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Zhang Jun
Otolaryngology
About me
Engaged in the field of otolaryngology for ten years, pursued further training at the Second Hospital of Harbin Medical University, under the tutelage of Professor Jin Dejun.
Proficient in diseases
Rhinitis, sinusitis, nasal hypertrophy, nasal polyps, acute and chronic pharyngitis, acute and chronic tonsillitis, epiglottitis, laryngitis, vocal cord nodules, vocal cord polyps, laryngeal tumors.
Voices
Can medication cure nasal turbinate hypertrophy?
Turbinate hypertrophy can often be cured with medication, and if not cured, partial surgical removal of the hypertrophied turbinates can be curative. Turbinate hypertrophy is generally caused by chronic rhinitis and allergic rhinitis. It manifests due to lowered immunity and resistance in the body, leading to repeated inflammatory infections or allergic reactions in the nasal cavity, resulting in bilateral nasal turbinates swelling diffusely, becoming edematous, proliferating, and enlarging. After turbinate enlargement, it mainly causes the patient to experience persistent nasal congestion on both sides, accompanied by a foreign body sensation and swelling in the nasal cavity. Patients will also have mucous secretions from the nasal cavity and will require a detailed examination at the hospital, where tests such as nasal endoscopy, sinus CT, and allergen antibody tests can provide a diagnosis. For treatment, nebulized inhalation can be used with good effectiveness for chronic rhinitis. For allergic rhinitis, symptomatic anti-allergic treatment is needed to shrink the turbinates and relieve nasal congestion. If conservative treatment is ineffective, local surgical treatment may be necessary.
Can I eat watermelon with laryngitis?
Laryngitis can be treated by eating watermelon; there are no problems with that. Laryngitis is an emergency condition in the otolaryngology field, most commonly occurring in infants and toddlers, especially those between two to three years old. It can cause sudden high fever in patients, accompanied by hoarseness, swelling and pain in the throat, and a bark-like cough. As the condition worsens, patients may experience difficulty breathing and even suffocate to death. The pathogens commonly seen are hemolytic streptococcus or Staphylococcus aureus, with the vocal cords being primarily affected. In terms of treatment, patients firstly need symptomatic anti-inflammatory treatment, oral or intravenous antibiotics, such as cephalosporins, which are effective. Additionally, the use of corticosteroids for nebulized inhalation helps reduce local congestion and swelling, allowing for recovery within about a week. A light diet is recommended during treatment, including watermelon, peaches, pears, and apples. (The use of medications should be under the guidance of a qualified doctor.)
What causes turbinate hypertrophy?
Enlarged turbinates are generally caused by acute and chronic inflammation. This condition is commonly seen in both acute and chronic rhinitis, as well as acute and chronic sinusitis. It occurs due to repeated inflammatory stimuli, causing the nasal turbinate mucosa to become congested, swollen, and hyperplastic. This leads to persistent worsening bilateral nasal congestion in patients. During an examination with an endoscope, significant congestion and swelling of the bilateral middle and lower turbinates can be observed. In terms of treatment, it is crucial for patients to first identify the cause of their condition. If the cause is acute or chronic rhinitis, symptomatic anti-inflammatory treatment should be initiated. Additionally, rinsing the nasal cavity with saline solution can be very effective. If the patient suffers from acute or chronic sinusitis, local surgical treatment may be necessary. As long as the inflammation is eliminated, the enlargement of the turbinates will gradually recover. It is also important to maintain a light diet, abstain from smoking and alcohol, and engage in regular exercise to restore the function of the nasal turbinate mucosa. (The use of medication should be conducted under the guidance of a professional doctor.)
Can young people get otolithiasis?
Benign Paroxysmal Positional Vertigo (BPPV) can occur in anyone, regardless of time or age. There are many causes of BPPV, which are generally related to staying up late, fatigue, poor rest, and high mental stress. It can suddenly cause dizziness, usually triggered when turning over or twisting the head. It is clinically known as benign paroxysmal positional vertigo. During an episode, patients may experience severe dizziness, along with severe nausea and vomiting, but there is no hearing loss or tinnitus. The duration of dizziness does not exceed one minute and often resolves on its own. If dizziness recurs, it is necessary to visit a hospital for detailed examinations like electronystagmography, caloric tests, and glycerol tests for diagnosis. For treatment, BPPV requires provocatory and repositioning maneuvers to gradually improve. Regular physical exercise can also help prevent recurrent episodes.
What should be checked first for nasopharyngeal carcinoma?
Nasopharyngeal carcinoma refers to the malignant tumors that occur in the nasopharynx. Clinically, most cases of nasopharyngeal carcinoma are due to symptoms caused by EB virus infection. Patients may experience dryness, itching, and pain in the nasal cavity, and in the morning, they may also have blood-tinged sputum and purulent secretion symptoms. In severe cases, patients may also experience symptoms such as tinnitus, ear pain, hearing loss, and ear congestion. If these symptoms occur, patients should first undergo a detailed examination with an electronic nasopharyngoscope and a CT scan of the nasopharynx to check for abnormalities. During the examination, the top of the nasopharynx may be found to be perforated, or cauliflower-like neoplasms or ulcers may be seen on the surface of the pharyngeal recesses. At this point, patients will need to undergo a local biopsy. Once confirmed as a malignant tumor, patients will need to undergo relevant radiation therapy and chemotherapy to prolong life.
What should I do if my nasal turbinates are swollen, painful, and bleeding?
Turbinate hypertrophy accompanied by localized dryness and pain require symptomatic anti-inflammatory treatment initially, utilizing antibiotics and nebulized inhalation to alleviate local symptoms. It’s also necessary to visit a hospital for an endoscopic nasal examination to determine the cause. Generally, such conditions arise from an acute rhinitis flare-up, a manifestation of decreased immunity and resistance, leading to viral or bacterial infections affecting the nasal turbinate mucosa. Patients may experience turbinate hypertrophy along with persistent nasal congestion and yellow nasal discharge. In severe cases, fever and headaches may occur. Treatment should first focus on symptomatic anti-inflammatory and antiviral therapies, along with the use of corticosteroids for nebulized inhalation. Drinking warm water and getting plenty of rest can gradually improve the condition.
Can a deviated nasal septum be treated without surgery?
Whether surgery is required for a deviated septum primarily depends on the clinical symptoms of the patient. Deviated septum is a common condition in otolaryngology, with over 90% of people having some form of septal deviation. It is mainly caused by abnormal development of the nasal septum during the embryonic stage or by later traumatic injuries, fractures, or pressure from nasal tumors causing the septum to deviate to one or both sides. After the septum deviates, it can lead to persistent nasal congestion and is also associated with pain in the eyes and face, and headaches. A deviated septum can also lead to complications such as sinusitis and nasal polyps. A detailed examination at a hospital, typically using an endoscope, can confirm the diagnosis. If a patient with a deviated septum experiences no symptoms, no treatment may be necessary. However, if the patient suffers from persistent nasal congestion accompanied by headaches, then localized corrective surgery may be required.
If turbinate hypertrophy is not treated surgically, what could be the consequences?
If turbinate hypertrophy is not surgically treated, it can lead to persistent bilateral nasal congestion in patients, accompanied by swelling and a severe foreign body sensation in the nasal cavity, which can lead to diminished sense of smell, memory deterioration, and other related symptoms. Turbinate hypertrophy is primarily caused by prolonged inflammatory stimulation of the nasal mucosa, leading to diffuse congestion, edema, proliferation, and hypertrophy of the bilateral turbinates in patients, resulting in persistent nasal congestion. A detailed examination with an endoscope at a hospital can confirm the diagnosis. In terms of treatment, initial approaches include nebulized inhalation therapy to shrink the turbinates and alleviate nasal congestion. Regular physical exercise can also help restore the function of the nasal mucosa. If conservative treatments are ineffective and the turbinates continue to be enlarged, local surgical removal may be required to cure the condition.
Is minimally invasive surgery for nasal polyps painful?
Nasal polyp surgery is performed using endoscopic nasal polypectomy and sinusotomy. It is a minimally invasive surgery that requires general anesthesia and is painless. The cause of nasal polyps is unclear, generally, they are due to repeated chronic inflammation, which can cause diffuse congestion, edema, hyperplasia, and prolapse of the nasal turbinate mucosa. They are also often secondary to allergic rhinitis. Nasal polyps usually occur bilaterally and cause persistent nasal congestion that progressively worsens. During an endoscopic examination, pale, lychee-like fresh tumors can be seen in the nasal cavity, which are soft and painless. In terms of treatment, medication is ineffective for nasal polyps; patients need to undergo local surgical treatment for cure.
Can hypertrophy of the nasal turbinates be reduced by taking anti-inflammatory drugs?
Whether taking anti-inflammatory drugs is needed for enlarged turbinates depends first on identifying the cause of the enlargement. If the enlargement of the turbinates is caused by bacterial infection, it is appropriate to take anti-inflammatory medication such as antibiotics. However, if it is caused by allergies, antibiotics will be ineffective. Generally, there are two reasons for enlarged turbinates. The first is due to symptoms caused by acute inflammatory infections, commonly seen in clinical cases of acute rhinitis or acute sinusitis. Clinically, these are most often caused by infections from hemolytic streptococci or Staphylococcus aureus, resulting in congested, swollen, and hypertrophic mucous membranes of the turbinates. Antibiotics such as penicillin or cephalosporin can be effective in treatment. However, antibiotics are ineffective for allergic rhinitis. Allergic rhinitis occurs when the immune and resistance levels are low, and the nasal cavity comes into contact with related allergens. Patients will also experience enlarged turbinates, along with symptoms like sneezing and runny nose. Treatment should focus on symptomatic allergy treatment to shrink the turbinates and alleviate nasal congestion.