Inferior Turbinate Hypertrophy and Concha Bullosa: Causes, Symptoms, Treatment

Both conditions narrow the nasal airway and cause obstruction.

Inferior Turbinate Hypertrophy

Enlargement of the mucosal/bony tissue of the inferior turbinate, often from chronic rhinitis, allergies, or irritants.

Concha Bullosa

Pneumatization (air pocket) within the middle turbinate, a common anatomic variant that can enlarge and block drainage.

Shared Symptoms

• Nasal congestion/obstruction
• Rhinorrhea, post-nasal drip
• Facial pressure, headache
• Reduced sense of smell

Treatment Ladder

1. Saline irrigation
2. Intranasal corticosteroids
3. Antihistamines/decongestants (short-term)
4. Surgery (turbinate reduction, concha bullosa resection) if medical therapy fails

Most patients respond to medical management.