How to cure hypertrophic turbinates permanently?

Written by Li Rui
Otolaryngology
Updated on September 16, 2024
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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
53sec home-news-image

Does nasal turbinate hypertrophy easily cause nosebleeds?

If we are only talking about simple hypertrophy of the turbinates, it generally does not easily lead to nosebleeds. Enlarged turbinates might cause nasal congestion, runny nose, and could also lead to a decreased sense of smell, headaches, or dizziness, but some patients may not have obvious clinical symptoms and are only discovered during a physical examination. Therefore, patients with turbinate hypertrophy need to seek consultation at an otolaryngology department after experiencing relevant clinical symptoms. Examinations such as nasal endoscopy, routine blood tests, and sinus CT scans can be helpful in assessing the specific severity of the condition and the cause of the disease. Once diagnosed, targeted treatment can be administered and regular follow-ups are required to monitor the treatment effects.

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Written by Zhang Jun
Otolaryngology
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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 Zhang Jun
Otolaryngology
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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 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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Symptoms of turbinate hypertrophy

Turbinate hypertrophy is a relatively common disease, with significant individual differences in symptoms. Some patients simply have hypertrophy without obvious clinical manifestations, and it is only discovered during physical examinations or nasopharyngoscopy; Some patients may develop corresponding clinical symptoms, the most common being nasal congestion, runny nose, reduced sense of smell, snoring during sleep, and a foreign body sensation in the nasal cavity. In such cases, it is necessary to perform a sinus CT and nasopharyngoscopy to assess the severity of the condition. Generally, treatment options include oral medications and nasal sprays. Additionally, rinsing the nasal cavity with saline and regular follow-up observations to assess effectiveness are recommended.