I can't get a straight answer. Will a turbinectomy / turbinate reduction help someone who has congestion when laying down?
Doctor Answers 3
Turbinate reduction for airflow improvement
There are many issues inside the nose that can cause nasal obstruction which include turbinate hypertrophy of the middle( Concha Bullosa) and inferior turbinates, a deviated nasal septum, nasal fracture, chronic sinusitis, allergies, nasal polyps, positioning of the head and air pressure changes. It is best to try medical management first with nasal sprays, antihistamines, and decongestants before undergoing surgical manipulation of the turbinates. If patients have failed medical management, then consider an SMR turbinectomy to improve air flow dynamics both on standing up and laying down positions. For more information, please see the link below
Nasal congestion at nighttime
thank you for your question. In normal nasal physiology the blood flow increases through the nose when we lay flat. Estimates are that there is a 20% decline in airflow as a result. Mostly it creates no problem unless there are problems such as a deviated septum or enlarged turbinates. The down nostril is typically more affected. Make sure there's no allergenic bedding, alcohol before bed, and that bedroom windows are closed. A month trial of nasal steroids is worthwhile. Turbinate reduction can be very beneficial with the longest results from submucous resection. Hope that helps.
Without an exam, it is difficult to diagnose, however the turbinates can swell up and block the airway on one or both nasal cavities. It sounds like this may be occurring.