Endoscopic view of compensatory hypertrophy of the middle turbinate

     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.