In our nose, there are three pairs of turbinates which originate on the lateral walls of our nasal cavity. When the lowest pair of the turbinates or the inferior turbinates is enlarged due to allergies or some other condition, it results in nasal blockage causing breathing difficulty. If the inferior turbinates are reduced in size by turbinate reduction, it helps to improve the obstruction of the nose as it creates more space for inhaling air or breathing through the nose.
This can be done with a number of techniques. The most common method used is the submucous resection and also radio-frequency reduction. While in the operating room, these two procedures are often combined with a procedure known as outfracture. In this process, the inferior turbinates are pushed to the sides of the nose by which space for breathing opens up a little more. It is done by breaking the small thin bone which is inside the turbinate itself.
An insight into the different types of procedures for turbinate reduction:
The submucous resection of the inferior turbinates is done in the operation theatre under general anesthesia. In this procedure, a small cut is made in the lining of the inferior turbinates. Then the lining is lifted off the thin bone which forms the main structural support for the inferior turbinate. After removing the part of this bone and after the healing process which includes shrinking of the lining of the turbinate, the size of the nasal passage increases and creates more breathing space providing long term relief.
The radiofrequency turbinate reduction is performed in a chamber without any anesthesia. A specially designed probe with a needle is used which is placed in the turbinate and radio-frequency energy is transferred in order to heat up the tissues under the surface in a controlled way. The heating of the tissues creates damage, and the size of the inferior turbinates is reduced during the healing process. The whole procedure takes around 10 minutes. The risks of this procedure are comparatively low with little or no pain during the phase of healing. Sometimes one single session is not effective, and many patients require more than one session.
Risks of turbinate reduction:
The most common risk of turbinate reduction is nose bleeding. As the inferior turbinates have an excellent supply of blood, there is a chance of nose bleeding after the surgery. Another risk of turbinate reduction is the dryness of nose which is temporary, but in some case, it can be permanent. Also, any kind of surgery inside the nose can cause changes in the sense of smell. The sense of smell generally returns, but in some cases, it can also be long lasting.
Your doctor will be able to advise on the line of treatment best for your condition.
Commonly referred to as nasal concha, nasal turbinates are an important structure of the nose, which is responsible for preventing the outside dust, dirt, and various other particles from entering the lungs. When these bony and spongy structures are irritated due to irritants, they become enlarged or inflamed, blocking the nasal airways, resulting in breathing difficulty called turbinate hypertrophy.
A closer look at turbinate hypertrophy
Characterized by chronic enlargement or swelling of the nasal turbinates, turbinate hypertrophy is a condition where swelled turbinates lead to serious nasal congestion, causing difficulty in breathing. Though occasional swelling and shrinking of the turbinates and the sensitive blood vessels on its mucosal membrane are normal, when this happens on a chronic basis, it requires medical attention.
Typically, such swelling happens to be temporary and resolves automatically without having to take any medications for it. However, sometimes swelling of the turbinates stays for long, giving rise conditions like turbinate hypertrophy.
Turbinate hypertrophy can be caused due to various factors, such as allergies, septum deviation, various environmental irritants, etc. While an immunological response that is triggered by the allergies leads to the swelling of these spongy parts inside the nose, irritants like cigarette smoke can also lead to the turbinates' inflammation. Sometimes when the deviation of the septum is severe, it also may result in the development of abnormal enlargement of the turbinates. Chemical irritants, hormonal changes, changes in the temperature can also cause turbinate hypertrophy.
Some of the very common symptoms of turbinate hypertrophy are persistent nasal blockage or congestions, recurring sinusitis or sinus infections, moderate to severe difficulty in breathing on both or one side of the nose. Frequent nosebleeds and snoring are also considered to be some of its other symptoms.
Available Treatment Options
When it comes to treating turbinate hypertrophy, there are various treatment options available, both surgical and non-surgical. While the allergy medications, various nasal sprays help in controlling the swelling of the turbinates, avoiding environmental irritants can help in preventing turbinate hypertrophy. Then there are the different surgical methods, such as rhinoplasty, septoplasty, that can help in offering a longer cure to such nasal breathing problems. However, it is only based on the root cause behind the turbinate hypertrophy and the condition of the patient that the ideal treatment can be determined by an ENT specialist.
When you suffer from obstruction in the nasal airway, it is advised to contact an ENT specialist to find the actual cause behind it and obtaining necessary treatments. Because, when it comes to breathing, ignoring any issues with it can lead to a deteriorated nasal problem in the long run. In case you have a concern or query you can always consult an expert & get answers to your questions!
Deviated nasal septum starts around puberty reaches its full development at the age of 20 yrs. Common in both sexes. Many cases are hereditary. Lack of descent of the palate may cause buckling of the cartilaginous part of septum.
Septum grow at same rate like root. If septum start growing at rapid rate it becomes buckled to accommodate itself.
Congenital cause: Abnormal intrauterine posture may result in compression forces acting on the nose & upper root.
Cause secondary to trauma, polyp in nose.
1) Deviation are smooth: Deflection which are upper, lower, anterior or posterior septum ( Isolated thickening on septum).
2) Spur: Occur at junction of base & cartilage may predispose to epistaxis from the vessel on their surface.
3) Thickening may result from trauma due to overriding of the cartilaginous fragments.
4) Dislocation: Displacement of the lower edge of the cartilage from the maxillary crust & the vom due to trauma.
The deviation may be 'C' shape, 'S' shape.
Blocking of nose.
Sinusital headache secondary to obstruction to drainage of sinuses.
Vacuum headache causes by vacuum created in Para nasal sinus due to obstruction in the drainage of the sinus resulting in absorption of the air by the mucosa of the sinus.
Neurological headache when septum touches a sensitive part on the lateral wall of the nose.
Recurrent rhinitis i.e. nose.
Epistaxis: Little area the deviated side of the septum is exposed to atmospheric directly predisposing to drying and crusting of mucosa and tendency to pick the nose.
Anosmia due to DNS, perforation of nose
Deformity of external nose.
Secondary hypertrophy of turbinate.
Recurrent sinusitis due to obstruction to drainage of sinus.
Middle ear infection due to forcible blockening of nose or recurrent upper respiratory infection.
Mouth breathing causing infection of pharynx, larynx, trachebronchial tree.
Asthma: DNS acts as trigger for bronchospasm.
Atrophic rhinitis on the root side of nose.
Homoeopathic Materia Medica:
Allium Cepa : Sneezing, especially when entering a warm room. Copious, watery and extremely acrid discharge. Feeling of a lump at root of nose. Hay-fever. [Sabad.; Sil.; Psor.]. Fluent coryza with headache, cough, and hoarseness. Polypus. Catarrhal headache, mostly in forehead; worse in warm room towards evening.
< evening, warm room.
> open air, cold room.
Arsenic Album : Coryza with thin, watery, excoriating discharge. Nose feels stopped up. Sneezing without
relief. Hay-fever and coryza; worse in open air; better indoors. Burning and bleeding from nose. Headaches relieves by cold, other symptoms worse.
< wet weather, after midnight; from cold, cold drinks, or food. Seashore. Right side.
> from heat; from head elevated; warm drinks.
Arum Triphyllum: Acridity is the keynote of the kind of action characteristic of Arum. Soreness of nostrils. Acrid, excoriating discharge,
producing raw sores. Nose obstructed; must breathe through mouth. Boring in the nose. Coryza; discharge blood-streaked, watery. Nose completely
stopped, with fluent, acrid discharge. Hay-fever, with pain over root of nose. Large scabs high up on right side of nose. Face feels chapped, as if from cold wind; feels hot. Constant picking at nose until it bleeds. Headache from too warm clothing, from hot coffee.
< northwest wind, lying down.
Syphilinum: Indicated for Caries of nasal bones, hard palate and septum, with perforation; ozaena.
< at night, sundown to sunrise, seashore, in summer.
> inland and mountains, during day, moving about slowly.
Arundo: A remedy for catarrhal states & Hay-fever. Hay-fever begins with burning and itching of palate and conjunctiva. Annoying itching in the nostrils and roof of the mouth. Coryza; loss of smell. Sneezing, itching of nostrils.
Euphrasia: Patient is better in open air. Catarrhal affections of mucous membranes especially of eyes and nose. Profuse acrid lachrymation and bland coryza; worse, evening. Hawking up of offensive mucus.
< in evening, indoors, warmth; south winds; from light.
Ferrum Phos: Useful medicine for first stage of colds in the head. Predisposition to colds. Epistaxis; bright red blood. The typical Ferr.phos.
subject is nervous, sensitive, anemic with the false plethora and easy flushing of Ferrum. Indicted in pale, anaemic subjects, with violent local
congestions. Haemorrhages are bright from any orifice.
< at night and 4 to 6 p.m.; touch, jar, motion, right side.
> by cold applications.
Kali Iod: The profuse, watery, acrid coryza that the drug produces serves as a sure guiding symptom, especially when associated with pain in frontal sinus. Violent headache in which pain intense over eyes and root of nose. Nose is red, swollen. Tip of nose red; profuse, acrid, hot, watery, thin discharge. Ozaena, with perforated septum. Sneezing. Nasal catarrh, involving frontal sinus. Stuffiness and dryness of nose, without discharge. Profuse, cool, greenish,
< warm clothing, warm room, at night, damp weather.
> motion, open air.
Nux Vomica: Indicated for stuffing up of nose < at night especially. Also useful for Stuffy colds, snuffles, after exposure to dry, cold atmosphere; worse, in warm room. Coryza is fluent in daytime; stuffed up at night and outdoors; or alternates between nostrils. Bleeding in morning. Acrid discharge, but with stuffed up feeling. Frontal headache, with desire to press the head against something.
< morning, mental exertion, after eating, touch, spices, stimulants, narcotics, dry weather, cold.
> from a nap, if allowed to finish it; in evening, while at rest, in damp, wet weather, strong pressure.
Silicea: There is Itching at point of nose. Dry, hard crusts form, bleeding when loosened. Nasal bones sensitive. Sneezing in morning. Obstructed and loss of smell. Perforation of septum. Headache in which pain begins at occiput, and spreads over head and settles over eyes. Silica patient is cold, chilly, hugs the fire, wants plenty warm clothing, hates drafts, hands and feet cold, worse in winter. Great sensitiveness to taking cold.
< new moon, in morning, from washing, during menses, uncovering, lying down, damp, lying on, left side, cold.
> warmth, wrapping up head, summer; in wet or humid weather.
Merc Sol: Useful for Cold & Coryza in which there is much sneezing, in sunshine. Coryza; acrid discharge, but too thick to run down the lip; worse, warm room. Nostrils raw, ulcerated; nasal bones swollen. Yellow-green, fetid, pus like discharge. Pain and swelling of nasal bones, and caries, with greenish fetid ulceration. Nosebleed < at night. Copious discharge of corroding mucus.
< at night, wet, damp weather, lying on right side, perspiring; warm room and warm bed.
Natrum Mur: Useful for violent, fluent coryza, lasting from one to three days, then changing into stoppage of nose, making breathing difficult.
Discharge thin and watery, like raw white of egg. Violent sneezing coryza. Infallible for stopping a cold commencing with sneezing.
Loss of smell and taste. Internal soreness of nose. Dryness. Frontal sinus inflammation.
< noise, music, warm room, lying down about 10 a. m;, at seashore, mental exertion, consolation, heat, talking.
> by open air, cold bathing, going without regular meals, lying on right side; pressure against back, tight clothing.
Aurum Mettalicum: Indicated for Ulcerated, painful, swollen, obstructed nose. Inflammation of nose; caries; fetid discharge, purulent, bloody. Boring
pains in nose; worse at night. Putrid smell from nose. Sensitive smell. Horrible odor from nose and mouth.
Knobby tip of nose.
< in cold weather when getting cold. Many complaints come on only in winter; from sunset to sunrise.
Have you been sneezing frequently? Have you been feeling congestion in the chest or have a stuffy, itchy or a runny nose? If yes, it is possible that you may be suffering from nasal allergy. It is an inflammatory reaction caused due to dust mites, animal hair, pollens, and pollutants. Individuals who suffer from nasal allergies experience symptoms like nasal congestion and sneezing which tend to last for the whole day. To get a relief from the symptoms of nasal allergy, you must observe the signs of allergy and consult with an ENT or Ear-Nose-Throat specialist for effective results.
If the nasal allergy symptoms are left untreated in the early stage, then it might gradually worsen over time. So, the best way to prevent other complications is by paying attention or recognizing the allergy signs instead of ignoring them. For your convenience, here you will get to know about some of the basic symptoms which might assist you in this regard.
Three primary symptoms which you must not ignore:
Foods that might help prevent nasal allergy:
Warm fluids like hot tea or warm chicken soup or any other fluids assist in treating congestion. Studies suggest the fact that fish containing healthy omega- 3 fatty acids might prove beneficial in decreasing the risk of allergies. So, sufferers of nasal allergy might intake fish like salmon, mackerel, and tuna. According to some research, healthy bacteria termed probiotics which are present in yogurt may help slightly lower the symptoms of pollen allergy in kids.
So, the best way to deal with nasal allergies is by identifying the common symptoms and visiting an ENT specialist as soon as possible. The specialist may prescribe you the best treatment depensing on your condition.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Cystic fibrosis should be suspected in any child which fails to thrive with malabsorption or rectal prolapse; with chronic or recurrent cough with sputum; or with cirrhosis portal hypertension. Difficulties arise where there is little involvement of either the pancreas or lung or when manifestations appear in older children or even later. Evidence should be sought for pancreatic insufficiency. The high concentration of sodium in sweat parotid secretion is of major diagnostic value. The normal sweat sodium concentration rises from a mean value of 22 mmoi/i in infancy to 55 mmoi/i in adults. Values above 70 mmoi/i are diagnostic in infants, but not so in adolescents adults. In cystic fibrosis, however, the fall in sweat sodium concentration after 9a - fluorohydrocortisone is usually less than 10% whereas in normals the fall is much greater. With respiratory infection there is usually a polymorphonuclear leucocytosis. The chest radiograph may show only parallel line shadows cast by bronchial walls in the more peripheral parts of the lung. Ill - defined nodules or patchy clouding up to 10 - 20 mm in size may appear these shadows may cavitate. Ring shadows honeycombing, segmental or lobar consolidation with or without atelectasis usually under 1 - 2 years of age, enlarged hilar nodes are also seen. None of these shadows are diagnostic alone, but in the aggregate they are very characteristic.
Symptoms: - *onset insidious. * nasal obstruction, uniateral or bilateral.*anosmia, *epiphora.* post nasal drip.* snoring.
Signs:- reveals ethmoidal polypi. Bilateral. Multiple other.
Patient homeopathic treatment for symptomatic signs or other sig base medician apply.
A quite common condition that may or may not cause a difficulty is the Deviated Nasal Septum. While most do not show any symptoms, some may experience noisy breathing, nasal congestion, or nose bleeding.
Nasal septum deviation is a physical disorder of the nose. It is a condition when the thin wall which is referred to as nasal septum located between the nasal passages is deviated or displaced to any one of the sides which makes one of the nasal passage reduce in size obstructing the air flow and causing trouble with breathing.
Causes of Deviated Nasal Septum
In cases of slight deviation of the nasal septum, it generally goes unnoticed since it does not result in any significant difficulties. In some cases, even if there is a slight difficulty in breathing, the individuals think that it might be due to a cough and cold which blocks the nose.
Symptoms of Deviated Nasal Septum
In most of the cases of the septal deformities, there are no visible symptoms, but in some cases, there arise some symptoms from which a deviated nasal septum can be confirmed. First and foremost, there is an obstruction in any one or both of the nostrils which make it very difficult to breathe. This might be more noticeable when the individual catches a cold or any allergies that cause the nasal passages to swell. Another prominent symptom is the bleeding of nausea which is caused when the surface of the septum becomes dry. In some cases, facial pain is experienced particularly in the area near the nose or inside the nose. A noisy breathing during the sleep can be another symptom of the deviated nasal septum.
Thus, when you experience symptoms, deviated nasal septum can be diagnosed and treated effectively.
Diet for nasal allergy
Certain foods and drinks can make allergy symptoms better or worse
Foods that help
1- seafood containing omega 3 fatty
2- fruits and vegetables containing vitamin c and e.
3- hot drinks and soup
Help break up mucus and making it
Easier to cough up mucus
Diet for nasal allergy
Certain foods and drinks can make allergy symptoms better or worse
Foods to avoid
1- processed foods
Contain highly unsaturated fats and proinflammatory trans fats that worsen inflammation
Cause swelling and stiffness in the nose can make symptoms worse.