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Inferior Turbinate Hypertrophy
Nasal turbinates are bony prominences arising from the internal sidewalls of your nose. They help to warm and humidify inspired air, and to regulate breathing through each nasal passage. Sometimes, enlargement (hypertrophy) of the lowest lying turbinates may contribute to nasal obstruction. Hypertrophy of the inferior nasal turbinates can be classified as either mucosal or bony. Reasons for mucosal turbinate hypertrophy include both allergic and nonallergic (vasomotor) causes. In patients having only redundant mucosa (lining), the hypertrophy is generally seen bilaterally (on both sides) and the sense of obstruction can be relieved with topical decongestants. Surgery in these cases is often reserved for those who have already failed medical treatment.
When decongestion does not improve breathing, bony turbinate hypertrophy along with deviation of the septum and nasal valve compromise are considered as possible sources. This obstruction is generally constant and is often compensatory. Drs. Solieman and Litner find that these patients generally present with a significantly deviated septum away from the enlarged turbinate. The turbinate mucosa and underlying bone enlarge into the more open nasal passage in pursuit of normalizing nasal airway resistance. Correction of the deviated septum and trimming of the enlarged turbinate are performed together to relieve obstructive complaints. Straightening only the septum without modifying the hypertrophic turbinate will result in obstruction secondary to the large turbinate on the side where obstruction was not previously perceived.
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Procedure Details: Beverly Hills Rhinoplasty Nose Surgery
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