What medicine should be taken for hypertrophic turbinates?

Written by Xu Qing Tian
Otolaryngology
Updated on January 12, 2025
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Nasal turbinate hypertrophy is a common and frequent disease in otolaryngology, mainly involving enlargement of the middle and inferior turbinates. Patients often develop bony, bubble-like formations in the middle turbinate, causing symptoms such as nasal congestion, contact headache, nasal itchiness, and runny nose. For patients with nasal turbinate hypertrophy, who often also suffer from sinusitis or chronic rhinitis, treatment primarily involves local anti-inflammatory measures. Additionally, the use of corticosteroid nasal sprays can help reduce swelling of the nasal mucosa and aid in relieving nasal congestion. (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 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.

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Written by Xu Qing Tian
Otolaryngology
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the fundamental cause of turbinate hypertrophy

Turbinates hypertrophy is a common disease in otolaryngology. It can occur on its own or concurrently with chronic rhinitis, allergic rhinitis, or chronic nasal inflammation caused by sinusitis. In cases of turbinate hypertrophy, if it is simply an enlargement, it can lead to symptoms such as nasal congestion and headaches. Initially, a paranasal sinus CT scan and electronic nasopharyngoscopy can be completed to establish a clear diagnosis. Following that, functional endoscopic surgery can be performed to partially excise or ablate the turbinates, thus fully improving the patient's nasal airway function and restoring a normal nasal physiological environment.

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Written by Deng Bang Yu
Otolaryngology
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What should I do about turbinate hypertrophy?

Clinically, turbinate hypertrophy is mainly caused by the stimulation of inflammatory factors such as acute and chronic rhinitis and sinusitis, leading to the proliferation of the turbinate, including the mucosal and even bony growth, as well as congenital developmental factors causing turbinate enlargement. Initially, treatment typically involves medication, using nasal sprays such as corticosteroids for nasal treatment. Secondly, surgical treatment can be employed. We can assess the extent of turbinate hypertrophy with a nasal CT scan to determine if there is bony enlargement. If there is bony hypertrophy, partial resection of the submucosal turbinate bone can be performed. If the hypertrophy is only in the mucosal and soft tissue, it can be treated using plasma ablation. In summary, turbinate hypertrophy can be treated with medication or surgery, depending on the specific extent of the pathology.

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Written by Zhang Jun
Otolaryngology
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Is nasal irrigation useful for enlarged turbinates?

Treatment of inferior turbinate hypertrophy with a nasal rinse device is effective as it can clean the bacteria, dust, and allergens from the surface of the turbinates, and can act to shrink the turbinates. However, patients should not rely solely on the nasal rinse device to treat turbinate hypertrophy, as it is generally seen in chronic rhinitis. Chronic rhinitis is caused by long-term chronic inflammation due to lowered immunity, leading to bilateral turbinate mucosal congestion, edema, hyperplasia, and exudation. This can cause patients to experience alternating nasal congestion, facial swelling pain, headaches, and other clinical manifestations. In treatment, patients also need to use Biyankang, which has good therapeutic effects; consult a local physician for specific dosages. Additionally, nebulized inhalation should be used to shrink the turbinates and restore nasal patency. Using the nasal rinse device for daily washing can regularly shrink and dilate the turbinates, achieving certain effectiveness.