The evidence for reducing inferior turbinates

Nasal obstruction is commonly due to enlargement of the inferior turbinate. This review discusses the pathophysiology of turbinate enlargement, the indications for, and methods and outcome of turbinate reduction. All techniques are successful but vary in their long-term efficacy, their propensity for complications and the degree to which they may adversely affect nasal function. Newer techniques under local anaesthetic and often endoscopic control offer outpatient treatment with satisfactory outcomes. However selecting a particular technique should take account of the individual patient's features, the surgeon's experience and judgement and informed patient choice.