Make Room for Better Breathing
Targeted treatment for enlarged turbinates that restrict nasal airflow.
The Role of the Turbinates
Turbinates are bony structures covered by mucous membranes that extend into the nasal cavity. They help warm, humidify, and filter the air we breathe. The inferior turbinates are the largest and have the greatest effect on nasal airflow.
When Turbinates Become Enlarged
Turbinate enlargement, also called hypertrophy, is a common source of nasal obstruction. The turbinate lining may remain swollen because of allergic rhinitis, nonallergic rhinitis, or ongoing nasal inflammation. In some cases, the turbinate bone itself is enlarged. This can lead to persistent congestion, difficulty breathing through the nose, snoring, and sleep-related breathing problems.
Starting With Medical Treatment
Nasal steroid sprays are generally the first treatment for turbinate enlargement associated with allergic or nonallergic rhinitis. Antihistamines and allergy treatment may also provide relief. For many patients, these measures are enough to control symptoms without surgery.
Surgical Options for Turbinate Reduction
When medication does not provide adequate relief, turbinate reduction can be used to improve nasal airflow. Techniques include submucosal resection, radiofrequency reduction, and microdebrider assisted reduction. The aim is to decrease turbinate size while preserving the mucosal lining and its normal functions. Turbinate reduction may also be performed with septoplasty or, when appropriate, sinus surgery.