Enlarged nasal turbinates

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Written by Li Rui
Otolaryngology
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What are the symptoms of turbinate hypertrophy?

The symptoms of turbinate hypertrophy vary among individuals. Some patients just have simple turbinate hypertrophy with no obvious clinical symptoms, while others may experience nasal congestion, runny nose, reduced sense of smell, headaches, dizziness, and memory decline. However, generally speaking, most cases are not very severe. It is necessary to visit an otolaryngology department for a nasopharyngoscopy to ascertain the specific extent of the hypertrophy, and to check for any nasal inflammation, sinusitis, or nasal neoplasms. In terms of treatment, most patients primarily receive oral medications and nasal spray treatments. A small number of patients may need to consider surgical treatment. (Please use medications under the guidance of a doctor.)

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Written by Deng Bang Yu
Otolaryngology
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Symptoms and Treatment Methods of Turbinate Hypertrophy

Turbinate hypertrophy, clinically, is mainly hypertrophy of the inferior turbinate, although the middle turbinate can also become enlarged. The hypertrophy of the middle turbinate is primarily related to the development of the turbinate itself. Hypertrophy of the inferior turbinate is more common in clinical practice. Its symptoms mainly manifest as nasal congestion, as the enlarged turbinate blocks the nasal passages. Secondly, turbinate hypertrophy can sometimes irritate the nerves of the local septal mucosal tissue, causing headaches and subsequent symptoms like sinusitis. Clinical treatment for turbinate hypertrophy primarily involves medication, including the use of nasal spray drugs and traditional Chinese medicine. A sinus CT scan can be conducted to evaluate the extent of turbinate bone hypertrophy. If there is bony hypertrophy of the turbinate, surgery under endoscopy might be considered.

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Written by Li Rui
Otolaryngology
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Can hypertrophic turbinates be seen with the naked eye?

Enlarged turbinates are a relatively common clinical manifestation and can usually be seen through visual inspection. Generally, the enlargement is primarily of the inferior turbinates. With the use of an anterior rhinoscope to open the nostrils, one can directly observe the extent of inferior turbinate enlargement. This also helps to clarify its relationship with the nasal cavity and aids in the diagnosis of potential rhinitis or sinusitis. In terms of treatment, if the enlargement is simply physiological without significant clinical symptoms, treatment might not be necessary, but regular follow-ups to monitor the condition are advised. If the enlargement is due to an inflammatory reaction, consideration may be given to oral medications and nasal sprays, along with rinsing the nasal cavity with saline solution. (Please use medication under the guidance of a doctor.)

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Written by Li Rui
Otolaryngology
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How to reduce swollen nasal turbinates?

Enlarged turbinates are a relatively common clinical symptom, with numerous potential causes. If the enlargement is simply physiological, it generally does not require special treatment. However, if it is due to an inflammatory reaction, such as rhinitis or sinusitis, this can lead to corresponding clinical symptoms like nasal congestion, runny nose, and reduced sense of smell, necessitating consideration of medication. Common treatments include oral medications and corticosteroid nasal sprays, typically over a treatment cycle of about one to two weeks. Additionally, rinsing the nasal cavity with saline solution can be beneficial. With standardized treatment, most cases will gradually decrease in swelling. (Medications should be used under the guidance of a doctor based on specific conditions.)

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Written by Deng Bang Yu
Otolaryngology
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Can Chinese medicine cure hypertrophic turbinates?

Turbinate hypertrophy includes hypertrophy of the inferior and middle turbinates. Turbinate hypertrophy is mainly caused by chronic inflammation, which is rhinitis. The general treatment mainly involves medication, particularly local medications such as nasal corticosteroids and nasal vasoconstrictors that constrict blood vessels in the nasal mucosa. Traditional Chinese medicine can be somewhat effective, primarily involving aromatic herbs or proprietary Chinese medicines to provide some therapeutic effect; however, these are mostly used as supplementary treatments and should not be the primary medication. Moreover, their use should be under the guidance of a doctor. Additionally, a CT scan is needed for turbinate hypertrophy to assess if there is any bony enlargement of the turbinates; if there is, surgical treatment may need to be considered.

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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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The difference between nasal polyps and hypertrophy of the turbinates.

Nasal polyps and hypertrophic turbinates have fundamental differences. Firstly, these are two different types of diseases. Nasal polyps are neoplasms that grow within the nasal cavity, whereas hypertrophic turbinates are primarily caused by hyperplasia or thickening of the mucous membrane of the existing turbinates, which is not considered a neoplasm within the nasal cavity. The causes of nasal polyps are not particularly clear. Treatment primarily involves medication, but surgery may be considered if there are numerous polyps. Hypertrophic turbinates are mainly caused by proliferative inflammatory responses in the mucous membranes, and medication is generally considered for this condition. Overall, the effectiveness of medication is relatively certain, with only a small portion of patients requiring surgical intervention.

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Written by Li Rui
Otolaryngology
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Can nasal turbinates hypertrophy be treated with nasal irrigation?

Enlarged nasal turbinates are a relatively common clinical presentation, often associated with rhinitis and sinusitis, and can also be due to exposure to external irritants. Nasal washing is one option to consider. The most commonly used method is saline nasal irrigation, and physiological seawater can also be used. Typically, washing is recommended two to three times a day. If there is an inflammatory response, medication may also be necessary. Common treatments include oral medications and nasal sprays, with a treatment period usually lasting more than a week. After starting medication, regular follow-ups are needed to monitor recovery, and most patients generally respond well to treatment.

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Written by Li Mao Cai
Otolaryngology
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How to deal with nasal polyps and enlarged turbinates?

Nasal polyps and hypertrophic turbinates require surgical treatment because both are manifestations of chronic inflammation in rhinitis. Medical treatment alone is not very effective in these cases. Nasal polyps and hypertrophic turbinates mainly cause poor nasal ventilation, and over time, can also affect the drainage of the sinuses. Therefore, in patients with significantly enlarged nasal polyps, who often also suffer from chronic sinusitis, treatment involves the endoscopic removal of nasal polyps and partial resection of the inferior turbinate, along with the opening of the sinus passages. This is a systematic and comprehensive treatment approach. After surgery, it is crucial to follow a prescribed medication regimen, as this ensures the effectiveness of the surgery. If surgery is performed without subsequent medication, the results may not be very good. Additionally, regular postoperative check-ups and cleanings are essential to maintain the effectiveness of the surgery and to prevent long-term recurrence. Many patients who cease medication and do not return for follow-up cleanings after surgery are likely to experience a quick recurrence.

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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.