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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
Ear stone disease lacks which vitamin
Otolithiasis and lack of vitamins are not related. Otolithiasis is mainly caused by the movement of otoliths in the semicircular canals, and it is also known clinically as benign paroxysmal positional vertigo. Generally, patients are prone to attacks when turning over, twisting, or turning their heads, which can cause sudden dizziness. The dizziness is described as the sensation of the world spinning and does not last more than one minute, with most cases resolving on their own. During an episode, patients may experience significant nausea and vomiting, but there is no decrease in hearing or tinnitus. It has no relation to vitamin deficiency. It is necessary to go to the hospital for a detailed examination with an electronystagmography, videonystagmography, electrocochleography, caloric tests, and glycerol tests for a definitive diagnosis. In terms of treatment, recurrent otolithiasis needs otolith stimulation and repositioning treatments which have good effects. Additionally, after treatment, it is necessary to adjust sleep and rest, and avoid excessive physical activity to prevent recurrent episodes.
Can running cure nasal turbinate hypertrophy?
Enlarged turbinates can be treated by running. Generally, this condition is commonly seen in chronic simple rhinitis. Chronic simple rhinitis is frequently found in adolescents and is caused by repeated episodes of acute rhinitis, resulting in symptoms related to the turbinates. Patients may experience bilateral nasal obstruction, which alternately fluctuates, and white mucoid secretions may also appear in the nasal cavity. Sometimes, patients may also experience facial swelling, pain, and headaches. During examination, significant congestion and edema of the bilateral nasal turbinate mucosa can be observed, along with abnormal secretions in the nasal cavity; vasoconstrictors are effective in this scenario. For treatment, patients can initially use nebulized inhalation therapy during the acute phase to alleviate congestion and edema of the turbinate mucosa. Moreover, exercising by running or swimming can gradually improve the function of the turbinate mucosa over a lengthy period. (Medication should be used under the guidance of a doctor.)
Can nasal polyps cause headaches?
Nasal polyps can cause headaches. The exact cause of nasal polyps is unknown, but they are generally due to prolonged chronic inflammation that leads to congestion, swelling, proliferation, and prolapse of the nasal turbinates' mucous membrane, resulting in the appearance of polyps. They are also often secondary to allergic rhinitis. Nasal polyps cause persistent nasal congestion, which progressively worsens, leading to persistent hypoxia in patients. This can cause symptoms such as headaches, dizziness, nausea, vomiting, and coughing. During examination, congested and swollen nasal mucosa can be found, and in the middle or general nasal passage, pale, abnormal, soft, painless neoplasms may be detected. In terms of treatment, nasal polyps require endoscopic nasal polypectomy and sinusotomy. After surgery, physical exercise and avoiding colds are necessary to prevent recurrence.
Will the voice change due to vocal cord nodules get better?
After surgery for vocal cord nodules, the voice will definitely improve and will not cause persistent hoarseness. Vocal cord nodules are vocal cord lesions caused by improper use of the voice over a long time, such as loud shouting or fatigue, and are commonly seen in teachers and singers. They can cause persistent hoarseness in patients and progressively worsen. Generally, vocal cord nodules occur bilaterally. Examination with an electronic laryngoscope reveals a symmetrical, pale white, smooth-surfaced neoplasm in the anterior-middle third of both vocal cords, with good vocal cord mobility and incomplete closure of the glottis. In terms of treatment, patients need to undergo vocal cord nodule removal surgery under supported laryngoscopy. The surgery requires hospitalization under general anesthesia, and patients can usually recover and be discharged a week after surgery.
Acute pharyngitis clinical manifestations
Acute pharyngitis is caused by the invasion of viruses or bacteria after a decline in the body's immunity and resistance, leading to acute mucosal lesions in the pharyngeal area. Patients will experience sudden high fever with a body temperature above 38 degrees Celsius, severe pain in the throat, primarily pain during swallowing, and symptoms including dryness, itching, foreign body sensation, obstruction, burning sensation, and irritative cough in the throat. Patients may also exhibit symptoms of coughing phlegm and blood-streaked sputum. Examination with an electronic laryngoscope reveals congested and edematous mucosa in the throat, particularly noticeable on the soft palate and uvula, with yellow purulent secretions found on the posterior pharyngeal wall and base of the tongue. Treatment involves symptomatic anti-inflammatory therapy, where patients may take cephalosporin antibiotics orally or through infusion, which yields good results. Additionally, nebulized inhalation is used to alleviate local congestion and edema, with gradual recovery expected in about seven to ten days. (Medication should be used under the guidance of a doctor.)
Is chronic rhinitis serious?
Chronic rhinitis is very serious and can cause diffuse congestion, edema, and hyperplasia of the bilateral inferior turbinate mucosa in patients, leading to persistent bilateral nasal congestion. The condition progressively worsens, and the nasal cavity will also have mucous secretions. Prolonged hypoxia in patients can lead to dizziness, headaches, a decrease in the sense of smell, memory decline, and in severe cases, depression and irritability among other clinical symptoms. When examined with an electronic nasal endoscope, the surface of the bilateral turbinate mucosa may show mulberry-like changes, and the effect of vasoconstrictors is poor. In treating chronic rhinitis, conservative treatment can be adopted first, and nebulized inhalation treatment is effective. However, if conservative treatment is ineffective, bilateral partial inferior turbinate resection may be needed. After surgery, patients need to exercise and boost their immunity to avoid recurrent episodes.
Can you drink alcohol with enlarged turbinates?
It is best not to drink alcohol if you have enlarged turbinates, as alcohol can stimulate the dilation of blood vessels, leading to congestion and swelling of the turbinates, which in turn exacerbates nasal congestion symptoms. Enlarged turbinates are just a clinical presentation, not a disease. The most common cause of enlarged turbinates in clinical settings is chronic rhinitis. Chronic rhinitis results from repeated acute inflammatory stimuli, causing congestion, swelling, and hyperplasia of the turbinate mucosa. Patients may experience bilateral nasal congestion that progressively worsens and may also have abnormal secretions in the nasal cavity. During an examination with an electronic rhinoscope, pronounced congestion and swelling in both middle and lower turbinates can be observed, sometimes showing mulberry-like changes on the surface. For treatment, patients may need to undergo a partial inferior turbinectomy, which requires hospitalization, and recovery is typically about one week before discharge.
Symptoms of chronic pharyngitis
Chronic pharyngitis is caused by a variety of reasons, leading to congestion, edema, and lymph follicle proliferation in the mucous membrane and submucosal tissue of the throat. Common causes include repeated inflammatory stimulation, intake of spicy foods, and local symptoms caused by gastric acid reflux. Patients may experience dryness, pain, itching, foreign body sensation, obstruction feeling, burning sensation, irritating dry cough, and hoarseness in the throat. In severe cases, there may even be blood in the sputum. During examination, swelling of the uvula and significant proliferation of lymph follicles can be found in areas such as the lateral pharyngeal wall, posterior pharyngeal wall, and the base of the tongue. In terms of treatment, patients need to first identify the cause, adopt a light diet, quit smoking and alcohol, exercise, avoid colds, and maintain a regular diet with post-meal physical activity for gradual improvement and to prevent recurrence.
Can people with chronic rhinitis keep cats?
Patients with chronic rhinitis should avoid keeping pets, especially cats, as cats carry many parasites and bacteria and also shed hair. The nasal passages of patients with chronic rhinitis are very sensitive. Once hair enters the nasal cavity, it can cause sudden congestion and swelling of the bilateral nasal conchae mucosa, leading to symptoms of sneezing, runny nose, and persistent bilateral nasal congestion, thus further aggravating the clinical manifestations of the condition. In terms of treatment, patients with chronic rhinitis should first adhere to a bland diet and avoid spicy and stimulating foods. They also need to combine treatment with nebulized inhalation and use corticosteroids to reduce congestion and swelling of the nasal conchae mucosa, to decrease nasal secretions and relieve symptoms of nasal congestion. Additionally, patients should exercise to restore the function of the nasal conchae mucosa, which can gradually lead to improvement. (Specific medication should be administered under the guidance of a physician.)
Treatment of Chronic Rhinitis and Sinusitis
Chronic rhinitis and chronic sinusitis are due to persistent inflammation following acute inflammatory stimuli or recurrent attacks, leading to nasal and systemic symptoms. Patients may experience facial swelling and pain, headaches, and nasal congestion, generally bilateral and progressively worsening. Additionally, there may be yellow purulent discharge from the nasal cavity, sometimes accompanied by an odor. The examination can reveal congested and edematous bilateral nasal turbinates and abnormal secretions in the nasal cavity. For treatment, patients initially need a sinus CT scan; if sinusitis is confirmed, symptomatic anti-inflammatory treatment is necessary, including oral antibiotics, such as cephalosporins, which are relatively effective. Saline nasal irrigation is also required. If conservative treatment fails, the patient may need endoscopic sinus surgery and partial resection of the bilateral inferior turbinates to recover.