Turbinate hypertrophy means that the turbinate is stimulated by inflammation for a long time, which causes edema of turbinate mucosa and nasal congestion. For some hypertrophic inferior turbinates, nasal mucosal vasoconstrictors and Chinese and western medicines are used, but the effect is not good. Besides drug therapy, there are other ways to improve nasal ventilation, such as partial inferior turbinectomy, freezing, microwave, laser and partial resection of nasal polyps. However, the above methods have great damage to the inferior turbinate mucosa, such as postoperative pain, bleeding, scabbing, dryness, nasal odor, infection, nasal adhesion, etc., which affect the nasal function to varying degrees. According to the current medical concept, it is best not to do turbinate surgery. It's a thermostat for the nasal cavity. If it is damaged too much, it will lose the feeling of cold and warm air. If it is too big, it will seriously affect the respiratory function. But conservative treatment with drugs is ineffective. The best way is to perform turbinate reduction surgery without damaging the nasal mucosa.

Previous methods of treating lower turbinate hypertrophy, such as freezing, laser, microwave and partial inferior turbinectomy, have destroyed the normal nasal mucosa structure and affected the physiological function of the nasal cavity. With the gradual recognition and attention to the physiological function of nasal cavity, inferior turbinate surgery should make continuous progress towards the goal of "protecting the function of inferior turbinate and reducing it to the best volume".

[Edit this paragraph]

The cause of disease

Generally developed from chronic simple rhinitis. Mucosal epithelium cilia fall off and become stratified cubic epithelium, and submucosa changes from edema to fibrous tissue hyperplasia, which leads to mucosal hypertrophy. Over time, it can be mulberry-shaped or polypoid, with periosteum and bone tissue hyperplasia and turbinate bone hypertrophy.

[Edit this paragraph]

symptom

(a) nasal congestion is heavy, mostly persistent, often breathing with your mouth open, and the sense of smell is reduced.

(2) Nose is thick, mostly mucinous or sticky. Because of runny nose, it irritates the throat, causing cough and phlegm.

(3) When turbinate hypertrophy compresses the nasal septum, it can cause the anterior ethmoidal nerve separated by the ophthalmic branch of trigeminal nerve to be compressed or inflamed, resulting in irregular paroxysmal forehead pain, which radiates to the bridge of the nose and the orbit, which is called anterior ethmoidal neuralgia, also known as anterior ethmoidal nerve syndrome.

[Edit this paragraph]

cheque

① The inferior turbinate is obviously enlarged, or both the inferior turbinate and the middle turbinate are enlarged, which often leads to nasal congestion. There is mucus or purulent secretion at the bottom of nasal cavity or lower nasal passage.

② Mucosal swelling, pink or purplish red, uneven surface, or nodular or mulberry-shaped, especially at the front end of inferior turbinate and its free edge. When the probe is light, the depression is not obvious, and it feels hard when touched.

③ Mucosal contraction is not obvious after local use of vasoconstrictor.

[Edit this paragraph]

treat cordially

(1) The application of vasoconstrictor nasal drops is limited to mild cases.

(2) Injecting sclerosing agent into submucosa of inferior turbinate, its mechanism is that after injecting sclerosing agent, local chemical inflammatory reaction can occur, scar tissue can be generated, the volume of turbinate can be reduced, and ventilation can be improved.

(3) The submucosal electrocoagulation of inferior turbinate leads to scar contraction.

(4) Cryopreservation: Place a special freezer on the surface of the inferior turbinate, and freeze for 1 ~ 2 minutes each time, so that the diseased mucosa will be necrotic and fall off and regenerate.

(five) surgical treatment, general treatment is ineffective, or the mucosa is obviously thickened, or the thickened part is located at the back or lower edge of the inferior turbinate, and partial resection of the inferior turbinate or middle turbinate is feasible. The resection of inferior turbinate should not be too much, in principle, it should not exceed inferior turbinate 1/3, so as not to affect the function of nasal mucosa or secondary atrophic rhinitis. For patients with hyperosteogeny, submucosal resection of inferior turbinate should be performed, which can improve nasal ventilation and drainage without damaging the physiological function of nasal mucosa.

(6) Appropriate treatment should also be given to chronic systemic diseases or adjacent diseases such as deviated nasal septum or sinusitis.

[Edit this paragraph]

Turbinate hypertrophy's operation

Turbinate hypertrophy refers to chronic inflammation of turbinate, which causes edema of turbinate mucosa and nasal congestion. Turbinate hypertrophy's treatment includes surgery, microwave and radiofrequency ablation. Low temperature radiofrequency ablation is a relatively new technology in recent years, and the ablation process only takes 10 ~ 20 minutes. The operation is simple and does not require hospitalization. But no matter what kind of treatment depends on the patient's specific situation, in daily life, we should pay attention to keep warm and try to reduce colds, because long-term colds can lead to chronic rhinitis, and turbinate hypertrophy is often caused by chronic rhinitis.