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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
What foods are good to eat for enlarged adenoids?
For adenoid hypertrophy, it is advisable to eat more fresh vegetables and fruits in daily life, such as apples, oranges, grapefruits, and tomatoes. Try to avoid spicy and irritating foods as they can cause the adenoids to become congested and swollen, worsening the condition. Clinically, adenoid hypertrophy is generally caused by repeated inflammatory stimuli and the irritation from spicy foods, leading to diffuse congestion, edema, and hyperplasia of the adenoids. This condition can cause the patient to experience persistent nasal congestion in both nostrils, accompanied by snoring during sleep. In severe cases, it can lead to tinnitus and hearing loss, necessitating a hospital examination where a digital nasopharyngoscope can confirm the diagnosis. In terms of treatment, acute adenoid hypertrophy requires symptomatic anti-inflammatory treatment combined with a light diet. If the patient has been suffering for a long time and conservative treatment is ineffective, adenoidectomy may be necessary to completely cure the condition.
Is bloodletting useful for turbinate hypertrophy?
Nasal turbinate hypertrophy bleeding is ineffective; it is necessary to go to the hospital for an examination. An electronic nasal endoscopy can identify the cause of the nasal turbinate hypertrophy and symptomatic treatment can gradually improve the condition. Generally, nasal turbinate hypertrophy is caused by repeated chronic inflammatory infections and local allergic reactions. Patients may experience persistent nasal congestion in both nostrils, accompanied by foreign body sensations in the nasal cavity, swelling, facial distension, pain, headaches, and other related symptoms. First, it is necessary to have a detailed examination at the hospital including electronic nasal endoscopy, routine blood tests, skin prick tests, and allergen antibody tests for diagnosis. In terms of treatment, if it is an inflammatory infection, symptomatic anti-inflammatory treatments are needed using antibiotics; if it is a local allergy, oral antihistamines should be taken. In addition, the nasal cavity can be treated with budesonide inhalation mist to shrink the nasal turbinates and alleviate congestion symptoms.
The harmfulness of enlarged turbinates
Enlarged turbinates are generally caused by chronic rhinitis. This enlargement can lead to bilateral nasal obstruction, causing persistent hypoxia in patients, leading to a decline in heart, lung, and brain functions. Over time, this can result in high blood pressure, heart disease, coronary artery disease, arteriosclerosis, and other related diseases. Therefore, it is necessary to treat enlarged turbinates. Patients need to first undergo an examination with an electronic nasal endoscope to determine the cause of the enlargement. If it is due to chronic rhinitis, the patient may need to undergo a local surgical resection, such as endoscopic bilateral inferior turbinate partial resection. If the enlargement is due to a deviated nasal septum or nasal polyps, treatment of the primary condition is also needed, which could involve corrective surgery for the deviated septum and removal of the nasal polyps, after which the enlarged turbinates can gradually return to normal.
Can you get vaccinated if you have enlarged adenoids?
Adenoid hypertrophy needs to be distinguished first between acute and chronic hypertrophy. If it is acute adenoid hypertrophy, vaccination should not be administered. Acute adenoid hypertrophy is most often caused by an acute inflammatory infection, usually secondary to acute rhinitis or sinusitis. When the inflammation affects the adenoids, it leads to congestion, edema, enlargement, and hyperplasia, resulting in clinical symptoms such as nasal congestion, ear stuffiness, and ear pain. The treatment primarily involves symptomatic anti-inflammatory treatment, along with nebulized inhalation to alleviate local congestion and edema, which can lead to gradual improvement. Vaccination can be administered once the inflammation has subsided. However, if it is chronic hypertrophy, patients can be vaccinated. Chronic hypertrophy is mostly due to continuous slow enlargement and hyperplasia of the adenoids caused by chronic inflammatory stimulation, leading to symptoms like snoring during sleep and mouth breathing. In such cases, adenoidectomy can be curative.
Nasal septum deviation, general anesthesia or local anesthesia?
Nasal septum deviation is generally treated under general anesthesia through nasal septum deviation correction surgery. During the surgery, the patient experiences no pain. Typically, the surgery can be completed in about one to two hours; this is a routine procedure in otolaryngology. Nasal septum deviation is primarily caused by congenital developmental deformities of the nasal septum or trauma to the nasal septum sustained later in life. This condition leads to persistent and progressively worsening nasal congestion on both sides, along with sensations of swelling and a foreign body in the nasal passages. Severe cases can cause dizziness, headaches, and other related symptoms. A thorough examination at a hospital using an electronic rhinoscope and nasal bone CT scan can confirm the diagnosis. In severe cases of nasal septum deviation, correction surgery under general anesthesia is needed for a complete cure.
How to treat mild ear stone disease?
Mild ear stone disease can be cured with hospital treatment for ear stone repositioning. Ear stone disease is relatively common clinically. Generally, the symptoms are caused by the movement of ear stones in the semicircular canals, leading to recurrent dizziness in patients. This typically occurs when getting out of bed or turning the head, and the dizziness lasts about one minute. Patients may also experience severe nausea and vomiting, but there is no hearing loss or tinnitus. If dizziness occurs repeatedly, it is necessary to go to the hospital for a detailed examination including electronic otoscopy, electrophysiological hearing test, acoustic impedance testing, calorics test, glycerol test, and nystagmography to confirm the diagnosis. In terms of treatment, ear stone disease requires stimulation treatment and repositioning treatment for cure. After repositioning, patients also need to adjust their diet and mindset, and avoid vigorous exercise to prevent recurrence.
Scraping therapy is effective for vocal cord nodules
Vocal cord nodules are ineffective with scraping therapy. Vocal cord nodules are bilateral vocal fold lesions caused by improper voice use over long periods, excessive strain, loud yelling, or irritation from gastric acid reflux. They can cause persistent hoarseness in the patient, progressively worsening over time. If a patient experiences long-term hoarseness without improvement, it is essential to undergo an examination with an electronic laryngoscope at a hospital. This can reveal a symmetrical, smooth-surfaced, protein-based abnormal growth at the anterior-middle third of both vocal cords, leading to incomplete closure of the vocal folds, which results in hoarseness. Treatment requires surgical intervention, as scraping therapy is ineffective. The procedure involves the removal of the vocal cord nodules under general anesthesia with a surgical laryngoscope. Post-surgery, antibiotics are used to prevent local infection and recovery is typically within about a week for hospital discharge.
What can be done to alleviate the difficulty in breathing caused by enlarged turbinates?
Breathing difficulties caused by hypertrophic turbinates can initially be managed with corticosteroids via nebulization. Additionally, massaging the Yingxiang acupoints on the outer sides of both nostrils can constrict the turbinates and quickly alleviate nasal congestion to ease breathing difficulties. Patients also need to undergo detailed examination at the hospital using an endoscopic camera and sinus CT to determine the cause of the turbinate hypertrophy. Turbinate hypertrophy generally results from symptoms caused by chronic rhinitis or chronic allergic rhinitis, leading to persistent bilateral nasal congestion in patients. This is also accompanied by a foreign body sensation in the nose, swelling, and the discharge of mucous nasal fluid. For treatment, symptomatic anti-inflammatory and anti-allergy therapy should initially be administered. If conservative treatments are ineffective, a partial turbinectomy on both sides may be necessary.
Can vocal cord polyps be treated without surgery?
Vocal cord polyps must be surgically treated; otherwise, they will further aggravate. The cause of vocal cord polyps is often due to improper long-term vocal use, shouting loudly, or excessive fatigue. Alternatively, it can be caused by a digestive system disorder, where acid reflux stimulates and leads to vocal cord lesions. Patients will experience persistent hoarseness, and it tends to progressively worsen. Vocal cord polyps generally affect one side. During an examination with an electronic laryngoscope, a smooth, light red or light white abnormal growth can be observed at the anterior-middle third of one vocal cord. The growth is soft and painless, with good vocal cord mobility, but incomplete glottic closure. In terms of treatment, conservative management is ineffective, and the patient requires direct laryngoscopy for polyp removal. The surgery requires hospitalization, and the patient can typically recover and be discharged within about a week.
Differences between Allergic Rhinitis and the Common Cold
The differences between allergic rhinitis and the common cold are very clear. Allergic rhinitis lasts longer and causes patients to experience sudden bouts of sneezing in the morning, continuous clear nasal discharge, bilateral nasal congestion, and also includes symptoms such as itchy eyes and nasal issues. On the other hand, the common cold generally lasts for a shorter period and is usually caused by a virus or bacteria due to lowered immunity, leading to both systemic and local symptoms. Patients with a cold may experience fever, dizziness, headache, muscle weakness, muscle soreness, nasal congestion, sneezing, runny nose, sore throat, and coughing. In terms of treatment, allergic rhinitis requires symptomatic anti-allergy treatment, while the common cold needs symptomatic anti-inflammatory treatment and generally improves gradually over about a week, whereas allergic rhinitis requires a longer process.