Enlarged Turbinates Treatment in Singapore

This type involves persistent inflammation and swelling of the turbinate tissue. The soft tissue covering the turbinates becomes enlarged due to ongoing irritation or inflammation. Patients with this type often experience year-round symptoms that may not respond to standard allergy medications.

When there is a deviated septum or other structural abnormality on one side of the nose, the turbinate on the opposite side may enlarge to compensate. This creates a situation where both sides of the nose become obstructed, though for different reasons. This type requires careful evaluation, as treating only the turbinates without addressing the septum may provide only partial relief.

Triggered by allergens, this type causes the turbinates to swell in response to allergens such as dust mites, pollen, or pet dander. In Singapore’s tropical climate, allergens such as dust mites and mould can trigger symptoms. The turbinates may fluctuate in size in response to allergen exposure.

• Nasal congestion that alternates between sides
• Mild difficulty breathing through the nose during physical activity
• Occasional snoring or mouth breathing at night
• Slight reduction in sense of smell
• Morning nasal stuffiness that may improve throughout the day

• Persistent nasal obstruction affecting both nostrils
• Regular mouth breathing even at rest
• Frequent sinus pressure or facial pain
• Post-nasal drip causing throat clearing
• Sleep disruption due to breathing difficulties
• Noticeable voice changes (hyponasal speech)

• Complete nasal blockage requiring constant mouth breathing
• Severe sleep apnoea or chronic snoring
• Recurring sinus infections or nosebleeds
• Chronic headaches from sinus pressure
• Fatigue from poor sleep quality
• Difficulty exercising due to breathing limitations

Symptoms of enlarged turbinates often worsen when lying down, as blood flow to the nasal tissues increases in this position. Symptoms may fluctuate throughout the day and can be triggered by temperature changes or exposure to irritants.

These prescription medications may help reduce inflammation in the turbinate tissues, potentially decreasing their size. The sprays work by suppressing the inflammatory response. Suitable candidates include patients with allergic or non-allergic rhinitis causing turbinate enlargement.

Antihistamines may help control allergic symptoms contributing to turbinate swelling, particularly for patients with documented allergies. Leukotriene modifiers can provide additional anti-inflammatory effects for select patients. Short courses of oral corticosteroids may be prescribed for severe inflammation. Treatment duration varies depending on symptom severity and response.

This minimally invasive procedure uses controlled radiofrequency energy to reduce enlarged turbinate tissue. The treatment creates controlled scarring within the turbinate, potentially reducing its overall size while preserving the vital surface mucosa. Performed under local anaesthesia in the clinic, the procedure takes approximately 15-20 minutes with minimal downtime. Patients may experience gradual improvement as tissue remodelling occurs.

Using plasma field technology at low temperatures, coblation removes excess turbinate tissue while minimising damage to surrounding structures. This technique offers precision with reduced post-operative crusting compared to traditional methods. The procedure is performed under local or general anaesthesia, at the patient’s preference. Recovery is generally minimal, with patients typically returning to normal activities within a few days

This powered instrument removes hypertrophied soft tissue while preserving the turbinate’s functional surface. The technique allows selective tissue removal under direct visualisation, maintaining nasal physiology. Performed under general anaesthesia as a day-surgery procedure, it may improve nasal airflow. This option is suitable for patients with soft-tissue hypertrophy who are not responding to medical management.

In severe cases, surgical removal of a portion of the inferior turbinate may be necessary. Modern techniques preserve adequate turbinate tissue to maintain normal nasal function while potentially improving airflow. The procedure is typically combined with septoplasty when septal deviation coexists. Recovery takes time with progressive improvement in breathing over several months.

Whilst not all cases of turbinate enlargement are preventable, several strategies may help reduce your risk. Managing allergies through allergen avoidance and appropriate medications can help prevent chronic inflammation. Using HEPA air purifiers and maintaining low indoor humidity may help control dust mites and mould.

Avoiding nasal decongestant sprays for more than three consecutive days can help prevent rebound swelling. Protecting your nose from irritants such as cigarette smoke, strong perfumes, and industrial chemicals may reduce exposure to inflammatory triggers. Maintaining good nasal hygiene with saline rinses can help clear irritants and allergens. Treating sinus infections promptly may help prevent chronic inflammation that can contribute to turbinate enlargement. Regular follow-up with your ENT specialist aims to ensure early detection and management of developing problems.