Dangers of Enlarged Turbinates

Written by Deng Bang Yu
Otolaryngology
Updated on September 09, 2024
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The enlargement, mainly including our inferior turbinate, middle turbinate, and superior turbinate, with the enlargement of the inferior turbinate being the most common clinically. Enlargement of the inferior turbinate can lead to obstruction of our nasal cavity, and then affect our ventilation and sense of smell, etc. Generally speaking, turbinate enlargement has a certain impact on the function of our nasal cavity or our respiratory function. However, the harmfulness of this impact is relatively not very severe, but it does cause us a lot of discomfort, or lead to issues like snoring and hypoxia due to nasal congestion. Compared to other serious diseases, its harmfulness is relatively minor, but that does not mean it does not require treatment. If turbinate enlargement causes nasal congestion and affects breathing, active treatment is still needed.

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Written by Xu Qing Tian
Otolaryngology
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Is surgery necessary for enlarged nasal turbinates?

Patients with enlarged turbinates do not necessarily need surgical treatment. The causes of turbinate hypertrophy are mainly related to long-term smoking and drinking, catching colds, as well as allergic rhinitis and chronic rhinitis. Patients experience turbinate growth, which affects nasal ventilation. Some patients may suffer from alternating nasal congestion, and in cases of significant enlargement, such as snoring and air holding during sleep at night, or complete nasal ventilation obstruction, surgical methods such as turbinate ablation or inferior turbinate fracture and outward movement surgery may be necessary to expand the nasal airflow. For general turbinate hypertrophy, patients can use hormone-based nasal sprays to relieve nasal mucosa swelling and thickening. (The use of medication should be under the guidance of a doctor.)

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Written by Li Rui
Otolaryngology
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Symptoms of turbinate hypertrophy

Turbinate hypertrophy is a relatively common disease, with significant individual differences in symptoms. Some patients simply have hypertrophy without obvious clinical manifestations, and it is only discovered during physical examinations or nasopharyngoscopy; Some patients may develop corresponding clinical symptoms, the most common being nasal congestion, runny nose, reduced sense of smell, snoring during sleep, and a foreign body sensation in the nasal cavity. In such cases, it is necessary to perform a sinus CT and nasopharyngoscopy to assess the severity of the condition. Generally, treatment options include oral medications and nasal sprays. Additionally, rinsing the nasal cavity with saline and regular follow-up observations to assess effectiveness are recommended.

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Written by Li Rui
Otolaryngology
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How to cure hypertrophic turbinates permanently?

Enlarged turbinates are a relatively common clinical symptom with many causes. It may be due to chronic rhinitis, hypertrophic rhinitis, or allergic rhinitis, and it can also be caused by bone hyperplasia of the turbinates. There are various treatment methods available, but it is still difficult to achieve a complete and permanent cure. Generally, medical treatment is the main approach, commonly involving nasal sprays, oral medications, and saline nasal irrigation. If standard medical treatments are ineffective, surgical options like turbinate ablation or partial resection of the turbinate bone can be considered. However, regular follow-ups to monitor the outcome are necessary. (Medications should be used under the guidance of a doctor.)

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Written by Deng Bang Yu
Otolaryngology
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Will turbinates that have been removed grow back?

Enlarged turbinates primarily refer to the enlargement of the inferior turbinates, and in rare cases, the middle and superior turbinates may also become enlarged. Clinically, the enlargement of the inferior turbinates is mainly caused by various chronic inflammatory stimuli in the nasal area, leading to nasal congestion, impaired secretion of nasal mucus, and even symptoms such as headaches in patients. Clinically, for turbinates, minimally invasive treatment methods are mainly used, such as plasma volume reduction surgery and submucosal partial resection of the inferior turbinates. Generally speaking, once the turbinates are removed, they cannot regrow; only the surface mucosa can regrow, but the turbinate bone cannot regrow. Therefore, after the removal of the turbinates, there is a significant increase in the spaciousness of the nasal cavity, which is beneficial for improving the patient's symptoms of nasal congestion.

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Written by Li Rui
Otolaryngology
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Is surgery recommended for enlarged turbinates?

Nasal turbinate hypertrophy is a relatively common clinical presentation, with many possible causes. The most common causes include chronic rhinitis, acute rhinitis, and sinusitis, and it can also be due to osteogenic proliferation of the nasal conchae. After this condition occurs, it is first necessary to visit an otolaryngology department for a nasopharyngoscopy. Some patients may also need a CT scan to assess the severity of the condition. In terms of treatment, surgery is generally not considered first. Most patients can consider conservative treatment with medications, commonly using nasal spray drugs. The treatment period is generally about 1 to 2 weeks. If standardized medication treatment is ineffective, then surgery may be considered.