What medicine should be taken for hypertrophic turbinates?

Written by Xu Qing Tian
Otolaryngology
Updated on January 12, 2025
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Nasal turbinate hypertrophy is a common and frequent disease in otolaryngology, mainly involving enlargement of the middle and inferior turbinates. Patients often develop bony, bubble-like formations in the middle turbinate, causing symptoms such as nasal congestion, contact headache, nasal itchiness, and runny nose. For patients with nasal turbinate hypertrophy, who often also suffer from sinusitis or chronic rhinitis, treatment primarily involves local anti-inflammatory measures. Additionally, the use of corticosteroid nasal sprays can help reduce swelling of the nasal mucosa and aid in relieving nasal congestion. (Please use medication 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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What causes turbinate hypertrophy?

Enlarged turbinates are generally caused by acute and chronic inflammation. This condition is commonly seen in both acute and chronic rhinitis, as well as acute and chronic sinusitis. It occurs due to repeated inflammatory stimuli, causing the nasal turbinate mucosa to become congested, swollen, and hyperplastic. This leads to persistent worsening bilateral nasal congestion in patients. During an examination with an endoscope, significant congestion and swelling of the bilateral middle and lower turbinates can be observed. In terms of treatment, it is crucial for patients to first identify the cause of their condition. If the cause is acute or chronic rhinitis, symptomatic anti-inflammatory treatment should be initiated. Additionally, rinsing the nasal cavity with saline solution can be very effective. If the patient suffers from acute or chronic sinusitis, local surgical treatment may be necessary. As long as the inflammation is eliminated, the enlargement of the turbinates will gradually recover. It is also important to maintain a light diet, abstain from smoking and alcohol, and engage in regular exercise to restore the function of the nasal turbinate mucosa. (The use of medication should be conducted under the guidance of a professional doctor.)

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Written by Deng Bang Yu
Otolaryngology
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Is correction of nasal turbinate hypertrophy a surgical procedure?

Enlarged turbinates are a common clinical sign, primarily caused by chronic inflammation in the nose and deviations in the nasal septum. Clinically, surgeries targeted at correcting enlarged turbinates are primarily conducted. Main approaches include: One method is the fracturing and outward movement of the turbinate bone; another is the excision of the submucosal part of the enlarged turbinate. Other treatments, such as plasma ablation therapy for the turbinates, are also viable. The specific treatment method should be chosen based on a facial examination, observations of the specific condition of the enlarged turbinates, as well as assessments from sinus CT scans and conditions of the turbinate bones.

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Written by Zhang Jun
Otolaryngology
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Does hypertrophy of the nasal turbinates cause the appearance of the nose to enlarge?

Prolonged stimulation of turbinates hypertrophy can cause patients to experience widening and thickening of the nostrils, also affecting the appearance of the nose. Clinically, this is referred to as "frog nose." Turbinates hypertrophy commonly stems from prolonged chronic inflammation and episodes of allergic rhinitis, leading to bilateral congestion, swelling, hyperplasia, and enlargement of the inferior and middle turbinates. Patients will experience persistent nasal congestion bilaterally, accompanied by a foreign body sensation and swelling in the nasal cavity. Changes in the shape and appearance of the nose also occur, necessitating a detailed examination at a hospital. Diagnosis can be confirmed with an endoscopic examination and sinus CT scan. In terms of treatment, acute turbinates hypertrophy may be treated with antibiotics, along with nebulized inhalation therapy. If conservative treatment is ineffective, partial resection of the bilateral inferior turbinates may be necessary.

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Written by Li Rui
Otolaryngology
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Can hypertrophic turbinates be treated with erythromycin?

Hypertrophy of the nasal turbinate is a relatively common otolaryngology disease. It is not recommended to use erythromycin ointment because erythromycin ointment does not have a therapeutic effect on nasal turbinate hypertrophy and it may cause side effects. For patients with hypertrophic nasal turbinates, it is advised to visit an otolaryngologist after the onset of symptoms. Routine blood tests and nasal endoscopy can be performed to assess the severity of the condition. If it is simply hypertrophy of the nasal turbinate without significant clinical symptoms, observation and nasal irrigation with saline solution can be considered. If there are symptoms like nasal congestion and a runny nose, oral medications combined with nasal spray treatments can be considered. Regular follow-up visits during the treatment process are necessary to observe the effects.