How to Treat Nasal Polyps and Turbinate Hypertrophy

Jan 22, 2022 Source: Cainiu Health
Dr. Song Hongfu
Introduction
How to Treat Nasal Polyps and Turbinate Hypertrophy: Patients with nasal polyps and turbinate hypertrophy often require surgical intervention. Prior to surgery, patients must undergo routine preoperative evaluations, including blood tests, chest X-ray, electrocardiogram (ECG), nasal endoscopy, and nasal computed tomography (CT). Once systemic absolute contraindications to surgery have been ruled out, the nasal polyps are completely excised.

Nasal polyps and turbinate hypertrophy differ primarily in the anatomical location of the lesions. Turbinate hypertrophy specifically refers to enlargement of the inferior turbinates—a normal anatomical structure—which may become excessively enlarged due to chronic inflammation or allergic stimulation.

So, how are nasal polyps and turbinate hypertrophy treated? Let’s explore this further.

Treatment of Nasal Polyps and Turbinate Hypertrophy

Patients with both nasal polyps and turbinate hypertrophy typically present clinically with nasal obstruction as the predominant symptom. Persistent nasal congestion often forces patients to breathe through their mouths during sleep, adversely affecting daily work performance and quality of life. Surgical intervention is frequently required for effective management.

Prior to surgery, patients must undergo standard preoperative evaluations, including blood tests, chest radiography, electrocardiography (ECG), nasal endoscopy, and computed tomography (CT) of the sinuses. Once systemic absolute contraindications to surgery have been excluded, the procedure can be performed under general anesthesia with endoscopic guidance: nasal polyps are completely excised, and hypertrophied inferior turbinates are reduced using low-temperature plasma ablation.

Postoperatively, a one-week course of antibiotics is prescribed to consolidate anti-inflammatory effects, along with nasal irrigation therapy to reduce mucosal secretions. Approximately one month after surgery, patients typically experience marked improvement in nasal airflow. Regular follow-up visits at the hospital remain essential postoperatively.

The above outlines key considerations in the treatment of nasal polyps and turbinate hypertrophy. We hope this information proves helpful to you.