The difference between nasal polyps and hypertrophy of the nasal turbinates.

Written by Deng Bang Yu
Otolaryngology
Updated on September 28, 2024
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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 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 Li Rui
Otolaryngology
54sec home-news-image

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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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 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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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.