Subscribe
118
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 nasopharyngeal carcinoma be cured?
Nasopharyngeal carcinoma cannot be completely cured, as it is a malignant tumor, and malignant tumors cannot be completely cured worldwide. Nasopharyngeal carcinoma refers to the malignant tumors that occur at the top or lateral walls of the nasopharynx. The common clinical cause is viral infection, most commonly associated with the Epstein-Barr virus, causing dryness, pain, and itching in the nasopharynx, along with backflow, blood in sputum, and swollen lymph nodes in the neck. Patients need to undergo a detailed examination with an electronic nasopharyngoscope and a CT scan of the nasopharynx for diagnosis. If an abnormal neoplasm is found, local pathological treatment is required. Once confirmed as malignant, local radiation therapy, chemotherapy, and surgical treatment are also needed. After surgery, patients need to undergo regular follow-up examinations, and further treatment may be required if abnormal proliferation is found.
Is adenoid hypertrophy more severe in winter?
Adenoid hypertrophy tends to be more severe in the winter due to the weather changes which can lead to significant adenoid hyperplasia. Adenoid hypertrophy is generally more common in children aged three to eight. It is caused by repeated stimulation from acute inflammation, leading to congestion, edema, and growth of the adenoids. This condition can cause patients to experience persistent bilateral nasal congestion, snoring during sleep, and episodes of breath-holding. Additionally, patients may also experience tinnitus, hearing loss, and other related symptoms. Diagnosis can be confirmed through an electronic nasopharyngoscope and adenoid CT scans. For treatment, patients can initially opt for conservative treatments such as oral antibiotics. Additionally, localized nebulizer inhalation can be used to reduce congestion and swelling of the adenoids. If conservative treatments are ineffective, adenoidectomy may be necessary for recovery. (Medication should be taken under the guidance of a doctor.)
Can you eat eggs if you have enlarged nasal turbinates?
Patients with hypertrophic turbinates can eat eggs; there is no issue with that. Eggs are rich in protein, which can enhance the body's immunity and resistance, offering significant benefits to patients with hypertrophic turbinates. Hypertrophic turbinates are simply a clinical manifestation, commonly caused by chronic rhinitis or chronic allergic rhinitis. Following hypertrophy of the turbinates, patients typically experience persistent bilateral nasal congestion, accompanied by a sensation of a foreign body in the nose, swelling, and mucous nasal discharge. A detailed examination with an endoscope at the hospital can confirm the diagnosis. During the examination, diffuse congestion and edema of the bilateral inferior turbinates can be observed. For treatment, initial steps can include nebulized inhalation therapy to shrink the turbinates and alleviate nasal congestion, along with regular physical exercise to restore the function of the nasal mucosa. If conservative treatment is ineffective, local surgical treatment may be necessary.
Symptoms of acute pharyngitis
Acute pharyngitis is caused by a Coxsackievirus infection following a decrease in the body's immunity and resistance, leading to symptoms in the throat as well as general body symptoms. Patients will experience sudden high fever, with body temperature above 38°C, dizziness, headache, severe throat pain, primarily pain during swallowing. Additionally, patients may also experience dry throat, itching throat, a sensation of a foreign body in the throat, a sense of obstruction, a burning sensation, and irritative cough. The condition generally occurs in autumn and is more common in children. For treatment, patients should first go to the hospital for an examination using an electronic laryngoscope and complete a blood count test. If diagnosed with pharyngitis, symptomatic anti-inflammatory treatment should be administered. As it is generally a viral infection, symptomatic antiviral treatment can be effective. Additionally, nebulized inhalation is used to alleviate local congestion and edema. A light diet, avoiding spicy and irritating foods, generally leads to gradual recovery within about a week.
Is acute pharyngitis contagious?
Acute pharyngitis can be contagious. Generally, it can spread through the respiratory or digestive systems. If the patient shows symptoms of fever and throat pain, isolation is required. Typically, isolation lasts for 3-5 days. Acute pharyngitis is caused by a viral or bacterial infection, leading to symptoms in the throat as well as systemic symptoms. The patient may experience sudden high fever, with body temperature above 38°C, and severe throat pain. Other symptoms include dry throat, sore throat, itchy throat, sensation of a foreign body in the throat, and a feeling of obstruction. During an examination with an electronic laryngoscope, the mucous membranes in the throat may be found to be congested and significantly swollen, with pus-like secretions present on the posterior pharyngeal wall. For treatment, an examination using an electronic laryngoscope and a routine blood test are first required. If there is an increase in white blood cells, symptomatic anti-inflammatory treatment and oral antibiotics are needed. If lymphocytes are elevated, symptomatic antiviral treatment is required, and recovery can generally occur within about a week. (The use of medications should be under the guidance of a professional doctor.)
What are the symptoms of acute pharyngitis?
Acute pharyngitis is caused by the invasion of bacteria or viruses due to weakened immunity and resistance in the body, leading to systemic symptoms and symptoms in the throat area. Patients may experience sudden high fever, with body temperature above 38.5°C, dizziness, headache, dryness and pain in the throat, as well as a sensation of obstruction and foreign body in the throat. Examination may reveal significant congestion and swelling in the throat, with yellow secretions adhering to the soft palate and pharyngeal wall. For treatment, patients initially need a complete blood count test; if there is an increase in white blood cells, oral antibiotics such as cefixime and amoxicillin are needed. If lymphocytes are elevated, oral administration of ribavirin granules is required, which has good effects. Nebulization can also be used concurrently to alleviate local congestion and swelling, and recovery can generally begin within about a week. Note: Medications should be used under the guidance of a doctor.
How to deal with pharyngitis?
Pharyngitis, under general circumstances, stems from acute inflammatory irritation, causing symptoms in the pharyngeal area. It is commonly caused by bacterial or viral infections, such as Coxsackievirus or streptococcus hemolyticus. It triggers sudden high fevers in patients, with temperatures above 38.5°C, and severe pain in the throat, primarily during swallowing. Additionally, patients may experience dryness, itchiness, burning sensation, foreign body sensation, obstruction, and hoarseness in the throat, and in severe cases, it can lead to irritative coughing. Patients may present with mucosal rupture, evidenced by blood-streaked sputum. Examination may reveal congested and swollen pharyngeal mucosa, often covered with yellow secretions. In terms of treatment, initial steps include a routine blood test. If there is an increase in white blood cells, oral antibiotics, such as cephalosporins, are recommended. An increase in lymphocytes may indicate a viral infection, in which symptomatic antiviral treatment is advised. Patients should adhere to a bland diet, avoid spicy and irritating foods, and abstain from smoking and alcohol. Recovery typically occurs within about a week. (The use of medication should be carried out under the guidance of a professional doctor.)
Symptoms of Chronic Rhinitis
Chronic rhinitis is generally caused by the prolongation of acute rhinitis or recurrent attacks, resulting in nasal symptoms. Patients may experience bilateral nasal congestion, which alternates, being less severe during physical activity in the daytime and more severe at night when quiet. Additionally, mucous-like discharge can occur in the nasal cavity. When accompanied by bacterial infection, yellow or green discharge may appear. During examination, patients may find significant congestion and edema on the middle and inferior turbinates, and abnormal secretions adhering to the middle nasal meatus or common nasal channel. In treatment, chronic rhinitis can initially be managed with nebulized inhalation to alleviate congestion and edema of the turbinates. Concurrently, exercising can enhance immunity and resistance, restore the function of the nasal mucosa, and subsequently lead to recovery from chronic rhinitis.
What department should I go to for laryngitis?
Laryngitis requires an examination by an otolaryngologist. It is an emergency in the field of otolaryngology and is common in infants and young children. It can cause sudden high fever in patients, with body temperature above 38.5℃, severe throat pain, breathing difficulties, and painful swallowing. In severe cases, it may also lead to a barking cough, choking, and even death. If a patient exhibits the above symptoms, an initial test with an electronic laryngoscopy can reveal significant congestion and edema of the vocal cords. In terms of treatment, laryngitis primarily requires symptomatic anti-inflammatory treatment to reduce inflammation. It is also necessary to locally apply corticosteroids to lessen the congestion and swelling of the vocal cords and avoid breathing difficulties. During treatment, the patient's breathing should be closely monitored, and if choking occurs, a tracheotomy may be needed. (Please use medication under the guidance of a professional physician and avoid self-medication.)
Does laryngitis cause a fever?
Laryngitis can cause fever and is considered an emergency in otolaryngology, prevalently seen in infants and young children. It can lead to sudden high fever, with temperatures above 38°C, severe throat pain, hoarse voice, bark-like coughing, and in severe cases, it can cause breathing difficulties, and even lead to choking and death. Examination may reveal evident congestion and swelling of the bilateral vocal cords, and incomplete closure of the glottis, resulting in the hoarseness of the voice. In terms of treatment, it is primarily necessary to use anti-inflammatory treatment targeted at symptoms, as laryngitis is generally caused by a bacterial infection, so patients can effectively use oral cephalosporin antibiotics. Additionally, corticosteroids are also used to reduce local congestion and swelling. During treatment, it is essential to closely monitor the patient's temperature and respiratory condition. If the temperature exceeds 38.5°C, antipyretic medication should be administered, and in cases of breathing difficulties, tracheotomy may be necessary. (Medications should be used under the guidance of a doctor.)