Empty Nose Syndrome poses a complex challenge in otolaryngology, often characterized by persistent nasal symptoms despite various interventions. In this case report, we present a distinctive approach to managing Empty Nose Syndrome using Ear cartilage for septal augmentation in a 49-year-old male patient with a history of multiple nasal surgeries. The patient's surgical history includes septoplasty, turbinoplasty, septorhinoplasty. It is presumed that nasal symptoms such as excessive nasal crust and nasal stuffiness developed due to excessive turbinoplasty in the past. So the first intervention was an initial attempt at nasal cavity augmentation with 4mm hard Gore-Tex insertion in the left inferior meatus. Despite these interventions, the patient continued to experience chronic nasal stuffiness and nasal crust, eventually leading to the diagnosis of Empty Nose Syndrome. Recognizing the ongoing challenges associated with empty nose syndrome management, a decision was made to explore the potential benefits of Ear cartilage as a reconstructive material for septal augmentation. Using ear cartilage in septal augmentation for Empty Nose Syndrome treatment in otolaryngology has several advantages. Ear cartilage provides inherent tissue stability and strength for a stable, long- term outcome. Its softness and flexibility within the nasal cavity ensure adaptability and harmonious integration with the patient's natural structure, preventing sensory loss and incorrect nasal architecture. Additionally, ear cartilage exhibits tissue compatibility during reconstruction, reducing the likelihood of long- term issues at the graft site. These advantages highlight the effectiveness of ear cartilage in enhancing both the structure and function of the nasal region for Empty Nose Syndrome. This case report aims to elucidate the intricacies of using Ear cartilage for septal augmentation in the context of empty nose syndrome management. By exploring the rationale behind this approach and detailing the patient's clinical response, we contribute valuable insights to the evolving landscape of empty nose syndrome therapeutics. The utilization of Ear cartilage as a reconstructive tool for septal augmentation in empty nose syndrome is a compelling avenue that warrants further exploration, and this report serves as a pivotal step in understanding its efficacy and implications.