Post-laser sequelae of turbinate hypertrophy

Written by Li Rui
Otolaryngology
Updated on February 14, 2025
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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 Zhang Jun
Otolaryngology
1min 12sec home-news-image

Can nasal turbinates hypertrophy be seen with the naked eye?

Turbinate hypertrophy is visible to the naked eye as the turbinates are located on the lateral wall of the nasal cavity. When the turbinates are excessively enlarged, a dark red protrusion will appear inside the nasal cavity. Turbinate hypertrophy primarily leads to persistent progressive nasal congestion for the patient, along with feelings of nasal swelling, a foreign body sensation, and mucous nasal discharge. Turbinate hypertrophy is generally caused by acute and chronic rhinitis, allergic rhinitis, deviated nasal septum, and nasal polyps. It is necessary to visit a hospital for a detailed examination, where procedures like nasal endoscopy, sinus CT, complete blood count, and skin prick tests can confirm the diagnosis. In terms of treatment, during the acute phase, nebulized inhalation therapy using corticosteroids can be the first approach. This helps to reduce turbinate size and alleviate nasal congestion. Additionally, regular physical exercise and treatment of the primary disease are recommended. If conservative treatment is ineffective, partial resection of the bilateral lower turbinates may be needed.

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

The harmfulness of enlarged turbinates

Enlarged turbinates are generally caused by chronic rhinitis. This enlargement can lead to bilateral nasal obstruction, causing persistent hypoxia in patients, leading to a decline in heart, lung, and brain functions. Over time, this can result in high blood pressure, heart disease, coronary artery disease, arteriosclerosis, and other related diseases. Therefore, it is necessary to treat enlarged turbinates. Patients need to first undergo an examination with an electronic nasal endoscope to determine the cause of the enlargement. If it is due to chronic rhinitis, the patient may need to undergo a local surgical resection, such as endoscopic bilateral inferior turbinate partial resection. If the enlargement is due to a deviated nasal septum or nasal polyps, treatment of the primary condition is also needed, which could involve corrective surgery for the deviated septum and removal of the nasal polyps, after which the enlarged turbinates can gradually return to normal.

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Written by Li Rui
Otolaryngology
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What should be noted for turbinate hypertrophy?

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 Zhang Jun
Otolaryngology
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Will turbinate hypertrophy surgery relapse?

After surgery for enlarged nasal turbinates, it generally does not recur. Enlarged nasal turbinates are commonly seen in cases of deviated nasal septum or chronic hypertrophic rhinitis. Patients with a deviated nasal septum may experience compensatory enlargement of the turbinates on both sides, where local surgical removal is needed for treatment. Chronic hypertrophic rhinitis is due to repeated episodes of simple rhinitis, causing persistent congestion and swelling in the lower turbinates on both sides, with a mulberry-like change on the surface. Treatment for these patients requires partial resection of the lower turbinates on both sides, but the surgery must adhere to principles; removing more than one-third of the lower turbinates should be avoided, as it can easily lead to empty nose syndrome. Postoperatively, patients also need to use antibiotics to prevent local infection. After complete recovery, patients should exercise regularly and avoid colds to prevent recurrent growth of the turbinates. (The use of medication should be conducted under the guidance of a 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.