Our expert says:
The fact that you had sinus surgery could indicate that certain structures where removed from your nasal cavity (turbinates, etc). This may have lead to your feeling that your nose is empty. The nose is filled with certain structures to enable a pattern of airflow over these structures which is necessary for a patient to experience the effect of an open, functional nose.
It may happen that the nasal cavity is to "open", creating an empty feeling as the sensation of airflow is not registered. Althoughsmoking is never good, it is unlikely that 4 cigarettes once off could have been the cause.
The type of surgery that you mention, does not involve the above, so I do not think it is applicable to your case.
Loss of smell, and the headaches, tend to indicate a preblem in the upper part of the nose, and this needs assesment. It may be helpful to consider repeating a CT scan, to re-evaluate the situation. It could be that there is a problem with the fronto nasal duct, or that there is an obstruction in the upper part of the nasal cavity. The nerve for smell is situated in that area.
You could also suffer from Chronic Rhino Sinusitis (CRS), which requires longterm management.
If you are not satisfied with the condition, ask your ENT to send you for a second opinion, or alternatively ask your GP to recommend an ENT with a special interest in sino nasal work.
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal
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