Turbinate swelling

Introduction Turbinate swelling is one of the symptoms of chronic simple rhinitis. The symptoms of chronic simple rhinitis are most pronounced with increased nasal congestion and nasal discharge, and often have olfactory disorders and headaches. The nasal congestion is mostly intermittent and alternating, sometimes persistent, and the lower side is heavier when lying on the side. The nasal congestion is often relieved after exercise or in fresh air, while the nasal congestion is aggravated during meditation reading, calculation or manual operation. Severe nasal congestion can lead to occlusive nasal snoring, decreased olfactory and headache, and sometimes causes attention to not concentrate and insomnia. Increased secretions, usually thick and translucent mucus, with a little pus. Long-term stimulation of the nasal vestibule and upper lip skin causes nasal vestibulitis, eczema or folliculitis, which is more common in children. The nasal sinus flows backward into the throat, which can cause nasopharyngitis and otitis media. The patient has aspiration sputum and hearing loss.

Cause

There is a history of recurrent episodes of acute rhinitis, adjacent to prolonged irritative infections, or long-term adverse stimuli in occupational and living environments. The turbinate is prolonged to be stimulated by inflammation, causing edema of the turbinate mucosa, leading to obstruction of the nasal cavity, resulting in hypertrophy and swelling of the turbinate. Nasal swelling causes nasal obstruction, affecting the physiological function of the nasal cavity, causing respiratory disorders, causing a decrease in blood oxygen concentration, affecting the function and metabolism of other tissues and organs, and some such as headache, dizziness, memory loss, chest pain, chest tightness, and mental weakness Hey, etc., may even have serious complications such as emphysema, pulmonary heart disease, and asthma.

an examination

Related inspection

Turbinate and nasal otolaryngography CT examination

Basic inspection:

1. Front nose examination.

2. X-ray nasal photos have clear sinus infection.

Further examination:

1. Nasal secretion smear to detect pathogenic bacteria.

2. Nasal secretions bacterial culture + drug sensitivity.

3. If necessary, virus inspection requires special cultivation, separation and identification.

Differential diagnosis

Clinically, it should be differentiated from chronic hypertrophic rhinitis and chronic nasal congestion.

The symptoms of chronic simple rhinitis are most pronounced with increased nasal congestion and nasal discharge, and often have olfactory disorders and headaches. The nasal congestion is mostly intermittent and alternating, sometimes persistent, and the lower side is heavier when lying on the side. The nasal congestion is often relieved after exercise or in fresh air, while the nasal congestion is aggravated during meditation reading, calculation or manual operation. Severe nasal congestion can lead to occlusive nasal snoring, decreased olfactory and headache, and sometimes causes attention to not concentrate and insomnia. Increased secretions, usually thick and translucent mucus, with a little pus. Long-term stimulation of the nasal vestibule and upper lip skin causes nasal vestibulitis, eczema or folliculitis, which is more common in children. The nasal sinus flows backward into the throat, which can cause nasopharyngitis and otitis media. The patient has aspiration sputum and hearing loss.

Examination showed swelling of the bilateral inferior turbinate, the surface was smooth and moist, and it was dark red. Old and frail and anemia, hypothyroidism, only see swelling and no congestion. The inferior turbinate mucosa is soft and elastic, and is exposed by the probe, and the probe can be immediately restored after being removed. The nasal cavity is not easy to see through the mucosal swelling, only the thick secretions can be seen between the inferior turbinate and the nasal septum and the nasal floor. The nasal mucosa responds well to the vasoconstrictor.

Chronic simple rhinitis is bilateral, no ulcers, granulation, necrosis, malodor, no paroxysmal sneezing and watery secretions, can be differentiated from other rhinitis. The prognosis is generally good, can be cured after appropriate treatment, the nasal mucosa can return to normal. However, if the pathogenic factors are not removed or treated improperly, the disease may also evolve into hypertrophic rhinitis.

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