Can nasal turbinates hypertrophy be treated with nasal irrigation?

Written by Li Rui
Otolaryngology
Updated on September 14, 2024
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Enlarged nasal turbinates are a relatively common clinical presentation, often associated with rhinitis and sinusitis, and can also be due to exposure to external irritants. Nasal washing is one option to consider. The most commonly used method is saline nasal irrigation, and physiological seawater can also be used. Typically, washing is recommended two to three times a day. If there is an inflammatory response, medication may also be necessary. Common treatments include oral medications and nasal sprays, with a treatment period usually lasting more than a week. After starting medication, regular follow-ups are needed to monitor recovery, and most patients generally respond well to treatment.

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Written by Li Rui
Otolaryngology
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How to reduce swollen nasal turbinates?

Enlarged turbinates are a relatively common clinical symptom, with numerous potential causes. If the enlargement is simply physiological, it generally does not require special treatment. However, if it is due to an inflammatory reaction, such as rhinitis or sinusitis, this can lead to corresponding clinical symptoms like nasal congestion, runny nose, and reduced sense of smell, necessitating consideration of medication. Common treatments include oral medications and corticosteroid nasal sprays, typically over a treatment cycle of about one to two weeks. Additionally, rinsing the nasal cavity with saline solution can be beneficial. With standardized treatment, most cases will gradually decrease in swelling. (Medications should be used under the guidance of a doctor based on specific conditions.)

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Written by Zhang Jun
Otolaryngology
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Can you drink alcohol with enlarged turbinates?

It is best not to drink alcohol if you have enlarged turbinates, as alcohol can stimulate the dilation of blood vessels, leading to congestion and swelling of the turbinates, which in turn exacerbates nasal congestion symptoms. Enlarged turbinates are just a clinical presentation, not a disease. The most common cause of enlarged turbinates in clinical settings is chronic rhinitis. Chronic rhinitis results from repeated acute inflammatory stimuli, causing congestion, swelling, and hyperplasia of the turbinate mucosa. Patients may experience bilateral nasal congestion that progressively worsens and may also have abnormal secretions in the nasal cavity. During an examination with an electronic rhinoscope, pronounced congestion and swelling in both middle and lower turbinates can be observed, sometimes showing mulberry-like changes on the surface. For treatment, patients may need to undergo a partial inferior turbinectomy, which requires hospitalization, and recovery is typically about one week before discharge.

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Written by Li Rui
Otolaryngology
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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 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 Zhang Jun
Otolaryngology
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How is turbinate hypertrophy caused?

The most common cause of turbinates hypertrophy in clinical practice is chronic rhinitis. Chronic rhinitis is nasal symptoms caused by unresolved acute rhinitis. Patients will experience bilateral turbinates hypertrophy and poor contractile effects of the constrictor muscle. Patients will also experience alternating bilateral nasal congestion, which is lighter during physical activities in the day and more severe at night when it's quiet. In terms of treatment, patients need to initially take some proprietary Chinese medicines orally. Additionally, the nasal cavity needs to be treated with nebulized inhalation to alleviate local congestion and edema. Patients also need to exercise to restore the function of the turbinates mucous membrane to enhance immunity and resistance, and only then can allergic rhinitis be gradually cured. (Please use medication under the guidance of a professional physician, and do not self-medicate blindly.)