Evidence map›Paper›PMID 40461852›Full record

SynthesisEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2025

Surgical interventions for empty nose syndrome: A meta-analysis of meta-analyses.

Leire Aguirre-Peña, Octavio Garaycochea, Isam Alobid, Holger Sudhoff, Manuel Bernal-Sprekelsen

Abstract readMeta-AnalysisReview
In one paragraph

Synthesis in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Leire Aguirre-PeñaUniversity of Barcelona Medical School, Villaroel 170, Esc,.8, 2 A, 08036, Barcelona, Spain.
Octavio GaraycocheaENT-Dept, Clinica Univ.de Navarra, Pamplona, Navarra, Spain.
Isam AlobidUniversity of Barcelona Medical School, Villaroel 170, Esc,.8, 2 A, 08036, Barcelona, Spain.
Holger SudhoffUniversity of Barcelona Medical School, Villaroel 170, Esc,.8, 2 A, 08036, Barcelona, Spain.
Manuel Bernal-SprekelsenUniversity of Barcelona Medical School, Villaroel 170, Esc,.8, 2 A, 08036, Barcelona, Spain. mbernal@clinic.cat.ORCID http://orcid.org/0000-0001-8191-9833

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEmpty nose syndrome (ENS) is a complex iatrogenic condition resulting from excessive inferior turbinate resection, leading to paradoxical nasal obstruction despite an objectively patent airway.

methodsThis system review and meta-analysis of meta-analyses, performed with the AMSTAR2 tool, evaluates surgical treatment outcomes for ENS, focusing on validated patient-reported measures such as the ENS6Q and SNOT questionnaires.

resultsData from three meta-analysis, including over 1500 cases, highlights the long-term benefits and limitations of various surgical approaches. DISCUSSION: While surgical interventions demonstrate sustained improvements in patient quality of life, substantial heterogeneity across meta-analyses and overlapping primary data highlight the need for standardized protocols, harmonized outcome measures, and meta-evaluation frameworks in future ENS research.

Indexed as

Nasal ObstructionTurbinatesHumansPatient Reported Outcome MeasuresQuality of LifeRhinoplastySyndromeEmpty nose syndromePatient-reported outcome measuresQuality of lifeSino-Nasal Outcome Test (SNOT)Turbinate surgery

Identifiers

PMID40461852
PMCPMC12321921

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.