Can Chinese medicine cure hypertrophic turbinates?

Written by Deng Bang Yu
Otolaryngology
Updated on September 18, 2024
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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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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 Zhang Jun
Otolaryngology
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How should nasal turbinate hypertrophy be treated?

Enlarged turbinates are just a clinical manifestation, not a disease in itself. In clinical practice, many diseases can cause enlarged turbinates, such as chronic rhinitis, deviated nasal septum, and nasal polyps. These conditions can lead to compensatory hypertrophy of the turbinates, which results in symptoms of nasal congestion. Initially, it is necessary to visit a hospital for a detailed examination with an electronic nasal endoscope to make a clear diagnosis. If the condition is due to a deviated nasal septum, septoplasty may be required. If nasal inflammation is causing the enlarged turbinates, conservative treatment should be attempted first. If conservative treatment is ineffective, bilateral partial inferior turbinectomy may be necessary. After the surgery, the patient should continue with a light diet and regular exercise to restore the function of the nasal mucosa, strengthen the body, and avoid colds to prevent recurrent hypertrophy of the turbinates.

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Written by Zhang Jun
Otolaryngology
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Can hypertrophy of the nasal turbinates be reduced by taking anti-inflammatory drugs?

Whether taking anti-inflammatory drugs is needed for enlarged turbinates depends first on identifying the cause of the enlargement. If the enlargement of the turbinates is caused by bacterial infection, it is appropriate to take anti-inflammatory medication such as antibiotics. However, if it is caused by allergies, antibiotics will be ineffective. Generally, there are two reasons for enlarged turbinates. The first is due to symptoms caused by acute inflammatory infections, commonly seen in clinical cases of acute rhinitis or acute sinusitis. Clinically, these are most often caused by infections from hemolytic streptococci or Staphylococcus aureus, resulting in congested, swollen, and hypertrophic mucous membranes of the turbinates. Antibiotics such as penicillin or cephalosporin can be effective in treatment. However, antibiotics are ineffective for allergic rhinitis. Allergic rhinitis occurs when the immune and resistance levels are low, and the nasal cavity comes into contact with related allergens. Patients will also experience enlarged turbinates, along with symptoms like sneezing and runny nose. Treatment should focus on symptomatic allergy treatment to shrink the turbinates and alleviate nasal congestion.

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Written by Li Rui
Otolaryngology
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Is minimally invasive treatment effective for enlarged turbinates?

Turbinate hypertrophy primarily considers conservative medication in treatment aspects. However, a portion of patients does not respond well to medication and may need to consider minimally invasive surgery. One common procedure is endoscopic surgery, which can perform turbinate reduction ablation. Many patients gradually improve after surgery, and their clinical symptoms also diminish. However, individual differences in treatment outcomes still exist. Post-surgery, it is essential to regularly follow up and observe changes in the patient's condition. Additionally, some patients might need combined therapy involving oral and nasal spray medications and can benefit from nasal irrigation with saline solution as an adjunctive treatment. (Please follow the doctor's prescription when taking medications.)

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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.