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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 vocal cord polyps eat bayberry?
People with vocal cord polyps should avoid eating bayberries, as bayberries are acidic and can aggravate acid reflux after consumption. The acid fluid and vapors can also irritate the throat, leading to the enlargement or recurrence of vocal cord polyps. Vocal cord polyps are generally caused by prolonged improper use of the voice, such as yelling loudly, excessive fatigue, and irritation from acid reflux. These polyps can cause the voice to become hoarse and progressively worsen. During examination, a pale, lychee-like mass can be found on the anterior-middle third of one vocal cord, leading to incomplete closure of the vocal cords. Regarding treatment, medication is ineffective for vocal cord polyps. Patients need to undergo a vocal cord polyp removal surgery under supported laryngoscopy. The surgery requires hospitalization and general anesthesia, and postoperative antibiotics are used to prevent local infection. Recovery is usually complete within about a week, allowing for discharge from the hospital.
Will turbinate hypertrophy surgery relapse?
After surgery for enlarged nasal turbinates, it generally does not recur. Enlarged nasal turbinates are commonly seen in cases of deviated nasal septum or chronic hypertrophic rhinitis. Patients with a deviated nasal septum may experience compensatory enlargement of the turbinates on both sides, where local surgical removal is needed for treatment. Chronic hypertrophic rhinitis is due to repeated episodes of simple rhinitis, causing persistent congestion and swelling in the lower turbinates on both sides, with a mulberry-like change on the surface. Treatment for these patients requires partial resection of the lower turbinates on both sides, but the surgery must adhere to principles; removing more than one-third of the lower turbinates should be avoided, as it can easily lead to empty nose syndrome. Postoperatively, patients also need to use antibiotics to prevent local infection. After complete recovery, patients should exercise regularly and avoid colds to prevent recurrent growth of the turbinates. (The use of medication should be conducted under the guidance of a doctor.)
How long will chronic tonsillitis take to heal?
Chronic tonsillitis generally improves gradually over a week. It arises from repeated acute tonsillitis attacks or persistent unresolved infection, leading to symptoms such as persistent low-grade fever, swelling and pain in the throat, primarily during swallowing. Additional symptoms include dryness, itchiness, a foreign body sensation, a sense of obstruction, and cough due to irritation in the throat. Examination with an electronic laryngoscope typically reveals significant congestion and enlargement of the tonsils on both sides, with pus plugs possibly present in the tonsillar crypts. For treatment, patients should first undergo symptomatic anti-inflammatory therapy. Since tonsillitis is usually caused by a bacterial infection, often from hemolytic streptococcus, oral cephalosporin antibiotics are effective. Treatment can also include nebulized inhalation to alleviate local congestion and swelling. It is advisable to drink more water and rest adequately, which should allow for gradual recovery within about a week.
symptoms of cancerous transformation of a deviated nasal septum
A deviated nasal septum does not lead to cancerous changes in patients. It's a condition involving a bony deviation and is a common and frequent disorder in the field of otolaryngology. Generally, a deviated nasal septum occurs due to abnormal development of the nasal septum during the embryonic stage or from subsequent trauma to the nasal septum or tumors in the nasal cavity, causing local pressure and deviation to one or both sides of the septum. Following a septal deviation, patients may experience persistent nasal congestion, accompanied by nasal discharge, facial pain, and headaches. A deviated nasal septum can also trigger the occurrence of nasal polyps and sinusitis, but it does not lead to local cancerous changes. If a patient's symptoms are mild, special treatment is generally unnecessary. However, if clinical symptoms appear, corrective surgery for the deviated nasal septum can completely cure the condition.
Do vocal cord polyps cause coughing?
Vocal cord polyps generally do not cause coughing in patients. Vocal cord polyps are vocal cord lesions caused by prolonged improper use of the voice, shouting loudly, excessive yelling, or irritation of the vocal cords by acid reflux. They primarily cause the patient's voice to be hoarse and progressively worsen. Vocal cord polyps generally occur on one side. When examined with an electronic laryngoscope, a smooth-surfaced, light red or pale white abnormal growth can be found on the anterior middle third of one vocal cord. The glottis moves well, but closure is incomplete, causing persistent hoarseness in the patient. In terms of treatment, conservative treatment for vocal cord polyps is ineffective, and patients need to undergo surgical treatment. The surgery can be performed with a support laryngoscope to remove the vocal cord polyp. Hospitalization is required for the surgery, and recovery with discharge is possible within about a week.
Does pharyngitis cause a fever?
Pharyngitis generally involves fever symptoms in acute cases. Acute pharyngitis results from a lowered immune and resistance response, leading to viral or bacterial infections that cause both local symptoms in the throat and systemic symptoms. Patients may experience high fever, with body temperatures above 38°C (100.4°F), and severe throat pain, primarily during swallowing, leading to refusal to eat due to intense throat pain. Additionally, patients may feel a blockage or foreign body sensation in the throat. Upon examination with an electronic laryngoscope, the mucous membrane in the throat area can be seen as congested and swollen, especially around the soft palate and uvula. Pus-filled secretions may also be present on the posterior pharyngeal wall. Regarding treatment, if the patient's temperature exceeds 38°C, antipyretic medications are required; if below 38°C, wiping the body with warm water can be used. Anti-inflammatory treatment should also be administered based on symptoms, and recovery can generally be expected within a week. (Please use medication under the guidance of a professional physician.)
How many days does acute pharyngitis take to get better?
Acute pharyngitis generally begins to improve after about a week. Acute pharyngitis is a condition of the throat caused by viral or bacterial infection due to lowered immunity and resistance. Patients may experience sudden high fever with temperature above 38.5°C, severe throat pain predominately during swallowing. Additionally, symptoms such as dry throat, itchy throat, and a sensation of a foreign body in the throat may occur. Upon examination, swollen and congested soft palate and uvula can be observed, with dot-like pus plugs found on the surface and yellow secretions on the posterior pharyngeal wall. In terms of treatment, patients first need to undergo routine blood tests. If there is an increase in white blood cells, symptomatic anti-inflammatory treatment with oral antibiotics is required. If lymphocytes are elevated, symptomatic antiviral treatment is needed, along with nebulization inhalation and a light diet. The condition generally begins to improve gradually after a week. (Note: The use of medication should be carried out under the guidance of a professional physician.)
Where is throat cancer likely to metastasize?
The metastasis of laryngeal cancer primarily involves local spread, mainly to the lymph nodes in zones 2, 3, and 4 of the neck. When the cancer becomes more severe, it can break through the lymphatic vessels and spread to the liver, kidneys, spleen, brain, lungs, and other related areas. Laryngeal cancer is a malignant tumor of the pharyngeal region, typically caused by long-term smoking, drinking, immunodeficiency, and cellular mutations. It commonly occurs in the vocal cords, esophagus, laryngeal ventricle, piriform sinus, base of the tongue, and epiglottis. It causes patients to feel a foreign body sensation in the throat, persistent hoarseness that progressively worsens, irritative cough, difficulty swallowing, and difficulty breathing. An examination with an electronic laryngoscope can help diagnose the condition. If an abnormal mass is found, a local biopsy is necessary. If laryngeal cancer is confirmed, related surgical treatment as well as radiotherapy or chemotherapy may be required.
How to treat nasal congestion caused by sinusitis?
Nasal congestion caused by sinusitis requires symptomatic anti-inflammatory treatment as the initial step, because sinusitis, which includes inflammation of the paranasal sinuses, is caused by acute inflammatory irritation leading to nasal symptoms. This condition can result in nasal congestion due to the repeated stimulation of the nasal conchae by yellow purulent secretions. Additionally, patients may experience discharge of yellow purulent material from the nasal cavity, facial swelling and pain, headaches, and fever among other symptoms. Examination with an endoscope may reveal bilateral congested and swollen nasal mucosa, and yellow purulent secretions in the nasal passages. Treatment initially requires symptomatic anti-inflammatory measures to reduce inflammation. Since it is a bacterial infection, patients can use antibiotics. Also necessary is the use of saline nasal irrigation and nebulized inhalations to contract the nasal conchae and alleviate congestion. Once the inflammation is reduced, nasal congestion will gradually improve. (The use of medications should be under the guidance of a doctor.)
Can a deviated septum be detected by a CT scan?
A CT scan can detect a deviated nasal septum, which is a common and frequently occurring condition in otolaryngology, typically due to abnormal development of the nasal septum during the embryonic stage or from trauma or pressure from nasal tumors. When the nasal septum is deviated, it can cause persistent nasal congestion on both sides, as well as facial swelling, headaches, and may also lead to sinusitis or nasal polyps. Diagnosis can be confirmed with an endoscopic examination using an electronic nasal endoscope and a sinus CT scan at the hospital. If the deviation of the nasal septum is severe and accompanied by nasal congestion and headaches, surgical correction of the deviated septum may be necessary to completely resolve the symptoms.