If turbinate hypertrophy is not treated surgically, what could be the consequences?

Written by Zhang Jun
Otolaryngology
Updated on April 08, 2025
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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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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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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.

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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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Can hypertrophic turbinates be treated with erythromycin?

Hypertrophy of the nasal turbinate is a relatively common otolaryngology disease. It is not recommended to use erythromycin ointment because erythromycin ointment does not have a therapeutic effect on nasal turbinate hypertrophy and it may cause side effects. For patients with hypertrophic nasal turbinates, it is advised to visit an otolaryngologist after the onset of symptoms. Routine blood tests and nasal endoscopy can be performed to assess the severity of the condition. If it is simply hypertrophy of the nasal turbinate without significant clinical symptoms, observation and nasal irrigation with saline solution can be considered. If there are symptoms like nasal congestion and a runny nose, oral medications combined with nasal spray treatments can be considered. Regular follow-up visits during the treatment process are necessary to observe the effects.

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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.