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Hyperthrophic nasal turbinate
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Hyperthrophic Nasal Turbinate

 

Nasal turbinate hypertrophy refers to the consequence of inappropriate or ineffective treatment of nasal mucosa inflammation. Patients with such disease usually find themselves having trouble in breathing, which can give rise to the potential threats of decrease in blood oxygen concentration, impaired metabolic functions of tissues and organs, combining with serious complications as asthma, emphysema and pulmonary heart disease. Prominent symptoms of this disease include headache, dizziness, memory deterioration, pain in the chest, feeling of inertia and impaired sense of smell.

 

Symptoms

  Severe nasal stuffiness, combining with constant mouth breathing and deteriorating sense of smell.

  Thick and sticky nasal mucus.

  Viscous nasal mucus.

  Episodic frontal pain which typically radiates from nasal septum to nasal bridge and the orbit.

 

Causes

In general, chronic inflammation of nasal cavity stands out as the primary cause for hyperthrophic nasal turbinate. Before the onset of the disease, fibrous tissue under the hypodermis keeps proliferating, causing the thickening of nasal mucosa.

 

Specifically, potential causes for this disease include:

• Recurrent inflammation of nasal cavity and deteriorating immune system caused by chronic diseases.

• Overuse of nasal drops, which can cause constant stimulation on the nasal mucosa.         

• Chronic smoking and alcohol use.

• Respiratory infection and lesions as nasosinusitis, amygdalitis and pharyngolaryngitis.

 

 

Diagnosis

The following symptoms may indicate the potential threat of inferior nasal turbinate hyperthrophy.

• Visible hyperthrophy of inferior turbinate or middle turbinate, which is usually accompanied by rhinostegnosis and purulent discharge generated by nasal base or inferior nasal passage.

• Appearance of ubiquitous lumbers on the nasal mucosa and obvious free margins of the frontal part of inferior nasal turbinate.         

• Under the stimulation of vasoconstrictor, patients with mild symptom appear to have nasal mucosa restriction, while patients with severe symptom seem to be unaffected by the stimulant.

 

Treatment options

 

• Conservative treatment

For patients with mild symptom, the following treatments may be effective solutions.

      For patients with mild symptoms, meticulous use of decongestants is recommonded. Notice: this treatment should be conducted carefully so as to avoid any medicine contraindications.

      For patients who have hyperthrophic inferior or middle turbinate, treatments which aim to reduce the volume of turbinate and improve the respiratory function of nasal cavity are regarded as proper options.

     If the onset of turbinate hyperthrophy is proved to be caused by chronic disease, rhinitis or the deviationthe of nasal septum, systematic treatments in this regard are suggested.

 

• Surgical solution

Conservative medication treatment may produce only little effect in handling severe hyperthrophy of nasal turbinate. In such scenario, a well-targeted partial resection of the hypertrophic turbinate is considered to be a preferable treatment option. In terms of the surgical methods, traditionally adopted ones include the microwave or laser-facilitated excisions, as well as the freezing solution. However, there have been debates over those above-mentioned surgical methods for their shortcomings as causing unnecessary and unwanted surgical invasions, more complications and blood lost, deeper damage to the nasal mucosa, as well as stronger pain for the patients.

Now, the traditional resection procedure is gradually replaced by the volume reduction surgery performed under the assistance of the low temperature plasma ablation technology. Such surgery method becomes widely recognized for its advantage in preserving the innate functions of the nasal tubinate, and in causing minimal damage to the nasal mucosa.