Is saline effective for turbinate hypertrophy?

Written by Li Rui
Otolaryngology
Updated on April 13, 2025
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Enlarged turbinates are a relatively common nasal disease. Rinsing the nasal cavity with saline solution has some therapeutic effects, but the specific effects vary greatly among individuals. Some patients experience good results, while others do not. In such cases, it is necessary to perform a nasal endoscopy and sinus CT scan to help assess the extent of the condition. If rinsing alone is ineffective, treatment should also include oral medications and nasal sprays. For a small number of patients who still do not respond well to standard conservative medication, surgical treatment might be considered, and long-term regular follow-ups are necessary to monitor for any recurrent episodes. (Please follow medical advice when using medications.)

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Written by Li Rui
Otolaryngology
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Can nasal turbinates hypertrophy be treated with nasal irrigation?

Enlarged nasal turbinates are a relatively common clinical presentation, often associated with rhinitis and sinusitis, and can also be due to exposure to external irritants. Nasal washing is one option to consider. The most commonly used method is saline nasal irrigation, and physiological seawater can also be used. Typically, washing is recommended two to three times a day. If there is an inflammatory response, medication may also be necessary. Common treatments include oral medications and nasal sprays, with a treatment period usually lasting more than a week. After starting medication, regular follow-ups are needed to monitor recovery, and most patients generally respond well to treatment.

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Written by Zhang Jun
Otolaryngology
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Can you eat chili peppers with enlarged turbinates?

People with enlarged nasal turbinates should avoid eating spicy peppers, as they are considered irritants. Consumption of spicy peppers can worsen the enlargement of nasal turbinates, leading to persistent nasal congestion. For enlarged nasal turbinates, it is necessary to visit a hospital and undergo examination with an electronic nasoscope to determine the cause. Generally, this condition is caused by chronic rhinitis or chronic allergic rhinitis. Enlargement of the nasal turbinates typically leads to symptoms such as persistent and progressive bilateral nasal congestion, swelling sensation in the nasal cavity, foreign body sensation, facial swelling, pain, headache, and the discharge of abnormal mucous secretions from the nasal cavity. In terms of treatment, initial management of enlarged nasal turbinates can involve the use of nebulized inhalation to shrink the turbinates and relieve nasal congestion. Regular physical exercise can also help restore the function of the nasal mucosa. If conservative treatment is ineffective, surgical removal of parts of the lower turbinates on both sides may be required to completely cure the condition.

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Written by Zhang Jun
Otolaryngology
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How is turbinate hypertrophy caused?

The most common cause of turbinates hypertrophy in clinical practice is chronic rhinitis. Chronic rhinitis is nasal symptoms caused by unresolved acute rhinitis. Patients will experience bilateral turbinates hypertrophy and poor contractile effects of the constrictor muscle. Patients will also experience alternating bilateral nasal congestion, which is lighter during physical activities in the day and more severe at night when it's quiet. In terms of treatment, patients need to initially take some proprietary Chinese medicines orally. Additionally, the nasal cavity needs to be treated with nebulized inhalation to alleviate local congestion and edema. Patients also need to exercise to restore the function of the turbinates mucous membrane to enhance immunity and resistance, and only then can allergic rhinitis be gradually cured. (Please use medication under the guidance of a professional physician, and do not self-medicate blindly.)

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Written by Zhang Jun
Otolaryngology
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If turbinate hypertrophy is not treated surgically, what could be the consequences?

If turbinate hypertrophy is not surgically treated, it can lead to persistent bilateral nasal congestion in patients, accompanied by swelling and a severe foreign body sensation in the nasal cavity, which can lead to diminished sense of smell, memory deterioration, and other related symptoms. Turbinate hypertrophy is primarily caused by prolonged inflammatory stimulation of the nasal mucosa, leading to diffuse congestion, edema, proliferation, and hypertrophy of the bilateral turbinates in patients, resulting in persistent nasal congestion. A detailed examination with an endoscope at a hospital can confirm the diagnosis. In terms of treatment, initial approaches include nebulized inhalation therapy to shrink the turbinates and alleviate nasal congestion. Regular physical exercise can also help restore the function of the nasal mucosa. If conservative treatments are ineffective and the turbinates continue to be enlarged, local surgical removal may be required to cure the condition.

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Written by Zhang Jun
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Can running cure nasal turbinate hypertrophy?

Enlarged turbinates can be treated by running. Generally, this condition is commonly seen in chronic simple rhinitis. Chronic simple rhinitis is frequently found in adolescents and is caused by repeated episodes of acute rhinitis, resulting in symptoms related to the turbinates. Patients may experience bilateral nasal obstruction, which alternately fluctuates, and white mucoid secretions may also appear in the nasal cavity. Sometimes, patients may also experience facial swelling, pain, and headaches. During examination, significant congestion and edema of the bilateral nasal turbinate mucosa can be observed, along with abnormal secretions in the nasal cavity; vasoconstrictors are effective in this scenario. For treatment, patients can initially use nebulized inhalation therapy during the acute phase to alleviate congestion and edema of the turbinate mucosa. Moreover, exercising by running or swimming can gradually improve the function of the turbinate mucosa over a lengthy period. (Medication should be used under the guidance of a doctor.)