Does nasal turbinate hypertrophy easily cause nosebleeds?

Written by Li Rui
Otolaryngology
Updated on December 12, 2024
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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 Li Rui
Otolaryngology
54sec home-news-image

How to determine if the nasal turbinates are enlarged

The diagnosis of turbinate hypertrophy first requires a visit to an otolaryngologist, where the doctor can examine the specific condition of the nasal conchae, along with considering clinical symptoms. Generally, turbinate hypertrophy might be accompanied by nasal congestion, a runny nose, and can also lead to headaches, dizziness, and a reduced sense of smell. Moreover, the more severe the enlargement of the turbinates, the heavier the clinical symptoms might be. In terms of treatment, most patients can opt for conservative medication; common treatments include oral medications and nasal sprays, and rinsing the nasal cavity with saline solution. During the treatment process, regular follow-up checks are necessary to observe the effects. A small number of patients who do not respond well to medication may need to consider surgery. (Please follow medical advice regarding medications.)

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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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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.

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Written by Deng Bang Yu
Otolaryngology
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Can hypertrophic turbinates be washed with saline?

Clinically, turbinate hypertrophy is primarily due to inflammatory diseases of the nasal cavity and sinuses, leading to congestion and edema of the nasal mucosa, thickening of the nasal mucosa, proliferation of the submucosal tissue, and even proliferation of the periosteum of the turbinate. Clinically, using saline solution to spray and clean the nasal cavity is a basic treatment for nasal inflammatory diseases, so turbinate hypertrophy can indeed be managed through the use of saline sprays. When spraying saline, care must be taken not to direct the spray at the turbinates directly, to avoid damaging the nasal mucosa. Typically, hypertonic saline is used, which helps maintain the stability of the nasal microenvironment and aids in restoring the nasal mucosa to its normal state. Generally, hypertonic saline is used, and other concentrations are not suitable.

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Written by Li Rui
Otolaryngology
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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.