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Deng Bang Yu
Otolaryngology
About me
Deputy Chief Physician of Otolaryngology Head and Neck Surgery, Master's degree, proficient in the diagnosis, treatment, and surgery of common and frequent diseases in otolaryngology head and neck surgery. Specializes in research areas including allergic diseases, sleep and snoring disorders, vertigo diseases, and vocal medicine.
Proficient in diseases
Chronic rhinitis, allergic rhinitis, nosebleeds, sinusitis, nasal polyps, benign and malignant tumors of the nose, skull base tumors in the nose area, pharyngitis, tonsillitis, snoring, hypopharyngeal tumors; laryngitis, vocal cord polyps, throat cancer.
Voices
What should I do if nasal polyps are removed but grow back?
Nasal polyps are a common condition in otolaryngology and are benign neoplasms in the nasal cavity. After nasal polyp surgery, there is a possibility of recurrence, and the likelihood of recurrence is relatively high compared to other diseases. Currently, we surgically remove nasal polyps through functional endoscopic surgery, followed by regular post-operative outpatient follow-ups to clean the nasal cavity. Since then, the recurrence rate after this surgery has been relatively low. However, if the nasal polyps recur, we must perform surgery again to remove them, as enlarged nasal polyps can block the nasal cavity and damage the surrounding tissue structures, necessitating another surgical intervention, with no other special methods available.
The difference between nasal polyps and adenoids
There are fundamental differences between nasal polyps and adenoids. Nasal polyps are polypoid tissue proliferations located in the nasal cavity and sinus cavities, resembling a peeled lychee. In contrast, adenoids are located in the nasopharynx and are a normal anatomical structure of the human body, whereas nasal polyps are a new benign tumor-like growth. Furthermore, nasal polyps require surgical removal, primarily through functional endoscopic sinus surgery. Adenoids generally do not require surgical treatment unless they are enlarged, causing issues such as snoring and sleep apnea, in which case surgery might be considered.
Dangers of Enlarged Turbinates
The enlargement, mainly including our inferior turbinate, middle turbinate, and superior turbinate, with the enlargement of the inferior turbinate being the most common clinically. Enlargement of the inferior turbinate can lead to obstruction of our nasal cavity, and then affect our ventilation and sense of smell, etc. Generally speaking, turbinate enlargement has a certain impact on the function of our nasal cavity or our respiratory function. However, the harmfulness of this impact is relatively not very severe, but it does cause us a lot of discomfort, or lead to issues like snoring and hypoxia due to nasal congestion. Compared to other serious diseases, its harmfulness is relatively minor, but that does not mean it does not require treatment. If turbinate enlargement causes nasal congestion and affects breathing, active treatment is still needed.
What anti-inflammatory medication should be taken for rhinitis?
Rhinitis refers to the inflammation of the nasal mucosa. Currently, nasal mucosa inflammation can be acute, chronic, allergic, or atrophic. These inflammations require appropriate treatment, but do not require the use of anti-inflammatory drugs, as current anti-inflammatory drugs mainly refer to antibiotics, which are not necessary for these types of rhinitis. Clinically, some nasal spray medications are primarily used, such as some corticosteroid hormones, which have anti-inflammatory effects; saline solutions with high osmolarity can also be used to cleanse and rinse the nasal cavity. Oral medications can include some traditional Chinese medicine preparations, such as Biyan Tongqiao granules and Xiangju tablets, etc. For allergic rhinitis, some antiallergic drugs such as loratadine can be used for antiallergic treatment. In summary, there is no need to use antibiotic anti-inflammatory drugs. (Please use medicine under the guidance of a doctor to avoid indiscriminate use.)
How to check for nasal polyps
Nasal polyps are benign space-occupying lesions that occur in the nasal cavity and sinus cavities. There are several aspects to the examination of nasal polyps: Firstly, an anterior rhinoscopy examination can be performed. If the nasal polyps are large, or even protruding outside the nasal cavity, they can be directly seen. Anterior rhinoscopy enlarges the nasal cavity, allowing visualization of the middle nasal meatus and other tissues inside the nasal cavity. Secondly, a nasal endoscopy can be utilized. Nasal endoscopy is particularly effective for viewing polyps located deeper within, or at the back of the nasal passages, providing very clear visibility. Other examinations, such as electronic rhinoendoscopy, follow the same procedure. The third examination involves a sinus CT scan, which is helpful for identifying the origin of the nasal polyps, as well as the location, range, and extent of obstruction caused by the polyps. Another examination is the pathological examination after nasal polyp surgery, which aids in determining the origin and risk associated with the nasal polyps, as well as assisting in subsequent treatments.
Is surgery necessary for vocal cord nodules?
Vocal cord nodules are benign lesions on the vocal cords, primarily characterized by bilateral symmetrical protrusions on the free edge of the vocal cords. These protrusions are small and nodular. The majority of vocal cord nodules do not require surgical intervention and are mainly treated with medication. For those vocal cord nodules that do not improve with medication or voice correction, they may gradually progress to vocal cord polyps or other lesions. Only after an assessment deems surgery appropriate, is surgery considered. Overall, vocal cord nodules do not require surgical treatment.
How to treat allergic rhinitis?
Allergic rhinitis refers to a pathological reactive disease of the nasal cavity caused by an allergy to certain substances. The main clinical treatments for allergic rhinitis include the following points: First, it is essential to avoid contact with the allergens that cause allergic rhinitis as much as possible. Second, medication treatment is implemented, mainly antiallergic drugs such as loratadine and cetirizine. Additionally, local use of corticosteroid nasal sprays is used for treatment. Third, specific desensitization treatment can be carried out, mainly for mite allergies. Fourth, some surgical interventions can be performed, such as surgery to correct the nasal framework and turbinate reduction treatment for enlarged inferior turbinates, or corrective treatment for a deviated nasal septum. These treatments are auxiliary and help improve allergic rhinitis but are not direct treatments for the condition. (Medication usage should be based on specific circumstances and under the guidance of a doctor.)
Minimally invasive surgery for adenoid hypertrophy
Adenoids refer to the glands in the nasopharyngeal area. Enlarged adenoid tissues can block the nasal cavity or the pharyngeal orifice of the Eustachian tube. Clinical symptoms often require surgical removal of the adenoids. The main steps in the surgery include the following: firstly, general anesthesia is administered; secondly, the adenoids are exposed, primarily by suspending the soft palate with a catheter, followed by the insertion of a tonsil opening device; thirdly, the adenoids are gradually ablated and removed using a nasopharyngoscope and a plasma ablation knife head; finally, the surgery is concluded. After the surgery, it is necessary to continue treating the enlarged adenoids with medications such as mometasone furoate nasal spray. (Medication should be used under the guidance of a doctor.)
Is otitis media easy to treat?
Clinically, otitis media is a common and frequently occurring disease, primarily referring to acute and chronic inflammation of the eardrum, tympanic cavity, and mastoid antrum. Its clinical treatment mainly involves two aspects: surgical treatment and medication. Generally, during the acute phase of the disease, medication is the main treatment, primarily using antibiotics to control the infection. Surgical treatment is mainly aimed at chronic otitis media, secretory otitis media, or cholesteatoma otitis media, involving the removal of lesions and repair of structures. Overall, the treatment for otitis media is generally effective and yields good results. The key is to detect and treat it early without delay.
How to manage chronic tonsillitis?
Chronic tonsillitis is a chronic inflammatory disease of the tonsils, which clinically manifests as various discomforts in the throat area, and can even present symptoms such as bad breath. In clinical management of chronic tonsillitis, dietary adjustments are primary. It is essential to have a nutritious, easily digestible, and bland diet; spicy foods such as peppers, as well as smoking and alcohol, should be avoided. Consumption of certain fruits that can cause allergies, like mangoes, and other irritant fruits like pineapple should be limited. For medicinal treatment, it mainly involves the use of traditional Chinese medicines that clear heat and detoxify, such as Nei Xiao Luo Li Wan, Xuan Mai Gan Ju Granules, Watermelon Frost Lozenges, Coral Lozenges, etc. Thirdly, it is important to regulate your diet, drink plenty of water, and avoid factors like colds and upper respiratory infections that may trigger acute episodes of tonsillitis.