ABSTRACT
The inferior turbinates are dynamic structures that form a crucial part of the normal functional nose. Contemporary otorhinolaryngological literature states that the evidence base for the multitude of techniques for turbinate reduction is weak and that surgeons empirically offer surgery where the predominant symptom is nasal obstruction. Operative techniques to reduce the size of the inferior turbinates have been practiced since 1845. The inferior turbinate consists of a supporting cancellous conchal bone, named after the Greek for scroll, covered by specialized erectile mucosa. The inferior turbinate is an important functional component of the normal nose. The normal inferior turbinate is a dynamic structure that varies in size according to the degree of congestion. Operations to reduce the size of the inferior turbinate are generally based on the fact that it is enlarged. Patients with enlarged inferior turbinates will invariably present with nasal obstruction. Surgery should be restricted to patients with a significant symptomatology in whom operative intervention is effective.
