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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
Can you eat fish with vocal cord nodules?
Patients with vocal cord nodules who do not have an allergic constitution can eat fish. Vocal cord nodules are benign growths on the surface of the vocal cords, typically occurring bilaterally and symmetrically, mainly characterized by hoarseness. Their development is primarily associated with improper voice usage or long-term vocal abuse. For vocal cord nodules, patients are advised to talk less and maintain a light diet. Patients with vocal cord nodules can eat fish, but we must prevent some patients from doing so because some of them have an allergic constitution. Fish is a high-protein food, and consuming it may trigger allergic reactions in these patients. The onset of an allergic reaction can also lead to congestion and swelling of the vocal cord mucosa, further worsening the hoarseness and aggravating the condition of the vocal cord nodules. Therefore, it is best for these patients to avoid eating fish.
What medicine to take for a deviated septum?
Nasal septal deviation is a structural abnormality, primarily involving the cartilage or bone of the nasal septum leaning towards one side of the nasal cavity. Clinically, this may result in symptoms such as nasal congestion, nosebleeds, and headaches. Generally, these symptoms alone, simply due to the deviated septum, do not require any medication for treatment. However, if the symptoms caused by the deviated septum are severe, we can use some medications, such as drugs for treating rhinitis, including traditional Chinese medicine formulas like Rhino Clear Granules, and also some vitamins to enhance the quality of the nasal mucosa. The fragility of the nasal mucosa can lead to nosebleeds. Of course, a more important treatment is surgical correction of the deviated septum.
Can hypertrophic turbinates be washed with saline?
Clinically, turbinate hypertrophy is primarily due to inflammatory diseases of the nasal cavity and sinuses, leading to congestion and edema of the nasal mucosa, thickening of the nasal mucosa, proliferation of the submucosal tissue, and even proliferation of the periosteum of the turbinate. Clinically, using saline solution to spray and clean the nasal cavity is a basic treatment for nasal inflammatory diseases, so turbinate hypertrophy can indeed be managed through the use of saline sprays. When spraying saline, care must be taken not to direct the spray at the turbinates directly, to avoid damaging the nasal mucosa. Typically, hypertonic saline is used, which helps maintain the stability of the nasal microenvironment and aids in restoring the nasal mucosa to its normal state. Generally, hypertonic saline is used, and other concentrations are not suitable.
Does nasal polyps require a biopsy?
Nasal polyps are benign space-occupying lesions in our nasal cavity and sinus cavity. They primarily appear as a pineapple peel-like or half a lychee-like neoplasm. They lack blood vessels and nerves, so nasal polyps generally do not undergo biopsy unless there is suspicion of malignant transformation, in which case a biopsy is performed. Typically, nasal polyps are treated surgically by removing them during surgery, then the excised tissue is sent for pathological examination to determine if the polyps are benign or malignant. Therefore, generally speaking, nasal polyps do not undergo biopsy.
Indications for stopping medication for suppurative tonsillitis
Purulent tonsillitis is an acute bacterial infection in the throat characterized by purulent lesions. Clinical examination reveals congested and enlarged tonsils with greyish-white or white pseudomembranous inflammatory secretions covering the surface of the tonsils or the area of the throat. Active anti-infection treatment is necessary for purulent tonsillitis. The criteria for discontinuing medication include the disappearance of clinical symptoms, such as the absence of sore throat; reduction of tonsil congestion, and reduction or disappearance of the pseudomembrane on the tonsil surface. Additionally, other factors should be considered, such as the results of a complete blood count, with white blood cell levels returning to normal reference ranges. Further considerations include complications such as concurrent arthritis or glomerulonephritis. If clinical examinations or signs suggest these are resolved, cessation of medication for purulent tonsillitis may be considered, typically continuing the process for about one to two weeks. (Please use medication under the guidance of a doctor)
Is laryngitis contagious?
Laryngitis is an acute inflammatory disease of the throat, especially the vocal cords. Clinically, it is mainly caused by bacterial infection or long-term excessive misuse of the voice. For bacterial infections or mixed infections of bacteria and viruses, this type of laryngitis has certain contagiousness, but the contagiousness is relatively weak and it is not a severe or highly contagious disease. Secondly, laryngitis caused by long-term misuse of the voice mainly results from mechanical damage and is non-contagious. Moreover, this type of laryngitis tends to be more chronic. In summary, acute laryngitis caused by bacterial and viral infections has certain contagiousness, but the contagiousness is very weak.
What cold is nasal congestion?
Nasal congestion is the most common clinical symptom of nasal diseases. Various disorders, such as rhinitis, sinusitis, nasal foreign bodies, and even nasal tumors can cause nasal congestion. In terms of colds, clinically it mainly refers to an upper respiratory infection caused by a viral infection. Therefore, nasal congestion alone cannot determine which type of cold it is. The types of colds, in modern medicine, refer to upper respiratory infections. In traditional Chinese medicine, they are divided into colds caused by wind-heat and colds caused by wind-cold. Merely from the symptom of nasal congestion, it is impossible to determine the type of cold. Therefore, in clinical practice, the main focus for treating nasal congestion is symptomatic treatment, which may include the use of medications to constrict the nasal blood vessels and clear the nasal passages. (Please follow the doctor's prescription for medication use.)
Can nasal polyps turn into nasal cancer?
Nasal polyps are benign neoplasms in the nasal cavity or sinus cavity, appearing as translucent, lychee-like formations without the distribution of nerves and blood vessels. Generally, nasal polyps cannot become cancerous unless they are long affected by other factors, such as possible concurrent conditions like papillomas or mucosal lesions, which could then transform into malignant tumors. However, the likelihood of nasal polyps directly transforming into malignant tumors is extremely rare, and such clinical cases are almost nonexistent. Therefore, from the perspective of pathology or clinical studies, the possibility of nasal polyps turning into nasal cancer is exceedingly small.
Is it safe to have a second surgery for nasal polyps?
The surgery for nasal polyps is primarily performed under general anesthesia, involving the removal of the nasal polyps and functional endoscopic sinus surgery. All surgeries carry certain risks, thus secondary surgeries for nasal polyps also entail risks. Moreover, since the initial surgery alters the normal anatomical structure of the nasal polyps and their surroundings, the difficulty of the surgery increases, thereby slightly raising the risk of a secondary procedure. The third point is that the surgery is now performed under direct endoscopic vision. Although this type of surgery carries risks—and indeed, all surgeries do—the likelihood of these risks is relatively small, so there is no need for excessive worry.
What should I do if nasal polyps recur for the second time?
Nasal polyps are a common and frequently occurring clinical disease, consisting of benign neoplasms in the nasal cavity and paranasal sinuses. Clinically, nasal polyps are primarily treated through surgery, specifically functional endoscopic sinus surgery for the removal of polyps under nasal endoscopy. Nasal polyps have a certain probability of recurrence. After a second recurrence, a second surgery is required. Following surgery, it is necessary to regularly follow up with cleaning of the nasal and sinus cavities, and to actively use certain medications, such as corticosteroids and some macrolide anti-inflammatory drugs. Additionally, during nasal polyp surgery, some tissues should be removed for biopsy to avoid confusion between nasal polyps and papillomas.