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How Is Nasal Turbinate Hypertrophy Treated ?

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Posted on Wed, 18 Apr 2012
Question: How to get rid of the hypertrophy of the nasal turbinates
doctor
Answered by Dr. Puneet Maheshwari (16 minutes later)
Hi,

Thanks for the query.

Well, the most common cause of nasal turbinate hypertrophy is allergy, followed by deviated nasal septum and it is called as compensatory hypertrophy of nasal nurbinate, opposite to the side of deviated septum.

Treatment options are two--
1- Medical management-- For this you will have to take oral antiallergic with decongestant like pseudoephdrine. Along with nasal decongestant drops like oxymetazolone etc. All for atleast 3 weeks and avoid exposure to dust and cold.

2- Surgical management--- This procedure is called as the SMD(SUBMCOSAL DIATHERMY).
In this surgery, the enlarged inferior turbinates are burnt with electro cautry, after giving a local anesthesia, followed by antibiotic cream application. It is a very minor surgery, and requires hardly 15 minutes.

Hope this answers your query. In case of any doubts, I am available for the follow ups.

REGARDS.
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Puneet Maheshwari (2 hours later)
How long does it take for the Turbinate swelling to go away , usually without any sort of medication .

I am currently using a steroidal nasal spray "fluticasone propionate" and one tablet of "tavist" an antihistamine . I am not sure as to what is causing these turbinates to swell . Its been three days I have been following this regime .

I have been keeping very restless for the past one month . Sometimes I feel there is a strand of hair in my throad , sometimes I feel .. There is flem at the back of my nose which I am unable to clear. However in reality nothing seems to be present there . I am not sure what is contributing to this sort of a feeling :(. I have almost come to believe that this feeling might never go away .

Please help me doctor .
doctor
Answered by Dr. Puneet Maheshwari (1 hour later)
Hi again,


With this medical treatment, it will require atleast 1 month to resolve it. It is the allergic reaction that is responsible for the swelling of these turbinates, continue the spray and the antihisteminic, it will resolve soon.

Again symptoms like throat discomfort are due to allergic rhinosinusitis. For this you will have to combine tab ambroxol 60 mg twice a day, it is a 'mucolytic'. You may start the mucolytic after discussing with your primary care provider.

Avoid exposure to dust, don't worry you will be fine.

Hope my answers are adequate.

Wish you good health

Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Puneet Maheshwari (2 hours later)
I have one last question doctor . Does this swelling resolve on its own , I am currently in the united states and I am scared of visiting doctors here . If yes how long does it take for this conditon to resolve on its own
doctor
Answered by Dr. Puneet Maheshwari (15 hours later)
Hi again,

Well, the enlarged turbinates will take atleast 1 month to resolve medically.

Please do not worry regarding this, it is a very common finding in Allergic Rhinitis.

Please follow the above instructions and you will be alright.

Hope this answers your query.

Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari
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Answered by
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Dr. Puneet Maheshwari

ENT Specialist

Practicing since :2008

Answered : 661 Questions

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How Is Nasal Turbinate Hypertrophy Treated ?

Hi,

Thanks for the query.

Well, the most common cause of nasal turbinate hypertrophy is allergy, followed by deviated nasal septum and it is called as compensatory hypertrophy of nasal nurbinate, opposite to the side of deviated septum.

Treatment options are two--
1- Medical management-- For this you will have to take oral antiallergic with decongestant like pseudoephdrine. Along with nasal decongestant drops like oxymetazolone etc. All for atleast 3 weeks and avoid exposure to dust and cold.

2- Surgical management--- This procedure is called as the SMD(SUBMCOSAL DIATHERMY).
In this surgery, the enlarged inferior turbinates are burnt with electro cautry, after giving a local anesthesia, followed by antibiotic cream application. It is a very minor surgery, and requires hardly 15 minutes.

Hope this answers your query. In case of any doubts, I am available for the follow ups.

REGARDS.