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It is actually the other way round. A chronic nasal congestion or inflammation that will proceed turbinate to swell up. As a turbinate that is already swollen up, if it is already congested, can block the nostril completely and lead to breathing issues where the person has to take breath through the mouth. The nasal turbinate hypertrophy most commonly nowadays is seen because of dust allergy and long term exposure to dust in a day to day life. If the allergy is kept under control by medication or regular nasal wash or exercises and things like that then the turbinate will shrink back to their original size and the nose opens up and the congestion consequently reduces. If the turbinates are not reducing by routine measures by decongestants and anti-allergic medications, then only there may be a surgical process where we can debulk or reduce the bulk of the turbinate and give you breathing space. There are different surgical techniques where the bone as well as the soft tissue inside the turbinate can be reduced and the size is shrunk to open up the nostrils. Nowadays we use the laser and radiofrequency like coablation for the same purpose so that the person gets relived for a long term.