Dear Dr. Gott: I have had several nasal surgeries, including a rib-cartilage graft to my nose, septoplasty and turbonectomy for a deviated septum. I also had to have a silastic nasal button put in place because of a nasal perforation.

As a result of this, when I blow my nose (which always feels clogged and dry), nothing comes out. I am a medical transcriptionist and came across the term Empty Nose Syndrome, and I was wondering what you could tell me about it.

My doctor says I can't expect anything more than I have now because of the several surgeries and scar tissue, but I am hoping that you may be able to help me get relief or point me in the right direction.

Reply: Empty Nose Syndrome is a term used to describe an iatrogenic (caused by a physician, surgeon or treatment) condition in which the inferior or middle turbinates (structures that control the flow of air) of the nose were over-resected during surgery. This leads to an excessively wide nasal cavity.

Symptoms include chronic dryness of the nose, pharynx and associated mucous membranes, breathing difficulties and more. Most sufferers complain of being "stuffy" or "congested" despite a lack of mucous or complain that their sinuses feel "too open" and they can't get enough air into their lungs.

Because this situation is caused by a doctor, it should be addressed.

There are certain conditions, such as cancerous tumours of the nasal cavity, that may necessitate removing as much of the turbinate as possible to treat all signs of the cancer.

I urge you to return to the surgeon to discuss your symptoms or to seek a second opinion. For more information on Empty Nose Syndrome, you may wish to visit The Empty Nose Syndrome self-help website at www.emptynosesyndrome.org. This site has several links to journal articles and physician websites that discuss the syndrome, its causes, symptoms and possible treatments. I should also mention that this site states plainly that it is created by sufferers of the syndrome, not medical professionals, so it is vital that any diagnoses or treatments you come across are discussed with an appropriate medical professional.

Dr. Peter Gott is a retired physician and the author of 'Dr. Gott's No Flour, No Sugar Diet' and ,'Dr. Gott's No Flour, No Sugar Cookbook'. Contact him c/o United Media, 200 Madison Avenue, fourth floor, New York, New York 10016.