Patient case documentation · Empty Nose Syndrome
Charly Audes: Empty Nose Syndrome after radiofrequency turbinate reduction
Charly Audes described severe breathing, sleep, neurological and autonomic symptoms after radiofrequency turbinoplasty in December 2022. His case later included a positive cotton test, an ENS diagnosis and experimental PRP treatment.
Charly Audes was a 30-year-old father of two from France. The material preserved on this page includes a message from his sister, Charly’s own written account, a radio program, press coverage and medical details he reported after nasal surgery. He passed away on January 3, 2024.
According to the family material on this page, the turbinate procedure took place on December 6, 2022, and Charly passed away on January 3, 2024.
Family statement and Charly Audes’ background
Charly’s sister wrote that he was 30 years old, that his operation took place on December 6, 2022, and that he passed away on January 3, 2024. She shared the family material so that others could understand what happened and learn from his experience.
Charly’s own account traces his breathing difficulties back roughly thirteen years, beginning with a deviated nasal septum. He described chronic nighttime nasal obstruction, repeated awakenings, dry mouth, progressive fatigue and poor restorative sleep.
Charly Audes surgery and ENS timeline
Charly described longstanding nasal blockage when lying down and increasing fatigue. He later underwent septoplasty, but wrote that the internal deviation remained.
Charly considered further septal surgery and turbinate treatment. He wrote that he was already aware of reports of Empty Nose Syndrome and was concerned about reducing the turbinates.
According to Charly’s account, the procedure was performed in Le Havre. He reported being told that the operation would reduce tissue inside the mucosa rather than remove the surface of the turbinates.
Charly described too much air entering the nose, nighttime choking, a persistent “drunk” or dreamlike sensation, visual disturbance, brain fog and escalating physical symptoms.
Charly wrote that Dr. Ayoun observed an “empty nose” and that a cotton test supported the diagnosis. The press material on the original page states that the inferior turbinates were estimated at approximately 50% of their previous size.
Charly underwent another septoplasty to correct the persistent septal deviation that he believed should originally have been addressed instead of reducing the turbinates.
Platelet-rich plasma was injected into the inferior turbinates. Charly reported temporary congestion and some later increase in volume, but insufficient relief from his symptoms.
The family and newspaper material state that Charly passed away after a prolonged period of severe symptoms that he attributed to Empty Nose Syndrome.
Symptoms Charly reported after turbinate reduction
Charly’s written account described a broad range of symptoms after the December 2022 procedure. The page preserves these as patient-reported experiences.
“I feel too much air rushing into my nose. It lands directly in my throat, which causes me to wake up at night due to choking.”
“I feel like I've had 6 glasses of whiskey all the time. The world around me is blurry, my brain lagging behind my vision.”
Empty Nose Syndrome diagnosis, cotton test and PRP treatment
According to Charly’s account, he initially returned to the ENT who had performed the turbinoplasty and was told that the mucosa appeared to be healing normally. He then underwent additional medical investigations because he considered other explanations for the symptoms.
Charly wrote that a gastroenterologist raised Empty Nose Syndrome when hearing about the recent turbinate procedure. On June 3, 2023, he was assessed by Dr. Ayoun in Paris. Charly stated that the examination and subsequent cotton test confirmed ENS.
The newspaper material reproduced on the original page reports that the clinical and fibroscopic examination described a reduction of the inferior turbinates estimated at approximately 50% of their size and that the wet cotton test supported the diagnosis.
Charly later underwent revision septoplasty and then PRP injections on October 2, 2023. He reported that the turbinates regained some volume, but that the change was not enough to meaningfully relieve the overall symptoms.
Translated radio program about Charly Audes
The video below is the YouTube version supplied for this page. It is fully responsive and fits the width of the website content without covering a sidebar or forcing the page wider.
Press coverage and archived material
The original page includes French and English versions of newspaper coverage about Charly’s case, as well as family photographs and advocacy material. The images below are displayed at large size and can be clicked to open the original version.
Key points preserved from the newspaper coverage
The archived article describes Charly’s longstanding nasal obstruction, a previous unsuccessful septoplasty, the December 2022 turbinoplasty, the development of severe symptoms afterward and later medical assessment for Empty Nose Syndrome.
The article also reports that an ENT assessment in Paris included a wet cotton test supporting the ENS diagnosis and that PRP injections were attempted in October 2023.
The source further discusses French Haute Autorité de Santé recommendations concerning turbinate procedures, including a preference for techniques with lower ENS risk and preservation of at least two-thirds of turbinate structure.
Full Charly Audes documentation
The complete Charly Audes document is available through OneDrive. Instead of embedding it inside the page, the document opens directly in a new tab to avoid iframe restrictions and improve page reliability.
Opens the OneDrive document in a new tab.
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