ca o form\u0103 de rinit\u0103 atrofic\u0103 secundar\u0103. Persoanele cu ENS au suferit de obicei o turbinectomie\/turbinoplastie (\u00eendep\u0103rtarea sau reducerea cornetelor nazale- structurile din interiorul nasului) sau alte proceduri chirurgicale care micsoreaza sau afecteaz\u0103 cornetele nazale. Inciden\u021ba global\u0103 a ENS nu este cunoscut\u0103.<\/p>\n\n\n\n<p class=\"has-ast-global-color-4-background-color has-background\">Persoanele cu ENS pot avea o serie de simptome, cel mai frecvent fiind senza\u021bia de obstruc\u021bie nazal\u0103, usc\u0103ciune, cruste nazale, hypersensibilitate la aer rece sau uscat \u0219i senza\u021bia de a nu putea respira sau sufocare.<\/p>\n\n\n\n<p class=\"has-ast-global-color-4-background-color has-background\"><strong>Afec\u021biunea este cauzat\u0103 de interven\u021biile medicale \u0219i poate fi provocat\u0103 de orice opera\u021bie sau procedur\u0103 care implic\u0103 cornetele nazale.<\/strong> Aceasta include at\u00e2t proceduri chirurgicale &#8220;conservatoare&#8221; minore, c\u00e2t \u0219i rezec\u021bia total\u0103 a cornetelor. Este adesea \u00eent\u00e2lnit\u0103 la persoanele care au c\u0103ile nazale libere dup\u0103 interven\u021bii chirurgicale, dar care raporteaz\u0103 senza\u021bia de sufocare sau obstruc\u021bie. Initial, medicii credeau c\u0103 ENS era limitat doar la cei cu rezec\u021bie complet\u0103 a cornetelor, dar prin cercet\u0103ri ulterioare s-a descoperit si la pacien\u021bi la care nu le lipsesc cornetele in totalitate.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-style-default\"><img loading=\"lazy\" decoding=\"async\" width=\"778\" height=\"249\" src=\"https:\/\/deviatie-de-sept.info\/wp-content\/uploads\/2023\/04\/ens-ct-variants.png\" alt=\"imagistica CT a sindromului de nas gol\" class=\"wp-image-147\" srcset=\"https:\/\/deviatie-de-sept.info\/wp-content\/uploads\/2023\/04\/ens-ct-variants.png 778w, https:\/\/deviatie-de-sept.info\/wp-content\/uploads\/2023\/04\/ens-ct-variants-300x96.png 300w, https:\/\/deviatie-de-sept.info\/wp-content\/uploads\/2023\/04\/ens-ct-variants-768x246.png 768w\" sizes=\"auto, (max-width: 778px) 100vw, 778px\" \/><figcaption class=\"wp-element-caption\">Imagistica CT a sindromului de nas gol:<br>A &#8211; turbinectomie complet\u0103 bilateral\u0103 a cornetelor inferioare<br>B &#8211; turbinectomie semi-total\u0103 a cornetelor mijlocii<br>C &#8211; turbinectomie complet\u0103 bilateral\u0103 a cornetelor inferioare si mijlocii<\/figcaption><\/figure>\n\n\n\n<p class=\"has-ast-global-color-4-background-color has-background\">Existen\u021ba acesteia ca afec\u021biune medical\u0103 a fost anterior controversat\u0103 \u0219i a fost acceptat\u0103 mai recent \u00een comunitatea speciali\u0219tilor \u00een ORL \u0219i chirurgie plastic\u0103. Aceasta se datoreaz\u0103 faptului c\u0103 mul\u021bi medici ORL \u0219i chirurgi plasticieni nu \u00een\u021beleg pe deplin modific\u0103rile fluxului de aer care apare atunci c\u00e2nd modific\u0103 structura nasul. <br>Lipsei aceasta de intelegere a medicilor ORL face ca acestia sa spun\u0103 c\u0103 simptomele resim\u021bite de pacient dupa operatie sunt din cauza unei boli mintare &#8211; un diagnostic complet superficial si incorect.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Simptome<\/h2>\n\n\n\n<div class=\"wp-block-columns has-ast-global-color-4-background-color has-background is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p><br>Exista foarte multe simptome ce pot fi resimtite de c\u0103tre un pacient cu sindrom de nas gol.<\/p>\n\n\n\n<ul class=\"wp-block-list\" style=\"margin-left:var(--wp--preset--spacing--70)\">\n<li>senza\u021bie de sufocare din cauza lipsei senza\u021biei de aer si respira\u021bie<\/li>\n\n\n\n<li>usc\u0103ciune nazal\u0103 \u015fi faringeal\u0103 <\/li>\n\n\n\n<li>senza\u0163ia de nas gol<\/li>\n\n\n\n<li>senza\u0163ia de flux de aer excesiv (nas prea deschis)<\/li>\n\n\n\n<li>sim\u021b al mirosului schimbat sau redus<\/li>\n\n\n\n<li>hipersensibilitate la aerul rece &#8211; senza\u021bie de aer foarce rece \u00een nas sau g\u00e2t chiar si atunci c\u00e2nd aerul are o temperatur\u0103 comfortabil\u0103 (22 grade Celsius)<\/li>\n\n\n\n<li>dureri de nas, fa\u021ba sau ochi (nevralgie de trigemen)<\/li>\n\n\n\n<li>cefalee (dureri de cap)<\/li>\n\n\n\n<li>inflama\u0163ie cronic\u0103  &#8211; poate duce la atrofierea mucoasei, de aceea, unii autori numesc aceast\u0103 afec\u0163iune \u201erinit\u0103 atrofic\u0103 secundar\u0103)<\/li>\n\n\n\n<li>dureri de g\u00e2t (faringit\u0103, laringit\u0103)<\/li>\n\n\n\n<li> \u00een cazuri foarte severe dureri la nivelul traheii, bronhiilor \u015fi pl\u0103m\u00e2nilor;<\/li>\n\n\n\n<li>r\u0103gu\u015feal\u0103, tuse (cauzate de purificarea \u015fi umidificarea incomplet\u0103 a aerului)<\/li>\n\n\n\n<li>insomnii \u015fi oboseal\u0103 diurn\u0103 (corpul nu se poate sta adormit daca creierul nu simte c\u0103 exist\u0103 respira\u021bie nazal\u0103)<\/li>\n\n\n\n<li>anxietate<\/li>\n\n\n\n<li>depresie<\/li>\n\n\n\n<li>pierderea capacit\u0103\u0163ii de concentrare (aprosexie nazal\u0103).<\/li>\n\n\n\n<li>iritabilitate<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Preven\u021bia<\/h2>\n\n\n\n<p class=\"has-ast-global-color-4-background-color has-background\">Din cauz\u0103 c\u0103 sindromul este foarte greu de tratat si foarte pu\u021bini chirurgi au experien\u021ba necesar\u0103 sa fac\u0103 opera\u021biile de implat care ii pot ajuta pe pacien\u021bi, cel mai bine e sa prevenim.<br>Preven\u021bia const\u0103 \u00een a am\u00e2na sau renun\u021ba la orice opera\u021bie care modific\u0103 cornetele nazale. Trebuie f\u0103cute toate analizele si excluse toate cauzele pentru care putem avea probleme de respira\u021bie \u0219i cornete m\u0103rite.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Tratamentul<\/h2>\n\n\n\n<p class=\"has-ast-global-color-4-background-color has-background\">Nu exist\u0103 un tratament bun sau eficient pentru sindromul de nas gol din cauz\u0103 c\u0103 nimic nu poate repara sau \u00eenlocuii un cornet care nu mai func\u021bioneaz\u0103 sau este prea mic sau chiar lipse\u0219te \u00een totalitate.<br>Pentru usc\u0103ciune se recomanda hidratarea artificial\u0103 a nasului cu diverse creme, spray-uri si alifii. <br><\/p>\n\n\n\n<p class=\"has-ast-global-color-4-background-color has-background\">Alte tratamente considerate experimentale pot ajuta \u00een divers\u0103 m\u0103sur\u0103 \u00een func\u021bie de volumul cornetului r\u0103mas:<br>&#8211; Pentru cornete reduse agresiv, cu deficit mare de volum &#8211;  implanturile din diverse materiale care s\u0103 creasca volumul cornetului afectat sau s\u0103 \u00eenlocuiasca lipsa lui.<br>&#8211; Pentru cornete cu deficit mic de volum sau unde doar nervii sunt afectati &#8211; diverse injectii cu plasma, grasime sau celule stem.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Sindromul nasului gol (sau pe englez\u0103 ENS = Empty Nose Syndrome) este o posibil\u0103 complica\u021bie debilitanta a interven\u021biilor chirurgicale la nivelul cornetelor nazale. ENS este un sindrom clinic care este adesea considerat ca o form\u0103 de rinit\u0103 atrofic\u0103 secundar\u0103. Persoanele cu ENS au suferit de obicei o turbinectomie\/turbinoplastie (\u00eendep\u0103rtarea sau reducerea cornetelor nazale- structurile din [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"_mi_skip_tracking":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-144","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/deviatie-de-sept.info\/index.php?rest_route=\/wp\/v2\/pages\/144","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/deviatie-de-sept.info\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/deviatie-de-sept.info\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/deviatie-de-sept.info\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/deviatie-de-sept.info\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=144"}],"version-history":[{"count":11,"href":"https:\/\/deviatie-de-sept.info\/index.php?rest_route=\/wp\/v2\/pages\/144\/revisions"}],"predecessor-version":[{"id":177,"href":"https:\/\/deviatie-de-sept.info\/index.php?rest_route=\/wp\/v2\/pages\/144\/revisions\/177"}],"wp:attachment":[{"href":"https:\/\/deviatie-de-sept.info\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=144"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}