Can turbinate hypertrophy be left untreated?

Written by Li Rui
Otolaryngology
Updated on January 18, 2025
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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)

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Written by Deng Bang Yu
Otolaryngology
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What should I do about turbinate hypertrophy?

Clinically, turbinate hypertrophy is mainly caused by the stimulation of inflammatory factors such as acute and chronic rhinitis and sinusitis, leading to the proliferation of the turbinate, including the mucosal and even bony growth, as well as congenital developmental factors causing turbinate enlargement. Initially, treatment typically involves medication, using nasal sprays such as corticosteroids for nasal treatment. Secondly, surgical treatment can be employed. We can assess the extent of turbinate hypertrophy with a nasal CT scan to determine if there is bony enlargement. If there is bony hypertrophy, partial resection of the submucosal turbinate bone can be performed. If the hypertrophy is only in the mucosal and soft tissue, it can be treated using plasma ablation. In summary, turbinate hypertrophy can be treated with medication or surgery, depending on the specific extent of the pathology.

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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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Is minimally invasive surgery for enlarged turbinates painful?

Enlarged turbinates are a relatively common clinical manifestation. There are many causes of enlarged turbinates, with the most common being rhinitis, sinusitis, and physiological hypertrophy. In terms of treatment, most patients may consider conservative drug treatment. If the effects of conservative drug treatment are not satisfactory, surgery may be considered. Currently, minimally invasive surgery, such as partial turbinectomy or ablation under nasal endoscopy, is mainly considered. Generally, there will be some pain during the surgery, but the pain is usually not particularly severe and can typically be managed with local anesthesia. Post-surgery, there may be some pain, but most patients can tolerate it. If the pain is particularly severe, oral pain medications can be considered.

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Written by Zhang Jun
Otolaryngology
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Can nasal turbinates hypertrophy be seen with the naked eye?

Turbinate hypertrophy is visible to the naked eye as the turbinates are located on the lateral wall of the nasal cavity. When the turbinates are excessively enlarged, a dark red protrusion will appear inside the nasal cavity. Turbinate hypertrophy primarily leads to persistent progressive nasal congestion for the patient, along with feelings of nasal swelling, a foreign body sensation, and mucous nasal discharge. Turbinate hypertrophy is generally caused by acute and chronic rhinitis, allergic rhinitis, deviated nasal septum, and nasal polyps. It is necessary to visit a hospital for a detailed examination, where procedures like nasal endoscopy, sinus CT, complete blood count, and skin prick tests can confirm the diagnosis. In terms of treatment, during the acute phase, nebulized inhalation therapy using corticosteroids can be the first approach. This helps to reduce turbinate size and alleviate nasal congestion. Additionally, regular physical exercise and treatment of the primary disease are recommended. If conservative treatment is ineffective, partial resection of the bilateral lower turbinates may be needed.

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Written by Deng Bang Yu
Otolaryngology
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The difference between nasal polyps and hypertrophy of the nasal turbinates.

Nasal polyps are neoplasms located in the nose, nasal cavity, or sinus cavity, typically appearing as fully developed, translucent, lychee-like growths that are benign. In contrast, hypertrophy of the nasal concha involves swelling and thickening of the mucous membrane of the concha itself, which may partly demonstrate changes resembling nasal polyps, but it is not identical to nasal polyps. Nasal polyps do not have nervous or vascular supply, whereas the nasal concha does. Clinically, there are different treatments for each; nasal polyps usually require surgical removal, while treatment for hypertrophy of the nasal concha depends on the specific cause. If the hypertrophy is simple, it is often treated with medication; if it is hypertrophic, decisions on surgical intervention may depend on results from CT scans or X-rays.