What are the symptoms of nasal septum deviation and turbinate hypertrophy?

Nasal septum deviation is a common disease. Most patients often experience dizziness and nasal congestion after the onset of the disease. Because the symptoms of the disease are severe, it will cause excessive fluid in the nose and affect normal development. Enlarged nasal conchae will cause nasal congestion and runny nose, decreased sense of smell, and the need to breathe through the mouth. Severe cases can cause bleeding and swelling of the lining. In normal times, patients need to distinguish between the symptoms of nasal septum deviation and nasal conchae hypertrophy, as they have different manifestations.

There are several main manifestations of nasal septum deviation:

1. Nasal congestion: Nasal congestion is also one of the common symptoms of deviated nasal septum. If the nose deviates to one side, it is called unilateral nasal congestion; if it deviates to both sides, such as S-shaped deviation, the nasal congestion is mostly bilateral. However, if the inferior turbinate on the other side of the patient with unilateral deviation is compensatory and hypertrophies, bilateral nasal congestion may also occur.

2. Headache: The bulge of the deviated nasal septum presses on the ipsilateral turbinate and causes ipsilateral reflex headache.

Turbinate hypertrophy

symptom

(1) Severe nasal congestion, often persistent, frequent mouth breathing, and decreased sense of smell.

(ii) The nasal discharge is thick and often mucous or mucopurulent. Due to postnasal drip, the throat is irritated and causes coughing and sputum.

(3) When the enlarged middle turbinate compresses the nasal septum, it can cause compression or inflammation of the anterior ethmoid nerve, which is derived from the ophthalmic branch of the trigeminal nerve. This can cause irregular attacks of frontal pain that radiates to the bridge of the nose and eye sockets. This is called anterior ethmoid neuralgia, also known as anterior ethmoid nerve syndrome.

(iv) The mucosa is swollen, pink or purple, with an uneven surface, or node-shaped or mulberry-shaped, especially at the front end of the inferior turbinate and its free edge. There is no obvious depression when the probe is pressed lightly, but it feels hard to the touch.

(V) The inferior turbinate is significantly enlarged, or both the inferior and middle turbinate are enlarged, often leading to nasal obstruction. There is mucous or mucopurulent discharge from the nasal floor or inferior nasal meatus.

(vi) Mucosal contraction is not obvious after topical application of vasoconstrictors.

(VII) Severe nasal congestion, often persistent, frequent mouth breathing, and decreased sense of smell.