Is nasal turbinate hypertrophy related to allergic rhinitis?

Written by Zhang Jun
Otolaryngology
Updated on May 23, 2025
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Turbinate hypertrophy is directly related to allergic rhinitis.

After an allergic rhinitis attack, the patient may experience bilateral inferior turbinate congestion, edema, and hyperplasia, which leads to continuous bilateral nasal congestion and clear, watery nasal discharge, nasal itching, and in severe cases, eyelid swelling, tearing, and itching. Allergic rhinitis is primarily caused by a decrease in the body's immunity and resistance, following the nasal intake or contact with relevant allergens, which can include dust, pollen, and mites.

Firstly, a detailed examination at a hospital is needed, using diagnostic tools such as nasal endoscopy, routine blood tests, allergen antibody tests, and skin prick tests to confirm the diagnosis. For treatment, symptomatic anti-allergy treatment is necessary, including oral antihistamines to shrink the turbinates and alleviate nasal congestion. During remission, regular physical exercise is also needed to enhance the body’s immune capabilities for gradual improvement. If the turbinate enlargement is too severe, local surgical removal might be required.

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Written by Zhang Jun
Otolaryngology
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Is nasal irrigation useful for enlarged turbinates?

Treatment of inferior turbinate hypertrophy with a nasal rinse device is effective as it can clean the bacteria, dust, and allergens from the surface of the turbinates, and can act to shrink the turbinates. However, patients should not rely solely on the nasal rinse device to treat turbinate hypertrophy, as it is generally seen in chronic rhinitis. Chronic rhinitis is caused by long-term chronic inflammation due to lowered immunity, leading to bilateral turbinate mucosal congestion, edema, hyperplasia, and exudation. This can cause patients to experience alternating nasal congestion, facial swelling pain, headaches, and other clinical manifestations. In treatment, patients also need to use Biyankang, which has good therapeutic effects; consult a local physician for specific dosages. Additionally, nebulized inhalation should be used to shrink the turbinates and restore nasal patency. Using the nasal rinse device for daily washing can regularly shrink and dilate the turbinates, achieving certain effectiveness.

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Written by Li Rui
Otolaryngology
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How to cure hypertrophic turbinates permanently?

Enlarged turbinates are a relatively common clinical symptom with many causes. It may be due to chronic rhinitis, hypertrophic rhinitis, or allergic rhinitis, and it can also be caused by bone hyperplasia of the turbinates. There are various treatment methods available, but it is still difficult to achieve a complete and permanent cure. Generally, medical treatment is the main approach, commonly involving nasal sprays, oral medications, and saline nasal irrigation. If standard medical treatments are ineffective, surgical options like turbinate ablation or partial resection of the turbinate bone can be considered. However, regular follow-ups to monitor the outcome are necessary. (Medications should be used under the guidance of a doctor.)

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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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Can nasal turbinates enlargement cause a fever?

Enlarged nasal turbinates do not cause fever. Enlarged nasal turbinates only lead to persistent nasal congestion in patients, accompanied by sensations of foreign bodies and swelling in the nasal cavity. Mucous nasal discharge can appear in the nasal cavity due to enlarged turbinates. Generally, this is caused by chronic inflammatory stimulation and chronic allergic reactions, commonly seen in clinical cases of chronic rhinitis and allergic rhinitis. A detailed examination at a hospital using an endoscopic nasal camera can reveal bilateral inferior turbinate diffuse congestion, edema, and hyperplasia, which cause persistent nasal congestion. In terms of treatment, if it is allergic rhinitis, symptomatic antiallergic treatment is needed, such as oral administration of loratadine, and the concurrent use of mometasone furoate nasal spray has good effects in reducing the size of the nasal turbinates. If it is chronic simple rhinitis, nasal nebulization can be used, and physical exercise is also necessary to restore the function of the nasal turbinate mucosa for gradual improvement.

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Written by Li Rui
Otolaryngology
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Will the nose become larger if the nasal concha is hypertrophic?

Nasal turbinate hypertrophy is a relatively common otolaryngological condition. This condition mainly involves the growth and thickening of the tissue in the lower or middle nasal concha inside the nasal cavity. However, it does not affect the overall appearance of the nose; there are no obvious changes or deformities, nor significant enlargement. Symptoms of nasal turbinate hypertrophy may include nasal congestion, runny nose, reduced sense of smell, headache, and dizziness. Upon experiencing these symptoms, it is necessary to visit an otolaryngologist for a nasopharyngoscope examination to assess the extent of the inflammatory response. In terms of treatment, most patients may consider using nasal spray medication and oral medication, while a small portion of patients might need to consider surgical treatment.