To highlight a severe case of rhinotillexomania (compulsive nasal picking) and its potential to manifest as empty nose syndrome (ENS).
Methods:
A single case report with the presentation and management of a patient with severe rhinotillexomania who presented with chronic obstructive symptoms. We review the current literature on rhinotillexomania and ENS.
Results:
This patient’s manifestations mimic the obstructive symptoms of ENS, despite widely patent nasal passages.
Conclusion:
This is the first report of rhinotillexomania manifesting with features of ENS.
JeffersonJWThompsonTD. Rhinotillexomania: psychiatric disorder or habit?J Clin Psychiatry. 1995;56(2):56-59.
2.
GigerRNisaL. Demolition site: rhinotillexomania. Am J Med. 2016;129:48-49.
3.
AnkurJNishantPRaychaudhuriCDashoreS. Rhinotillexomania: a rare case report of chronic nose picking. IAIM. 2017;4(5):143-145.
4.
GelpiMAhadizadehEND’anzaaBRodriguezK. Rhinotillexomania in a cystic fibrosis patient resulting in septal perforation. J Otolaryngol Rhinol. 2018;4(1):036.
5.
CarusoRDSherryRGRosenbaumAE, et al. Self-induced ethmoidectomy from rhinotillexomania. Am J Neuroradiol. 1997;18(10):1949-1950.
6.
CosteADessiPSerranoE. Empty nose syndrome. Eur Ann Otorhinolaryngol Head Neck Dis. 2012;129(2):93-97.
7.
ChhabraNHouserSM. The diagnosis and management of empty nose syndrome. Otolaryngol Clin N Am. 2009;42(2):311-330.
8.
WillkensRFRothGJNovakAWalikeJW. Perforation of nasal septum in rheumatic diseases. Arthritis Rheum. 1976;19(1):119-121.
9.
LanierBKaiGMarpleBWallGM. Pathophysiology and progression of nasal septal perforation. Ann Allergy Asthma Immuno. 2007;99(6):473-479.
10.
HouserSM. Surgical treatment for empty nose syndrome. Arch Otolaryngol Head Neck Surg. 2007;133(9):858-863.
11.
RathoreDAhmedSKAhluwaliaHSMehtaP. Rhinotillexomania: a rare cause of medial orbital wall erosion. Ophthalmic Plast Reconstr Surg. 2013;29(5):e134-e135.
12.
GuptaADhingraA. Chronic rhinotillexomania leading to unilateral external nare stenosis. Cureus. 2018;10(8):e3172.
