Is hypertrophic turbinates easy to treat?

Written by Zhang Jun
Otolaryngology
Updated on March 08, 2025
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Enlarged turbinates are very treatable. Generally, turbinate enlargement is due to chronic rhinitis or allergic rhinitis inflammation. Patients may experience bilateral nasal congestion, alternating changes, turbinate congestion, edema, hyperplasia, and the presence of mucous or yellow secretions in the nasal cavity. In treatment, conservative treatments like microwave or laser therapy can be initially used with good effects. However, if a patient repeatedly suffers from colds and inflammation, this can lead to persistent turbinate growth, at which point localized surgical removal may be necessary. Surgery requires general anesthesia and involves partial removal of turbinates on both sides, but the lower third of the inferior turbinate should not be removed to avoid the risk of empty nose syndrome. Postoperative use of antibiotics is necessary to prevent local infections, and improvement can generally be expected within about a week. (Medication usage should be under the guidance of a professional doctor.)

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

Symptoms of hypertrophic turbinates are numerous, but generally do not cause nosebleeds. Common symptoms include nasal congestion, runny nose, reduced sense of smell, headache, and dizziness. It is necessary to seek treatment from an otolaryngologist after onset of these symptoms. Nasal endoscopy, sinus CT scans, and routine blood tests can help clarify the extent of the condition. In terms of medication, oral medications and nasal sprays are commonly used, and irrigating the nasal cavity with saline solution can also be beneficial. However, some patients with severe conditions may not respond well to conservative treatment and might need to consider surgery. After surgery, regular follow-ups are needed to monitor recovery.

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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 Li Rui
Otolaryngology
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Is the recurrence rate of nasal turbinate hypertrophy high?

The recurrence rate of turbinate hypertrophy is relatively high, and there are various causes for it, with most cases resulting from chronic rhinitis or sinusitis. After timely medical treatment, many patients' turbinate enlargement will be alleviated, and clinical symptoms will improve. However, the condition may recur after inflammation flares up again. For those with severe enlargement, if standard medical treatment is ineffective, some patients may consider undergoing turbinate reduction surgery. After surgery, regular follow-up examinations are necessary to monitor the effects of the operation. Nonetheless, some patients might still experience a recurrence of the condition after surgery. (Please use medication under the guidance of a physician.)

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Written by Zhang Jun
Otolaryngology
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Do enlarged turbinates cause fear of heat?

Turbinates hypertrophy tends to be heat-sensitive since excessive heat can lead to congestion and swelling of the nasal conchae's mucous membrane, thereby worsening nasal congestion in patients. Turbinates hypertrophy is a symptom caused by inflammation of the turbinates, commonly seen in chronic rhinitis in clinical settings. Patients experience persistent nasal congestion in both nasal cavities, along with sensations of a foreign body and swelling in the nasal cavity. The nasal cavity may discharge viscous abnormal secretions, accompanied by facial swelling, pain, headaches, and other related symptoms. A detailed examination at the hospital using electronic rhinoscopy, routine blood tests, and sinus CT can confirm the diagnosis. During the examination, diffuse congestion and swelling of the bilateral inferior turbinates can be observed, along with abnormal secretions inside the nasal cavity. In terms of treatment, nebular inhalation therapy can be used to shrink the turbinates and relieve symptoms of nasal congestion. Additionally, a light diet and regular exercise can gradually improve the condition.

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Written by Li Rui
Otolaryngology
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Is turbinate reduction ablation a good procedure?

Enlarged turbinates are a relatively common ENT disorder. If standard medical treatment is ineffective, considering turbinate reduction surgery might be an option. Generally, this is a fairly common minor procedure and is minimally invasive, having little significant impact on overall health. After surgery, most patients experience a reduction in the size of the turbinates and a relief in clinical symptoms. However, individual treatment results can vary. While most patients respond well to the surgery, a small number may not achieve ideal results and might need to continue with oral medications and other treatments. (Please use medication under the guidance of a physician.)