The difference between nasal polyps and hypertrophy of the turbinates.

Written by Li Rui
Otolaryngology
Updated on September 15, 2024
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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
52sec home-news-image

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 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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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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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 Deng Bang Yu
Otolaryngology
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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.