Turbinate Reduction

Nasal turbinates and turbinate reduction

What are the nasal turbinates?

Located on the inside of the nose just upstream from the flare of the nostrils, the nasal turbinates are three pairs of long, thin bones that are lined with mucosal tissue. The nasal turbinates warm, humidify, and filter the air you breathe. When enlarged, they can block airflow, leading to congestion, mouth breathing, or snoring.

What causes swollen turbinates?

Allergies (Allergic Rhinitis)

Chronic exposure to allergens (like pollen, dust mites, pet dander) causes inflammation and swelling of the turbinates.

Chronic Sinusitis or Infections

Repeated or long-lasting sinus infections can lead to persistent turbinate inflammation.

Environmental Irritants

Smoke, pollution, strong odors, or dry air can cause irritation and swelling.

Deviated Nasal Septum

A crooked septum can cause one turbinate to enlarge as a way to compensate and balance airflow.

Hormonal Changes

Hormones (like during pregnancy or with thyroid disorders) can affect blood flow in nasal tissues and lead to swelling.

Supine Position (Lying Down)

When you lie down, gravity causes increased blood flow to the head and nasal area.

What is turbinate reduction surgery?

Turbinate reduction is a surgical procedure used to reduce the size of enlarged turbinates without removing the outer layer of tissue. This method helps to maintain the structural integrity of the turbinates while improving airflow and reducing nasal congestion.

It’s performed when enlarged turbinates (turbinate hypertrophy) cause chronic nasal congestion, especially when:

Medications (like nasal sprays or antihistamines) don’t help
Breathing is difficult, especially when lying down
It’s affecting sleep or quality of life

It can be performed in the office under local anesthesia. Recovery is usually quick with minimal down time.

Turbinate Reduction

Nasal turbinates and turbinate reduction

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