Does turbinate hypertrophy require surgery?

Written by Deng Bang Yu
Otolaryngology
Updated on September 02, 2024
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In clinical practice, hypertrophy of the nasal turbinates must be differentiated by various causes. If the hypertrophy is simple, such as due to nasal mucosal vasoconstrictors like ephedrine nasal drops or phenylephrine nasal drops, which show good shrinkage response, it suggests a simple hypertrophy, often mainly treated with medication. If the surface of the hypertrophied turbinate is uneven and unresponsive to vasoconstrictors, and if there is severe nasal congestion, reduced sense of smell or even loss of it, then medication may not effectively alleviate the condition. Surgical treatment, such as partial resection of the inferior nasal turbinate, would be needed to restore normal nasal airways.

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Written by Li Rui
Otolaryngology
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What are the causes of nasal turbinate hypertrophy?

Turbinate hypertrophy is a relatively common otorhinolaryngological disease, and there are many causes for turbinate hypertrophy. Some of it is physiological hypertrophy, which is simply thickening of the turbinate tissue without causing noticeable clinical symptoms. In general, this situation does not require special treatment, but regular follow-ups are necessary. It may also result from acute rhinitis, chronic rhinitis, or sinusitis, which can lead to turbinate hypertrophy with associated clinical symptoms such as nasal congestion, runny nose, reduced sense of smell, headaches, and dizziness. In such cases, pharmacological treatment should be considered, commonly involving oral medications and nasal sprays, with regular follow-ups to monitor recovery.

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Written by Li Rui
Otolaryngology
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Does nasal turbinate hypertrophy easily cause nosebleeds?

If we are only talking about simple hypertrophy of the turbinates, it generally does not easily lead to nosebleeds. Enlarged turbinates might cause nasal congestion, runny nose, and could also lead to a decreased sense of smell, headaches, or dizziness, but some patients may not have obvious clinical symptoms and are only discovered during a physical examination. Therefore, patients with turbinate hypertrophy need to seek consultation at an otolaryngology department after experiencing relevant clinical symptoms. Examinations such as nasal endoscopy, routine blood tests, and sinus CT scans can be helpful in assessing the specific severity of the condition and the cause of the disease. Once diagnosed, targeted treatment can be administered and regular follow-ups are required to monitor the treatment effects.

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Written by Li Rui
Otolaryngology
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What are the symptoms of turbinate hypertrophy?

The symptoms of turbinate hypertrophy vary among individuals. Some patients just have simple turbinate hypertrophy with no obvious clinical symptoms, while others may experience nasal congestion, runny nose, reduced sense of smell, headaches, dizziness, and memory decline. However, generally speaking, most cases are not very severe. It is necessary to visit an otolaryngology department for a nasopharyngoscopy to ascertain the specific extent of the hypertrophy, and to check for any nasal inflammation, sinusitis, or nasal neoplasms. In terms of treatment, most patients primarily receive oral medications and nasal spray treatments. A small number of patients may need to consider surgical treatment. (Please use medications under the guidance of a doctor.)

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Written by Zhang Jun
Otolaryngology
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Can you eat eggs if you have enlarged nasal turbinates?

Patients with hypertrophic turbinates can eat eggs; there is no issue with that. Eggs are rich in protein, which can enhance the body's immunity and resistance, offering significant benefits to patients with hypertrophic turbinates. Hypertrophic turbinates are simply a clinical manifestation, commonly caused by chronic rhinitis or chronic allergic rhinitis. Following hypertrophy of the turbinates, patients typically experience persistent bilateral nasal congestion, accompanied by a sensation of a foreign body in the nose, swelling, and mucous nasal discharge. A detailed examination with an endoscope at the hospital can confirm the diagnosis. During the examination, diffuse congestion and edema of the bilateral inferior turbinates can be observed. For treatment, initial steps can include nebulized inhalation therapy to shrink the turbinates and alleviate nasal congestion, along with regular physical exercise to restore the function of the nasal mucosa. If conservative treatment is ineffective, local surgical treatment may be necessary.

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Written by Li Rui
Otolaryngology
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Can turbinate hypertrophy be left untreated?

Turbinate hypertrophy is a relatively common otolaryngological condition. In terms of treatment, it is first necessary to consider the specific cause and severity of the condition. If it is merely physiological turbinate hypertrophy without significant clinical symptoms, this situation generally can be managed with observation, and regular nasopharyngoscopy check-ups to monitor the recovery process. If the turbinate hypertrophy causes related clinical symptoms, such as nasal congestion, reduced sense of smell, headaches, and dizziness, then it is necessary to visit an otolaryngologist. Nasopharyngoscopy will generally be conducted, and treatment will typically include oral medications and nasal sprays, with regular check-ups to observe the treatment effects. (Please use medications under the guidance of a doctor)