Is massage effective for enlarged turbinates?

Written by Li Rui
Otolaryngology
Updated on September 12, 2024
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Turbinate hypertrophy is a common clinical symptom of the turbinates. Generally speaking, the effect of treating turbinate hypertrophy through massage is not good, because it is difficult for massage to directly affect the inside of the nasal cavity, and there is no direct impact and effect on the hypertrophy of the turbinates. The first step in addressing turbinate hypertrophy is to examine the causes and the extent of the enlargement. If the enlargement is mild and there are no obvious clinical symptoms, it is generally advised to regularly review and observe changes. However, if the turbinate hypertrophy is more pronounced and accompanied by related clinical symptoms such as nasal congestion, runny nose, and reduced sense of smell, it is necessary to perform a nasopharyngoscope examination to investigate the specific causes of the condition. Treatment typically involves oral medications and nasal sprays, and regular check-ups are also necessary. (Please follow the guidance of a specialist doctor for specific medications and do not self-medicate.)

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How to deal with nasal polyps and enlarged turbinates?

Nasal polyps and hypertrophic turbinates require surgical treatment because both are manifestations of chronic inflammation in rhinitis. Medical treatment alone is not very effective in these cases. Nasal polyps and hypertrophic turbinates mainly cause poor nasal ventilation, and over time, can also affect the drainage of the sinuses. Therefore, in patients with significantly enlarged nasal polyps, who often also suffer from chronic sinusitis, treatment involves the endoscopic removal of nasal polyps and partial resection of the inferior turbinate, along with the opening of the sinus passages. This is a systematic and comprehensive treatment approach. After surgery, it is crucial to follow a prescribed medication regimen, as this ensures the effectiveness of the surgery. If surgery is performed without subsequent medication, the results may not be very good. Additionally, regular postoperative check-ups and cleanings are essential to maintain the effectiveness of the surgery and to prevent long-term recurrence. Many patients who cease medication and do not return for follow-up cleanings after surgery are likely to experience a quick recurrence.

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Symptoms and Treatment Methods of Turbinate Hypertrophy

Turbinate hypertrophy, clinically, is mainly hypertrophy of the inferior turbinate, although the middle turbinate can also become enlarged. The hypertrophy of the middle turbinate is primarily related to the development of the turbinate itself. Hypertrophy of the inferior turbinate is more common in clinical practice. Its symptoms mainly manifest as nasal congestion, as the enlarged turbinate blocks the nasal passages. Secondly, turbinate hypertrophy can sometimes irritate the nerves of the local septal mucosal tissue, causing headaches and subsequent symptoms like sinusitis. Clinical treatment for turbinate hypertrophy primarily involves medication, including the use of nasal spray drugs and traditional Chinese medicine. A sinus CT scan can be conducted to evaluate the extent of turbinate bone hypertrophy. If there is bony hypertrophy of the turbinate, surgery under endoscopy might be considered.

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Written by Li Rui
Otolaryngology
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Can you smoke with hypertrophic turbinates?

Patients with enlarged nasal turbinates are advised not to smoke, as cigarettes contain a variety of chemicals that can directly irritate the nasal mucosa and turbinate tissue, potentially exacerbating the condition of turbinate hypertrophy. Smoking may also cause acute rhinitis and acute sinusitis, which could worsen the existing condition. Patients with enlarged nasal turbinates should seek medical attention from an otolaryngologist after the onset of symptoms, and may undergo nasal endoscopy and sinus CT scans to assess the severity of their condition. Typically, treatment options include oral medications and nasal spray medications, but surgical treatment may need to be considered for a small number of patients who do not respond well to medication. (Please follow medical advice regarding medications.)

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Written by Li Rui
Otolaryngology
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What should be noted for turbinate hypertrophy?

Patients with enlarged turbinates should pay attention to the following aspects: First, they need to visit an otolaryngologist regularly to observe changes in their condition. If accompanied by related clinical symptoms, medication should be considered. Second, in daily life, nasal irrigation with saline can be used to reduce the retention of nasal secretions, improve clinical symptoms, and alleviate the severity of enlarged turbinates. Third, it is important to avoid exposure to external irritants in daily life as much as possible and to avoid catching colds, as these factors can exacerbate the existing condition. Overall, enlarged turbinates are a common condition, and with timely treatment, the condition will gradually improve.

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Can medication cure nasal turbinate hypertrophy?

Turbinate hypertrophy can often be cured with medication, and if not cured, partial surgical removal of the hypertrophied turbinates can be curative. Turbinate hypertrophy is generally caused by chronic rhinitis and allergic rhinitis. It manifests due to lowered immunity and resistance in the body, leading to repeated inflammatory infections or allergic reactions in the nasal cavity, resulting in bilateral nasal turbinates swelling diffusely, becoming edematous, proliferating, and enlarging. After turbinate enlargement, it mainly causes the patient to experience persistent nasal congestion on both sides, accompanied by a foreign body sensation and swelling in the nasal cavity. Patients will also have mucous secretions from the nasal cavity and will require a detailed examination at the hospital, where tests such as nasal endoscopy, sinus CT, and allergen antibody tests can provide a diagnosis. For treatment, nebulized inhalation can be used with good effectiveness for chronic rhinitis. For allergic rhinitis, symptomatic anti-allergic treatment is needed to shrink the turbinates and relieve nasal congestion. If conservative treatment is ineffective, local surgical treatment may be necessary.