Endoscopic view of compensatory hypertrophy of the middle turbinate

June 4, 2012
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Rhinoscopic Clinic

Compensatory hypertrophy of the middle turbinate can occur when a patient's nasal septum is markedly deflected to one side, enlarging the airway and hence giving the middle turbinate an unusually large space in which to expand.

     A 53-year-old man presented with long-standing nasal and sinus congestion that had begun after an untreated nasal injury had occurred 35 years earlier. Endoscopic nasal examination showed extensive nasal septal deflection into the left nasal passage (figure, A) and extreme enlargement of the right middle turbinate (figure, B and C). Computed tomography (CT) of the sinuses showed similar findings (figure, D) with a markedly enlarged right middle turbinate that was not pneumatized.

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CitationEar Nose Throat J. 2012 June;91(6):230