Marcio Goulart was a Brazilian English teacher who underwent septoplasty together with extensive turbinate and sinus surgery in 2018. Testimony preserved by the ENS community describes a major postoperative change marked by abnormal breathing sensation, persistent obstruction despite an open nasal cavity, panic, severe functional limitation and eventual loss of work capacity.
This page preserves several layers of source material: testimony from a close friend, video, surgical descriptions, postoperative images and community reactions. Personal statements are identified as such and are not treated as independent medical or legal findings.
Marcio, born on October 9, 1988, underwent nasal surgery in 2018. A close friend later reported that a very large proportion of the inferior turbinates had been removed. Because the full operative record has not been independently reviewed here, the frequently cited “90%” figure is presented as testimony rather than a measured anatomical finding.
Before surgery, Marcio worked as an English teacher. Friends described a dramatic loss of function afterward: he reportedly struggled with ordinary walking, could no longer continue working and repeatedly described a sensation of suffocation or blockage even though the nasal passages had been surgically enlarged.
Marcio sought further medical opinions and explored reconstructive treatment. According to the preserved testimony, he travelled to Italy for an assessment with Fabio Piazza, where additional surgery was not recommended because of concern about worsening obstruction. He also considered implants with another clinician, but cost and travel were barriers.
People who interacted with Marcio in ENS forums remembered him as kind, open and active in helping others. His death in April 2020 had a substantial impact on members of those communities who had followed his search for treatment.
A close friend’s account
A close friend recalled speaking with Marcio every day and described severe breathing distress, panic attacks and difficulty walking. The same testimony says Marcio believed extensive inferior turbinate tissue had been removed and that he was searching internationally for reconstructive options.
The friend also described how sharply Marcio’s working life and independence changed after surgery. Marcio reportedly compared the sensation of breathing to trying to breathe through a narrow passage while still feeling continuously obstructed, an example of the paradoxical obstruction often described in ENS accounts.
The testimony further records a period of severe depression, a previous suicide attempt and, later, Marcio’s death by suicide on April 21, 2020. Method details are intentionally omitted. The testimony is retained to document the severity of the crisis, not to imply that a single medical factor can be proven to explain the final outcome.
Video of Marcio Goulart
The embedded video is part of the preserved record of Marcio’s own postoperative experience and is presented here as patient testimony.
Surgical procedures described in the archive
The supplied surgical material identifies André Luiz Gomes de Araújo and Hospital UNIMED Vale do Aço in Coronel Fabriciano, Minas Gerais, Brazil. These identifying details are reproduced from the archive and are not accompanied here by an independent review of responsibility or standard of care.
Procedures listed in the surgical material
- Right frontal sinus surgery and left ethmoid surgery — sinusectomy performed using videoendoscopy, with aspiration via the frontal recess.
- Left sphenoid sinus surgery — described as including ethmoid surgery and turbinoplasty.
- Additional sinusectomy — videoendoscopic technique with aspiration via the natural ostium.
Summary of the surgical information
The documents describe multiple endoscopic sinus procedures together with turbinoplasty. For ENS purposes, the central issue raised by the archive is the extent of change in the inferior turbinate region and whether that anatomical change corresponded with the severe symptoms Marcio reported afterward.
Postoperative anatomy and ENS concerns
Postoperative images were collected by ENS community members to illustrate the anatomy after surgery. The people who assembled the case interpreted them as showing marked inferior turbinate tissue loss. That interpretation should not be treated as a substitute for formal radiological or endoscopic assessment.
Across the available testimony, the most consistent theme is a profound postoperative change in breathing sensation and function. Friends described daily distress, inability to resume his former work and major restriction of ordinary activity.
Marcio is also included in community-compiled lists of deaths and suicide attempts among people reporting ENS after turbinate surgery. Such lists can document individual experiences but cannot establish incidence, relative risk or population-level mortality without a defined cohort and systematic follow-up.
Community response and source limitations
The original page reproduced many reactions from YouTube, forums and social-media groups. For readability and safety, this version summarizes those reactions rather than repeating graphic descriptions, accusations or calls for action against individual clinicians.
Person 1Several commenters expressed grief, described Marcio as kind and supportive, and thanked him for speaking publicly about his symptoms.
Person 2Other messages encouraged him to continue seeking help and reflected the sense of solidarity that had developed around his participation in ENS support groups.
Person 3Some comments attributed Marcio’s death directly to his surgeon. Those statements are opinions from community members and are not presented here as medical or legal findings.
Person 4A number of messages simply expressed sympathy and recognition from people who said they were living with similar postoperative breathing problems.
Person 5 — ENS AerodynamicsLonger advocacy comments argued that turbinate procedures can produce severe complications and called for greater awareness. Their broader concern is preserved, while unsupported prevalence claims and inflammatory language are omitted.
One of the original comments linked to an ENS aerodynamics resource; the link is retained where it remains available, but its content should be evaluated on its own merits.
Person 6Friends posting after Marcio’s death described him as caring, honest and deeply missed. Those messages are retained as memorial context rather than as evidence about medical causation.
Person 7 — April 28, 2020The original thread also contained angry demands directed at the treating surgeon. This version does not reproduce those statements because responsibility cannot be established from social-media comments.
Person 8 — April 26, 2020A final community notice shared information about Marcio’s funeral in Minas Gerais and offered condolences to his family.
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