Enlarged nasal turbinates

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Written by Deng Bang Yu
Otolaryngology
1min 4sec home-news-image

Do deviated nasal septum and enlarged turbinates require surgery?

Whether surgery is needed for a deviated nasal septum and enlarged turbinates should be determined based on the following aspects. First, it depends on whether there are clinical symptoms, such as nasal congestion, and particularly if it is severe and persistent, and whether symptoms like nosebleeds and headaches are present. Symptoms are a necessity before considering surgery; Second, some tests can be conducted, such as a sinus CT scan, to assess the extent of turbinate enlargement and the severity of the nasal septum deviation. If the deviation of the nasal septum is severe, then surgery is absolutely necessary; Third, some tests related to nasal cavity function can be combined to determine the necessity for surgery. The main function of the nasal cavity refers to its ventilation capability, such as the nasopharyngeal reflex and nasal resistance tests. An overall assessment of the impact of enlarged turbinates and the deviated septum on the nasal cavity can then guide the decision on whether to undergo surgical treatment.

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Written by Li Rui
Otolaryngology
55sec home-news-image

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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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 13sec home-news-image

Can massage help with enlarged turbinates?

Local massage is not effective for hypertrophic turbinates, which are generally caused by prolonged chronic inflammation stimulation, as well as episodes of allergic rhinitis leading to bilateral turbinate diffuse congestion, edema, hyperplasia, and hypertrophy. After the enlargement of the turbinates, patients mainly experience persistent, gradual nasal congestion on both sides, accompanied by a foreign body sensation in the nasal cavity and swelling. Patients may also experience a decrease in sense of smell, memory decline, facial swelling, and headaches, and should visit a hospital for a detailed examination with an endoscope and sinus CT scan to confirm the diagnosis. In terms of treatment, if the condition is due to inflammation or infection, symptomatic anti-inflammatory treatment is required, and if it is due to a localized allergic reaction, symptomatic anti-allergy treatment should be administered. Regular physical exercise to restore the function of the nasal mucosa is recommended. If conservative treatment is ineffective, surgery to partially remove the inferior turbinates on both sides may be necessary.

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Written by Zhang Jun
Otolaryngology
1min 6sec home-news-image

Does hypertrophy of the nasal turbinates cause the appearance of the nose to enlarge?

Prolonged stimulation of turbinates hypertrophy can cause patients to experience widening and thickening of the nostrils, also affecting the appearance of the nose. Clinically, this is referred to as "frog nose." Turbinates hypertrophy commonly stems from prolonged chronic inflammation and episodes of allergic rhinitis, leading to bilateral congestion, swelling, hyperplasia, and enlargement of the inferior and middle turbinates. Patients will experience persistent nasal congestion bilaterally, accompanied by a foreign body sensation and swelling in the nasal cavity. Changes in the shape and appearance of the nose also occur, necessitating a detailed examination at a hospital. Diagnosis can be confirmed with an endoscopic examination and sinus CT scan. In terms of treatment, acute turbinates hypertrophy may be treated with antibiotics, along with nebulized inhalation therapy. If conservative treatment is ineffective, partial resection of the bilateral inferior turbinates may be necessary.

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Written by Zhang Jun
Otolaryngology
1min 8sec home-news-image

Nasal turbinate hypertrophy: hot compress or cold compress?

Enlarged turbinates can be treated with local heat application. Heat application can shrink the turbinates and relieve the patient's nasal congestion symptoms, while also restoring nasal ventilation. Enlarged turbinates are relatively common in clinical settings, typically caused by symptoms arising from chronic rhinitis and chronic allergic rhinitis. This condition can lead to diffuse congestion, edema, hyperplasia, and enlargement of the bilateral inferior turbinates, resulting in persistent bilateral nasal congestion, along with sensations of a foreign body in the nasal cavity, swelling, and a runny nose. In severe cases, it can lead to a decrease in the sense of smell and memory loss. A detailed examination at a hospital is necessary, and a diagnosis can be confirmed with an electronic nasoscope. Treatment may initially involve nebulized inhalation therapy to shrink the turbinates and relieve nasal congestion, accompanied by local heat application, which has a very definite effect. It is also necessary to enhance immunity and resistance for gradual improvement.

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Written by Zhang Jun
Otolaryngology
1min 6sec home-news-image

Can you eat eggs if you have enlarged nasal turbinates?

Patients with hypertrophic turbinates can eat eggs; there is no issue with that. Eggs are rich in protein, which can enhance the body's immunity and resistance, offering significant benefits to patients with hypertrophic turbinates. Hypertrophic turbinates are simply a clinical manifestation, commonly caused by chronic rhinitis or chronic allergic rhinitis. Following hypertrophy of the turbinates, patients typically experience persistent bilateral nasal congestion, accompanied by a sensation of a foreign body in the nose, swelling, and mucous nasal discharge. A detailed examination with an endoscope at the hospital can confirm the diagnosis. During the examination, diffuse congestion and edema of the bilateral inferior turbinates can be observed. For treatment, initial steps can include nebulized inhalation therapy to shrink the turbinates and alleviate nasal congestion, along with regular physical exercise to restore the function of the nasal mucosa. If conservative treatment is ineffective, local surgical treatment may be necessary.

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Written by Li Rui
Otolaryngology
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Is minimally invasive surgery for enlarged turbinates painful?

Enlarged turbinates are a relatively common clinical manifestation. There are many causes of enlarged turbinates, with the most common being rhinitis, sinusitis, and physiological hypertrophy. In terms of treatment, most patients may consider conservative drug treatment. If the effects of conservative drug treatment are not satisfactory, surgery may be considered. Currently, minimally invasive surgery, such as partial turbinectomy or ablation under nasal endoscopy, is mainly considered. Generally, there will be some pain during the surgery, but the pain is usually not particularly severe and can typically be managed with local anesthesia. Post-surgery, there may be some pain, but most patients can tolerate it. If the pain is particularly severe, oral pain medications can be considered.

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Written by Deng Bang Yu
Otolaryngology
54sec home-news-image

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 Deng Bang Yu
Otolaryngology
55sec home-news-image

What should I do about turbinate hypertrophy?

Clinically, turbinate hypertrophy is mainly caused by the stimulation of inflammatory factors such as acute and chronic rhinitis and sinusitis, leading to the proliferation of the turbinate, including the mucosal and even bony growth, as well as congenital developmental factors causing turbinate enlargement. Initially, treatment typically involves medication, using nasal sprays such as corticosteroids for nasal treatment. Secondly, surgical treatment can be employed. We can assess the extent of turbinate hypertrophy with a nasal CT scan to determine if there is bony enlargement. If there is bony hypertrophy, partial resection of the submucosal turbinate bone can be performed. If the hypertrophy is only in the mucosal and soft tissue, it can be treated using plasma ablation. In summary, turbinate hypertrophy can be treated with medication or surgery, depending on the specific extent of the pathology.