What should be noted for turbinate hypertrophy?

Written by Li Rui
Otolaryngology
Updated on March 18, 2025
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Patients with enlarged turbinates should pay attention to the following aspects: First, they need to visit an otolaryngologist regularly to observe changes in their condition. If accompanied by related clinical symptoms, medication should be considered. Second, in daily life, nasal irrigation with saline can be used to reduce the retention of nasal secretions, improve clinical symptoms, and alleviate the severity of enlarged turbinates. Third, it is important to avoid exposure to external irritants in daily life as much as possible and to avoid catching colds, as these factors can exacerbate the existing condition. Overall, enlarged turbinates are a common condition, and with timely treatment, the condition will gradually improve.

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Written by Li Rui
Otolaryngology
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Nasal turbinate hypertrophy treatment methods

Nasal turbinate hypertrophy is considered a clinical symptom rather than an independent disease. There are many causes for nasal turbinate hypertrophy, including physiological hypertrophy, chronic rhinitis, acute rhinitis, sinusitis, allergic rhinitis, or exposure to external irritants. In terms of treatment, it is first necessary to examine the clinical symptoms. If it is only simple turbinate hypertrophy without any clinical manifestations, it is generally recommended to regularly check up without necessarily needing medication. If the hypertrophy is due to an inflammatory response with clear clinical symptoms, it may be necessary to consider the use of oral medications, nasal spray medications, and flushing the nasal cavity with saline solution, with regular check-ups to monitor the condition.

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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 Li Rui
Otolaryngology
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Post-laser sequelae of turbinate hypertrophy

Using laser treatment for hypertrophic turbinates can potentially lead to complications, the more common ones being nasal dryness and mucosal erosion. It may also cause recurring nasal bleeding. Additionally, some patients might experience a burning sensation or the feeling of a foreign body in the nasal cavity. More serious cases could lead to a nasal septum perforation. Hence, the specific complications vary from individual to individual. After surgery, it is necessary to have regular check-ups at the otolaryngology department, where procedures like nasal endoscopy and routine blood tests can help in assessing the condition. In the event of complications, timely and targeted treatment should be administered to mitigate the severity of these complications and improve the patient's quality of life.

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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.

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Written by Li Rui
Otolaryngology
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Is saline effective for turbinate hypertrophy?

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.)