Rhinotillexomania Manifesting as Empty Nose Syndrome

Objectives: 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.