What are the treatment methods for hypertrophic rhinitis?
Nov 26, 2025
Source: Cainiu Health
Dr. Lu Cheng
Introduction
Treatment options for hypertrophic rhinitis include medication, inferior turbinate ablation, partial resection of the inferior turbinate, laser therapy, and adjunctive nasal irrigation. An individualized approach should be selected based on disease severity, with conservative treatments preferred initially; surgery is considered only if these prove ineffective. If persistent nasal congestion or headaches significantly affect quality of life, prompt medical evaluation is recommended.
Treatment options for hypertrophic rhinitis include medication, inferior turbinate ablation, partial turbinectomy, laser therapy, and nasal irrigation as adjunctive treatment. The choice depends on the severity of the condition, with conservative treatments preferred first, followed by surgical intervention if ineffective. If persistent nasal congestion or headaches significantly affect daily life, prompt medical consultation is recommended.
1. Medication: Nasal corticosteroids and decongestants help reduce nasal mucosal inflammation and edema, alleviating nasal obstruction. This approach is suitable for mild to moderate cases, and medications should be used according to prescribed courses to avoid overuse of decongestants.
2. Inferior turbinate ablation: Techniques such as low-temperature plasma or radiofrequency are used to shrink the volume of the inferior turbinate, improving nasal airflow. This minimally invasive procedure offers quick recovery and is ideal for patients primarily suffering from mucosal hypertrophy.
3. Partial inferior turbinectomy: Involves surgical removal of part of the enlarged inferior turbinate tissue to rapidly relieve nasal blockage. It is suitable for patients with bony proliferation or severe turbinate hypertrophy, with careful control over the extent of tissue removal.
4. Laser therapy: Uses thermal effects of laser energy to cauterize and thin hypertrophied mucosa, thereby relieving nasal obstruction. Best suited for mild to moderate mucosal thickening; postoperative care includes avoiding nasal irritants.
5. Nasal irrigation (adjunctive therapy): Rinsing the nasal cavity with saline or seawater helps clear secretions and allergens, reducing mucosal inflammation. It can enhance the effectiveness of other treatments and is appropriate for patients at all stages.
Daily management includes maintaining well-ventilated and humid indoor environments, avoiding exposure to dust, smoke, and other irritants, quitting smoking and alcohol consumption. Maintain regular作息 (sleep patterns) to boost immunity and prevent colds that may trigger inflammation. Avoid forceful nose-blowing or nose-picking, and consistently perform gentle nasal irrigation to reduce recurrence.
