Empty Nose Syndrome Information & Research

Empty Nose Syndrome After Septoplasty and Revision Rhinoseptoplasty: Stéphane Spinhirny

Patient archive · France · 1982–2013
Stéphane Spinhirny documented paradoxical obstruction, nasal dryness, crusting, profound sleep disruption and psychological distress after nasal surgery. His own blog, videos and supporting case material provide a first-person record of his search for explanations and treatment.
How to read this page. The chronology below is reconstructed from the supplied case summary, Stéphane’s own blog and the supporting material preserved with the original article. Where the source describes a procedure or symptom from Stéphane’s perspective, it is presented as his account rather than as an independently verified operative record.

Stéphane sought nasal surgery for both functional breathing concerns and the appearance of his nose. The supplied case material identifies the first operation as a septoplasty in October 2011. Instead of the improvement he expected, he reported new and persistent nasal symptoms beginning immediately after surgery.

Over the following year he wrote extensively about the difference between a nose that may appear anatomically open and a nose that no longer feels normal to breathe through. His posts repeatedly return to the same themes: abnormal airflow sensation, dryness, crusting, insomnia, frustration with medical encounters and fear that the changes would be permanent.

Stéphane Spinhirny case archive
Image preserved from the original Stéphane Spinhirny case page.
  • October 2011First nasal operation identified in the case summary as septoplasty. Severe new symptoms were reported afterward.
  • 2011–2012Stéphane documented persistent obstruction sensations, dryness, crusting, insomnia and worsening quality of life.
  • October 2012A revision rhinoseptoplasty was reportedly performed using ear cartilage and a PDS plate in an attempt to reconstruct the septum.
  • 2013His blog and recordings continued to describe severe symptoms and frustration with the limited help available to him.

The first operation and the beginning of persistent symptoms

The source summary states that septal cartilage was removed during the 2011 procedure. Stéphane later described the operation in strongly critical terms and believed he had not been sufficiently informed about what could be changed during surgery or about the possibility of long-term postoperative problems.

What stands out in his account is the immediacy of the change. He did not describe a gradual return of the same preoperative obstruction. Instead, he wrote about a qualitatively different experience of breathing: the nose could feel blocked or unsatisfactory even when it was not simply narrowed by a conventional mechanical obstruction.

His later descriptions included dryness and crusting, symptoms often discussed in ENS literature and patient reports, together with severe difficulty sleeping. The page does not assume that every symptom came from one mechanism; it preserves the sequence reported by Stéphane and the diagnostic framework under which his case later circulated.

Revision surgery in October 2012

According to the supplied material, Stéphane underwent a second operation with Dr. Miriam Bönisch in October 2012. The procedure is described as a reconstructive rhinoseptoplasty. Ear cartilage was reportedly harvested and used with a PDS plate to rebuild septal support after the earlier removal of septal cartilage.

The existence of a revision operation is important to the chronology because it shows that Stéphane did not simply stop seeking medical treatment. He pursued reconstructive care in an effort to improve a condition he regarded as disabling. The source material, however, does not support portraying the revision as a complete resolution of his symptoms.

A first-person record of postoperative breathing distress

Stéphane’s blog is one of the strongest elements of the archive because it records his concerns in his own words rather than only through later summaries. He wrote about choosing a surgeon, informed consent, the functions of nasal structures, difficulty obtaining recognition of postoperative symptoms and the impact of chronic sleep loss.

His recurring message was that patients should understand exactly what structures may be altered during nasal surgery and should not assume that a procedure will remain limited to the element discussed most prominently beforehand.

The tone of some of his writing was angry and distressed. In this revised presentation, those reactions are kept in context rather than used as proof of broader claims about every surgeon or every nasal operation.

Stéphane Spinhirny septoplasty blog archive
Screenshot from Stéphane’s own blog, retained as source material.

Video testimony archive

The original Blogger page contained two hosted video objects. They are preserved here because they are part of Stéphane’s first-person documentation rather than secondary commentary.

Quality of life, insomnia and psychological burden

The supplied case material describes Stéphane’s quality of life after surgery as severely impaired. Persistent insomnia and depression are prominent in the later account. These symptoms are presented here as part of his postoperative experience, not as an alternative explanation that erases the physical complaints he repeatedly documented.

At the same time, a careful case page should avoid claiming that one individual story establishes the frequency or mechanism of ENS in the wider surgical population. Stéphane’s record is valuable because it shows the lived experience of one patient, the chronology of repeated procedures, and the difficulty he described in finding a satisfactory explanation or treatment.

He died in 2013 at the age of 30. His parents, Denis Spinhirny and Jeannine Poncin, are named in the source material. His blog and recordings later became part of broader ENS awareness efforts.

Original material

The links below preserve the sources associated with the original article.

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