cr250bronco wrote:
I am NOT a doctor, but I have looked at hundreds of sinus CT scans now.  Idk what causes ENS, I think it can be caused by; messed up nerves, lack of tissue,poor airflow dynamics, lack of moisture, or a combination of all of them.  I am not saying you do not have ENS.  With all of that said you look like you have a lot of tissue, pretty much, if not 100% normal.  (ENTs will likely tell you your turbinates are "hypertrophied" and recommend additional surgery, but I disagree with that).  It does however look like a very small amount of tissue was once removed from both of the lower portion of your anterior inferior turbinates (a small amount from the lowest part of your IT in the very front).  BUT what's interesting is that your nasal floor has bulked up some to fill in that gap! I haven't seen that yet in any ct scans.  It gives me hope for my case.  I posted a link to my CT scans, look at it to find out what/where the inferior turbinates are; they are right above the upper teeth.  My scans show a huge black area (emptiness) where the lower part of the inferior turbinates are. Hopefully that helps you identify where your inferior turbinates are located.

http://smg.photobucket.com/user/cr250bronco/library/ENS

So what you think is, although I still have a large portion of both turbinate/tissue left, my nasal nerves might be damaged from the surgeries, and have not been recovered properly. My first turbinate reduction surgery was done in 2009 by cutting using surgical scissors. The doctor performed the surgery twice in 3 days (he felt he did not reduce enough tissue in the first time), and I got a fever few days after that, which might lead to the nerves in the turbinate not recovering properly. To be honest, I don’t really know what technique did the ENT surgeon use for my second surgery (septoplasty and turbinate reduction), since I was put to sleep during the surgery and I did not ask him how he performed the operation. At that time, I did not know that there are more than one techniques to reduce turbinate other than cutting with a pair of scissors. But I think 90% he performed the operation by cutting using scissors. =9pt =9ptYes, I also think my anterior inferior turbinate has been reduced (probably 3 times, twice by the first surgeon, and once by the second surgeon), because during my first surgery, I was awake and I could feel that the surgeon did not stick the scissors deep enough to reach other part of the turbinate except the anterior portion. And this might alter the airflow dynamic to a different state I suspect.

Thanks again for your link to the CT scans. Did you also get your anterior inferior turbinate resected? And I noticed that there is a video in the link you provided. The doctor in the video said that you are a good candidate for the nasal injection. I wonder if he is Dr. Das? And did you get injection from him? Because I am also thinking to get a PRP + Acell injection from him in the future. He seems to be a very knowledgeable doctor and cares about the patients.

Sorry for so many follow up questions.
Regards.