Does turbinate hypertrophy require surgery?

Written by Deng Bang Yu
Otolaryngology
Updated on September 02, 2024
00:00
00:00

In clinical practice, hypertrophy of the nasal turbinates must be differentiated by various causes. If the hypertrophy is simple, such as due to nasal mucosal vasoconstrictors like ephedrine nasal drops or phenylephrine nasal drops, which show good shrinkage response, it suggests a simple hypertrophy, often mainly treated with medication. If the surface of the hypertrophied turbinate is uneven and unresponsive to vasoconstrictors, and if there is severe nasal congestion, reduced sense of smell or even loss of it, then medication may not effectively alleviate the condition. Surgical treatment, such as partial resection of the inferior nasal turbinate, would be needed to restore normal nasal airways.

Other Voices

doctor image
home-news-image
Written by Li Rui
Otolaryngology
47sec home-news-image

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.)

doctor image
home-news-image
Written by Li Mao Cai
Otolaryngology
1min 16sec home-news-image

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.

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

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.)

doctor image
home-news-image
Written by Li Rui
Otolaryngology
51sec home-news-image

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.

doctor image
home-news-image
Written by Li Rui
Otolaryngology
48sec home-news-image

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.