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Li Rui
Otolaryngology
About me
Graduated from Shanghai Jiao Tong University School of Medicine, engaged in otorhinolaryngology head and neck surgery for more than four years.
Proficient in diseases
Diseases diagnosis and treatment in otolaryngology. Specialized in the diagnosis and treatment of chronic sinusitis, otitis media, head and neck tumors, and other diseases.
Voices
What should I do about adenoid hypertrophy?
Adenoid hypertrophy is a relatively common disease among children, and it also occurs in a small portion of adolescents and adults. Generally, it is necessary to first perform a nasopharyngoscopy to assess the specific extent of hypertrophy. If the hypertrophy is very mild and there are no subjective symptoms, the situation is usually managed with regular check-ups without special treatment. If the hypertrophy is more significant and accompanied by nasal congestion, sleep disturbances, snoring, or a feeling of ear blockage, treatment typically involves the use of oral medications and nasal sprays. Generally, a standard treatment lasts about two weeks, after which the effectiveness should be reassessed. If there is no effectiveness, adenoidectomy, a relatively routine surgery, may need to be considered. However, most patients are very effectively treated with conservative management.
Can a deviated nasal septum be cured?
A deviated nasal septum can be treated. Firstly, it is necessary to examine the degree of deviation and the clinical symptoms. If it is a simple deviation with mild severity and no related clinical symptoms, this condition generally does not require special treatment and regular follow-ups are sufficient. However, if the deviation is severe and accompanied by corresponding clinical symptoms such as nasal congestion, runny nose, headaches, dizziness, and nosebleeds, surgery may be considered to correct the deviation. Generally, after surgical correction, the deviated nasal septum can be cured.
Can vocal cord nodules be cured by resting the voice?
Vocal cord nodules are a relatively common otolaryngologic disease. After resting the voice, the condition of the vocal cord nodules may improve, and the symptom of hoarseness may also get better. However, resting the voice alone cannot completely cure the condition. Patients with vocal cord nodules need to visit an otolaryngology clinic after the onset of the disease. It is advisable to undergo a laryngoscopy to assess the severity of the condition. Generally, it may be considered to take prescribed Chinese patent medicine and undergo atomization treatment. During the treatment process, regular follow-up visits are necessary to check the effectiveness of the treatment. A small number of patients might also need to consider surgical treatment.
T2N0M0 in throat cancer indicates stage 2 cancer.
Patients with mid-stage laryngeal cancer generally have a less severe condition and the scope of the lesion is relatively limited. In terms of treatment, most patients can opt for surgical removal. It is recommended to undergo a radical resection. After the surgery, based on the pathology lab results and the doctor's clinical experience, some patients might also need to consider undergoing radiation therapy. This serves as an adjunct treatment that can reduce the likelihood of recurrence. However, some patients might achieve good therapeutic results with just the surgery alone. After treatment, regular follow-up visits are necessary to monitor the effectiveness of the treatment and to check for any local recurrence or distant metastasis.
Can vocal cord polyps be treated conservatively?
Vocal cord polyps are a relatively common ENT disorder. For treatment, conservative treatment can be considered for some patients. If the vocal cord polyps are small and the symptoms of hoarseness are not particularly noticeable, conservative treatment with medication can be initially considered. Common treatments include oral traditional Chinese medicine, combined with nebulization therapy. It's also suggested to undergo voice training concurrently. Generally, with formal treatment lasting about two weeks, symptoms of hoarseness can gradually improve, and polyps may recede in some patients. However, if the vocal cord polyps are particularly large and the symptoms of hoarseness are very noticeable, and conservative treatment proves ineffective, then surgical treatment should be considered.
Can a deviated nasal septum be treated without surgery?
A deviated nasal septum does not necessarily require surgery. The treatment for a deviated nasal septum mainly depends on the severity of the deviation and clinical symptoms. If it's just a minor deviation without obvious clinical manifestations, most patients don't need specific treatment. Generally, they can just be rechecked in the near future to observe any changes. However, if the deviation is significant and accompanied by clinical symptoms, such as nasal congestion, nosebleeds, runny nose, headaches, or dizziness, surgery might need to be considered. Currently, the surgery can be conducted under endoscopy as a nasal septum deviation correction surgery or as a nasal septoplasty. Overall, the surgery is not very traumatic, and generally, the results are quite definitive. Typically, the recovery period is about two weeks.
What is the fastest treatment for acute pharyngitis?
The treatment of acute pharyngitis mainly involves medication. First, the degree of the inflammatory response should be assessed. It is recommended to visit an otolaryngology specialist and perform an indirect laryngoscopy, as well as routine blood tests and inflammatory response protein tests, as these examinations can preliminarily determine the extent of inflammation. In terms of treatment, acute pharyngitis is generally caused by bacterial infection; oral antibiotics are usually the first choice for anti-infection treatment. Additionally, nebulization and traditional Chinese medicine can be considered for supplementary treatment. It is also necessary to follow a light diet, and avoid smoking and drinking alcohol. With medication treatment, a re-evaluation is typically done after about three days to observe the recovery situation. The overall treatment period is approximately one week, but if the inflammatory response is particularly severe, it may be necessary to extend the treatment duration. (Note: Medication should be used under the guidance of a doctor.)
Can a deviated nasal septum be cured?
A deviated nasal septum can be cured. Firstly, a deviated nasal septum generally arises congenitally or from trauma, leading to the deviation. Most patients have cartilage deviation, and a small portion have bony deviation. In terms of treatment, firstly it is necessary to evaluate the degree of deviation and the clinical symptoms. If it is just a minor deviation without significant clinical manifestations, treatment may not be necessary, and regular check-ups will suffice. However, if the clinical symptoms are noticeable and the degree of deviation is severe, then surgical correction should be considered. Currently, considering endoscopic septoplasty can achieve a cure.
Can you smoke if you have nasal polyps?
Patients with nasal polyps are advised not to smoke. This is because cigarettes are quite irritating and can affect the nasal mucosa and the normal structures inside the nasal cavity, potentially aggravating the condition of nasal polyps, as well as possibly causing nasal congestion or acute upper respiratory infections, all of which could worsen the existing condition. In terms of treatment, it is first necessary to assess the severity of the condition. Some patients may opt for conservative drug treatment, while those with more severe conditions, where conservative drug treatment is ineffective, may need to consider surgical removal. After surgery, regular follow-ups are necessary to monitor the effects of the operation.
What will happen if nasal polyps worsen?
If nasal polyps deteriorate, it might lead to associated clinical symptoms, commonly including nasal congestion, runny nose, bloody nasal discharge, headaches, dizziness, and a reduced sense of smell. A small portion of patients may also experience malignant transformation. The specific clinical symptoms vary from individual to individual. After the onset of the condition, it is necessary to promptly visit an otolaryngology department. Undergoing a sinus CT and endoscopic examination can help assess the severity and extent of the condition. Regarding treatment, some patients may consider conservative medication treatment, but others with more severe conditions where the medication is ineffective might need to consider surgical treatment.