How to treat hypertrophic turbinates and sinusitis?

Written by Li Rui
Otolaryngology
Updated on January 31, 2025
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Nasal hypertrophy and sinusitis are relatively common diseases. In terms of treatment, it is first necessary to visit the Otolaryngology department, where an endoscopic nasal examination, sinus CT scan, and routine blood test should be conducted to assess the severity of the condition. If the inflammatory response is relatively localized, it is generally considered treatable with medication. If the inflammatory response is particularly severe, accompanied by related clinical symptoms such as nasal congestion, thick nasal discharge, headache, dizziness, and reduced sense of smell, and if the effect of standardized conservative medical treatment is not satisfactory, surgical treatment may also be considered. However, whether it is medical treatment or surgical treatment, regular follow-up checks are necessary to observe if there is any recurrence of the condition. (Please take medication under the guidance of a professional physician.)

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Written by Li Rui
Otolaryngology
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What is the best treatment for sinusitis?

The treatment of sinusitis is currently divided into two main categories: conservative treatment and surgical treatment. The specific choice of treatment mainly depends on the severity and type of sinusitis. For fungal sinusitis, conservative treatment generally does not yield good results. If the patient's condition permits and their physical health can tolerate surgery, it is generally recommended to perform sinus opening surgery under endoscopy. For bacterial sinusitis with mild inflammation, unclear symptoms, or relatively mild symptoms, conservative drug treatment can be considered. This usually involves oral medications and nasal sprays, and saline nasal irrigation can also be considered. If the inflammatory response is more severe and the symptoms are typical, and conservative treatment is ineffective, sinus opening surgery should be considered. Currently, minimally invasive surgery under endoscopy is employed, which generally yields precise results, causes less damage, and allows for a quicker recovery.

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Written by Xu Qing Tian
Otolaryngology
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What is sinusitis?

Sinusitis is a nonspecific inflammation of the sinus mucosa, a common and frequently occurring illness. Its onset is often due to diseases of the nasal cavity such as nasal polyps, allergic rhinitis, deviated nasal septum, hypertrophy of the nasal turbinates, or nasal cavity tumors that block the sinus ostia, all of which can lead to sinusitis. Patients with sinusitis typically experience symptoms such as nasal congestion, purulent nasal discharge, and headaches. Usually, a diagnosis requires sinus CT scans, either plain or enhanced, to confirm the occurrence of sinusitis. Once diagnosed, most cases of sinusitis can be alleviated with oral medication. However, a small number of patients who are difficult to cure may need surgery to open the sinus ostia and maintain drainage, thus curing the sinusitis.

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Written by Li Rui
Otolaryngology
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Can sinusitis cause a fever?

Sinusitis can potentially cause fever, primarily seen in cases of acute sinusitis or acute exacerbation of chronic sinusitis. Additionally, some cases are due to a systemic or localized inflammatory response caused by fungal sinusitis, leading to related changes in the condition. For fever, it is first necessary to check the body temperature. If the temperature is below 38.5 degrees Celsius, physical cooling methods are generally recommended. If the temperature exceeds 38.5 degrees Celsius, antipyretic medications should be considered. In cases of acute bacterial infections, timely antibiotic treatment for infection should be considered, along with using saline solution to wash the nasal cavity. If inflammation occurs repeatedly and conservative medication treatment is not effective, surgery may need to be considered.

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Written by Deng Bang Yu
Otolaryngology
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How to treat sinusitis?

In clinical practice, the treatment for sinusitis depends on the patient's symptoms, whether it is acute or chronic sinusitis, and whether there are any complications associated with acute sinusitis. Generally, for sinusitis, the main treatment involves the local use of nasal corticosteroids sprays such as mometasone furoate. Additionally, oral anti-inflammatory drugs are used, mainly macrolide antibiotics such as erythromycin and clarithromycin. Some Chinese patent medicines that open orifices aromatically can also be used, such as Bi Tong Jing Granules and Dan Xiang Bi Yan Tablets, to provide auxiliary treatment. Of course, a CT scan of the sinuses can also be performed to assess the extent of the lesion and determine if the problem can be resolved through surgery. (Please use medications under the guidance of a doctor.)

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Written by Li Mao Cai
Otolaryngology
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Symptoms of recurrent sinusitis

The symptoms of recurrent sinusitis are essentially the same as those of sinusitis itself. Symptoms can be divided into local symptoms, which are those of the nasal cavity, as well as some systemic symptoms, because the recurrence of sinusitis often follows a cold that leads to an acute recurrence. The nasal symptoms mainly include nasal discharge, primarily consisting of yellow pus-like mucus. There may also be nasal congestion or a sensation of the nose being blocked, as well as headaches. The location and severity of the headache depend on which sinus is more severely inflamed, which also affects where the headache is felt. Additionally, there may be a disturbance in the sense of smell, which refers to a reduced sensitivity to smells, or a reduced ability to smell or weak sense of smell. Systemic symptoms mainly include lethargy, feelings of headache and weakness, lack of concentration, and a general lack of energy. Overall, the symptoms of recurrent sinusitis are similar to those of initial sinusitis, with most being the same.