What causes turbinate hypertrophy?

Written by Zhang Jun
Otolaryngology
Updated on June 03, 2025
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Turbinates hypertrophy is most commonly seen in clinical practice, caused by repeated inflammation, leading to congestion, swelling, hyperplasia, and prolapse of the turbinate mucosa. The hypertrophy mainly involves the lower turbinates, causing bilateral nasal obstruction in patients, with the condition progressively worsening. Additionally, there may be mucous secretions from the front of the nose, and when accompanied by a bacterial infection, yellow secretions may be present. Patients may also experience facial swelling, headaches, reduced sense of smell, and memory decline as clinical symptoms. Upon examination with an endoscope, significant congestion and swelling of the bilateral lower turbinates can be observed, often covered with abnormal secretions. In terms of treatment, if the turbinate hypertrophy is chronic, conservative treatment is ineffective, and patients may require partial resection of the bilateral lower turbinates for a cure. However, surgery has its principles; it is crucial not to remove more than one-third of the lower turbinate to avoid the risk of empty nose syndrome.

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Written by Zhang Jun
Otolaryngology
1min 15sec home-news-image

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.)

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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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Can nasal spray reduce the swelling of enlarged turbinates?

Enlarged nasal turbinates are a relatively common clinical presentation, mainly considered to be related to physiological enlargement. It could also be due to chronic rhinitis, allergic rhinitis, or sinusitis. Initially, it is necessary to examine the specific clinical symptoms. If it is just simple enlargement without causing obvious clinical symptoms, this condition generally may not require special treatment; regular follow-ups and observation of the condition's changes are advised. If it causes related clinical manifestations, such as nasal congestion and runny nose, then medication treatment should be considered, commonly using nasal spray medications. Most patients will gradually see a reduction in the enlargement of the nasal turbinates and improvement in clinical symptoms after using the spray. (Medication should be used under the guidance of a professional doctor.)

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Written by Deng Bang Yu
Otolaryngology
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Can hypertrophic turbinates be washed with saline?

Clinically, turbinate hypertrophy is primarily due to inflammatory diseases of the nasal cavity and sinuses, leading to congestion and edema of the nasal mucosa, thickening of the nasal mucosa, proliferation of the submucosal tissue, and even proliferation of the periosteum of the turbinate. Clinically, using saline solution to spray and clean the nasal cavity is a basic treatment for nasal inflammatory diseases, so turbinate hypertrophy can indeed be managed through the use of saline sprays. When spraying saline, care must be taken not to direct the spray at the turbinates directly, to avoid damaging the nasal mucosa. Typically, hypertonic saline is used, which helps maintain the stability of the nasal microenvironment and aids in restoring the nasal mucosa to its normal state. Generally, hypertonic saline is used, and other concentrations are not suitable.