the fundamental cause of turbinate hypertrophy

Written by Xu Qing Tian
Otolaryngology
Updated on February 06, 2025
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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 Li Rui
Otolaryngology
1min 5sec home-news-image

Is massage effective for enlarged turbinates?

Turbinate hypertrophy is a common clinical symptom of the turbinates. Generally speaking, the effect of treating turbinate hypertrophy through massage is not good, because it is difficult for massage to directly affect the inside of the nasal cavity, and there is no direct impact and effect on the hypertrophy of the turbinates. The first step in addressing turbinate hypertrophy is to examine the causes and the extent of the enlargement. If the enlargement is mild and there are no obvious clinical symptoms, it is generally advised to regularly review and observe changes. However, if the turbinate hypertrophy is more pronounced and accompanied by related clinical symptoms such as nasal congestion, runny nose, and reduced sense of smell, it is necessary to perform a nasopharyngoscope examination to investigate the specific causes of the condition. Treatment typically involves oral medications and nasal sprays, and regular check-ups are also necessary. (Please follow the guidance of a specialist doctor for specific medications and do not self-medicate.)

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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.

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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 Li Rui
Otolaryngology
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Can turbinate hypertrophy be left untreated?

Turbinate hypertrophy is a relatively common otolaryngological condition. In terms of treatment, it is first necessary to consider the specific cause and severity of the condition. If it is merely physiological turbinate hypertrophy without significant clinical symptoms, this situation generally can be managed with observation, and regular nasopharyngoscopy check-ups to monitor the recovery process. If the turbinate hypertrophy causes related clinical symptoms, such as nasal congestion, reduced sense of smell, headaches, and dizziness, then it is necessary to visit an otolaryngologist. Nasopharyngoscopy will generally be conducted, and treatment will typically include oral medications and nasal sprays, with regular check-ups to observe the treatment effects. (Please use medications under the guidance of a doctor)

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Written by Zhang Jun
Otolaryngology
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What can be done to alleviate the difficulty in breathing caused by enlarged turbinates?

Breathing difficulties caused by hypertrophic turbinates can initially be managed with corticosteroids via nebulization. Additionally, massaging the Yingxiang acupoints on the outer sides of both nostrils can constrict the turbinates and quickly alleviate nasal congestion to ease breathing difficulties. Patients also need to undergo detailed examination at the hospital using an endoscopic camera and sinus CT to determine the cause of the turbinate hypertrophy. Turbinate hypertrophy generally results from symptoms caused by chronic rhinitis or chronic allergic rhinitis, leading to persistent bilateral nasal congestion in patients. This is also accompanied by a foreign body sensation in the nose, swelling, and the discharge of mucous nasal fluid. For treatment, symptomatic anti-inflammatory and anti-allergy therapy should initially be administered. If conservative treatments are ineffective, a partial turbinectomy on both sides may be necessary.