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Turbinates Hypertrophy
I had done septoplasty , septal perforation and turbinoplasty surgery in january 2025 after 4 months, my turbinates swollen again (sometimes ,espacially in night) and nose is dry Aec, IGC test is cleared (for allergy) My ENT surgeon prescribed me (Fluticasone propionate spray) but its not effective what should i do now?? Thank you
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Hi, I am Dr. Atul Kumar Nimawat MS ENT. Yes, you’re absolutely right — after septoplasty and turbinectomy, it’s quite uncommon for patients to feel that their turbinate area swells again. This can happen due to several reasons, like: • Post-operative inflammation: Even after surgery, mucosal tissues react by swelling as part of the healing process. • Compensatory hypertrophy: Sometimes, if too much resection happens on one side, the opposite turbinate can hypertrophy to compensate. • Persistent allergies or irritants: Underlying allergic rhinitis or environmental irritants can cause turbinate mucosa to swell again. • Inadequate reduction: In some cases, the initial turbinectomy may not have been sufficient, and some turbinate tissue remains active. • Empty Nose Syndrome (ENS) mimicking congestion: Rarely, patients feel blocked even when the airway is objectively wide due to altered airflow sensation.
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Usually, management depends on the cause — could be medical (like steroids, antihistamines, nasal saline irrigation) or rarely, revision surgery.
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Nasal douching with budesonide respules… do it twice.. You can connect with me online if more details needed about the method to do nasal douching!!!
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Please take short course of oral steroids
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.