Is surgery necessary for enlarged nasal turbinates?

Written by Xu Qing Tian
Otolaryngology
Updated on January 25, 2025
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Patients with enlarged turbinates do not necessarily need surgical treatment. The causes of turbinate hypertrophy are mainly related to long-term smoking and drinking, catching colds, as well as allergic rhinitis and chronic rhinitis. Patients experience turbinate growth, which affects nasal ventilation. Some patients may suffer from alternating nasal congestion, and in cases of significant enlargement, such as snoring and air holding during sleep at night, or complete nasal ventilation obstruction, surgical methods such as turbinate ablation or inferior turbinate fracture and outward movement surgery may be necessary to expand the nasal airflow. For general turbinate hypertrophy, patients can use hormone-based nasal sprays to relieve nasal mucosa swelling and thickening. (The use of medication should be under the guidance of a doctor.)

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Written by Zhang Jun
Otolaryngology
1min 15sec home-news-image

Do enlarged turbinates cause fear of heat?

Turbinates hypertrophy tends to be heat-sensitive since excessive heat can lead to congestion and swelling of the nasal conchae's mucous membrane, thereby worsening nasal congestion in patients. Turbinates hypertrophy is a symptom caused by inflammation of the turbinates, commonly seen in chronic rhinitis in clinical settings. Patients experience persistent nasal congestion in both nasal cavities, along with sensations of a foreign body and swelling in the nasal cavity. The nasal cavity may discharge viscous abnormal secretions, accompanied by facial swelling, pain, headaches, and other related symptoms. A detailed examination at the hospital using electronic rhinoscopy, routine blood tests, and sinus CT can confirm the diagnosis. During the examination, diffuse congestion and swelling of the bilateral inferior turbinates can be observed, along with abnormal secretions inside the nasal cavity. In terms of treatment, nebular inhalation therapy can be used to shrink the turbinates and relieve symptoms of nasal congestion. Additionally, a light diet and regular exercise can gradually improve the condition.

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Written by Zhang Jun
Otolaryngology
1min 6sec home-news-image

Can you eat eggs if you have enlarged nasal turbinates?

Patients with hypertrophic turbinates can eat eggs; there is no issue with that. Eggs are rich in protein, which can enhance the body's immunity and resistance, offering significant benefits to patients with hypertrophic turbinates. Hypertrophic turbinates are simply a clinical manifestation, commonly caused by chronic rhinitis or chronic allergic rhinitis. Following hypertrophy of the turbinates, patients typically experience persistent bilateral nasal congestion, accompanied by a sensation of a foreign body in the nose, swelling, and mucous nasal discharge. A detailed examination with an endoscope at the hospital can confirm the diagnosis. During the examination, diffuse congestion and edema of the bilateral inferior turbinates can be observed. For treatment, initial steps can include nebulized inhalation therapy to shrink the turbinates and alleviate nasal congestion, along with regular physical exercise to restore the function of the nasal mucosa. If conservative treatment is ineffective, local surgical treatment may be necessary.

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Written by Li Rui
Otolaryngology
51sec home-news-image

Post-laser sequelae of turbinate hypertrophy

Using laser treatment for hypertrophic turbinates can potentially lead to complications, the more common ones being nasal dryness and mucosal erosion. It may also cause recurring nasal bleeding. Additionally, some patients might experience a burning sensation or the feeling of a foreign body in the nasal cavity. More serious cases could lead to a nasal septum perforation. Hence, the specific complications vary from individual to individual. After surgery, it is necessary to have regular check-ups at the otolaryngology department, where procedures like nasal endoscopy and routine blood tests can help in assessing the condition. In the event of complications, timely and targeted treatment should be administered to mitigate the severity of these complications and improve the patient's quality of life.

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Written by Li Rui
Otolaryngology
52sec home-news-image

Will the nose become larger if the nasal concha is hypertrophic?

Nasal turbinate hypertrophy is a relatively common otolaryngological condition. This condition mainly involves the growth and thickening of the tissue in the lower or middle nasal concha inside the nasal cavity. However, it does not affect the overall appearance of the nose; there are no obvious changes or deformities, nor significant enlargement. Symptoms of nasal turbinate hypertrophy may include nasal congestion, runny nose, reduced sense of smell, headache, and dizziness. Upon experiencing these symptoms, it is necessary to visit an otolaryngologist for a nasopharyngoscope examination to assess the extent of the inflammatory response. In terms of treatment, most patients may consider using nasal spray medication and oral medication, while a small portion of patients might need to consider surgical treatment.

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Written by Deng Bang Yu
Otolaryngology
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Does turbinate hypertrophy require surgery?

In clinical practice, hypertrophy of the nasal turbinates must be differentiated by various causes. If the hypertrophy is simple, such as due to nasal mucosal vasoconstrictors like ephedrine nasal drops or phenylephrine nasal drops, which show good shrinkage response, it suggests a simple hypertrophy, often mainly treated with medication. If the surface of the hypertrophied turbinate is uneven and unresponsive to vasoconstrictors, and if there is severe nasal congestion, reduced sense of smell or even loss of it, then medication may not effectively alleviate the condition. Surgical treatment, such as partial resection of the inferior nasal turbinate, would be needed to restore normal nasal airways.