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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
Early symptoms of throat cancer
The early symptoms of laryngeal cancer vary among individuals and are related to the specific personal reactions and type of laryngeal cancer. In the case of glottic laryngeal cancer, the early signs are typically hoarseness, which can be sudden, persistent, or recurrent and is generally exacerbated after excessive use of the voice. This condition can be directly assessed using a laryngoscopy followed by a pathological biopsy. Some patients may also experience a foreign body sensation, pain, or burning sensation in the throat. If the cancer covers a relatively larger area, it may cause difficulty in breathing. In such cases, prompt examination is necessary to determine the nature of the condition and consider a comprehensive treatment approach primarily involving surgery.
Can nasal polyps be treated with minimally invasive surgery?
Nasal polyps can be treated with minimally invasive surgery. Whether surgery is necessary for nasal polyps depends on the specific condition and severity of the disease. If the affected area is relatively narrow and there are no significant clinical symptoms, surgery may not be needed. In such cases, it might be considered to first treat with medication conservatively and see the effect. If the condition remains stable and there is no obvious increase in size, continuing observation may be considered. If the nasal polyps are particularly widespread, or if accompanied by clinical symptoms such as nasal congestion, runny nose, headache, or dizziness, then nasal endoscopic polypectomy may be considered. This surgery is relatively less traumatic, leaves no external wounds, and recovery time is relatively quick.
Does chronic eczema require injections?
Chronic eczema is a relatively common disease, mainly caused by allergic reactions. In terms of treatment, it is generally not necessary to use injections. The more common approach is the oral administration of anti-allergy medications, combined with the use of topical ointments. The main goal is to control the condition and alleviate symptoms, and it is still difficult to achieve a complete cure at present. It is recommended to conduct an in vitro allergen test to determine the specific types of allergens. In daily life, it is necessary to avoid contact with substances that are likely to cause allergies as much as possible. Most patients will gradually improve after timely treatment, but regular follow-up visits are needed because some patients may experience multiple recurrences of the condition. (Please use specific medications under the guidance of a doctor.)
Is inferior turbinate reduction surgery safe?
Enlarged turbinates are a relatively common otolaryngological condition. The treatment usually depends on the extent of the enlargement. Generally, most patients can opt for conservative medical treatment, which often includes oral medications and nasal sprays. In many cases, patients respond well to standardized conservative treatments. If conservative treatments fail and the clinical symptoms are severe, surgical intervention may be considered. Currently, the main option is turbinate reduction surgery, which is generally safe. One commonly used method is endoscopic plasma ablation under local anesthesia. Overall, the risks associated with the surgery and anesthesia are minimal, and the recovery is usually quick due to the minimally invasive nature of the procedure.
Causes of acute tonsillitis
Acute tonsillitis is a relatively common throat disease, primarily caused by acute bacterial infection. It leads to redness and pain in the tonsil area. If the inflammatory response is severe, it can also affect normal breathing and swallowing, particularly in cases where the body's resistance is weakened or when accompanied by other diseases, making it easier to trigger tonsillitis. In terms of treatment, antibiotics are generally used to combat the infection, and nebulization and oral traditional Chinese medicine can be considered for auxiliary treatment. The treatment and recovery period is about a week. If the inflammation is mild, recovery may take about five days, but if the inflammation is particularly severe, it might take more than a week. If oral medications are ineffective, intravenous therapy might need to be considered. (Medication should be used under the guidance of a doctor.)
What are the symptoms of vocal cord nodules?
The symptoms of vocal cord nodules vary among individuals, but generally, it is considered a common condition. Clinically, it can cause hoarseness of voice. Most patients primarily experience recurrent or episodic hoarseness, particularly after excessive voice use, when the hoarseness becomes more pronounced. However, some patients with unilateral or bilateral vocal cord nodules may not exhibit obvious hoarseness and might show no clinical signs at all. They may only be discovered during a physical examination or a laryngoscopic examination. Overall, vocal cord nodules do not pose a significant health risk. Treatment mainly involves oral medication and nebulization therapy, along with vocal training. (Medication should be used under the guidance of a doctor.)
Causes of Turbinate Hypertrophy
Nasal turbinate hypertrophy is a relatively common clinical presentation and can be caused by many factors. The more common causes include physiological hypertrophy, chronic rhinitis, acute rhinitis, as well as sinusitis or long-term exposure to irritants. When these symptoms occur, it is necessary to visit an otolaryngologist to determine the specific cause. If it is simply physiological hypertrophy of the nasal turbinates, regular follow-up is generally sufficient, and no special treatment is needed. However, if the hypertrophy is due to an inflammatory response causing clinical symptoms such as nasal congestion and runny nose, medical treatment should be considered. Most patients see good results after standardized medical treatment.
Causes of Nasal Polyps in Children
There are several reasons why children may develop nasal polyps. Common causes include genetic factors within the family, exposure to external dust or chemical substances. Some patients suffer from long-term allergic rhinitis or chronic sinusitis, where a lack of timely and targeted treatment can lead to the development of nasal polyps. Therefore, upon discovering nasal polyps, it is necessary to visit an otolaryngologist to determine the specific causes and assess the severity of the condition. Some patients may choose conservative treatment with medications, but others with more severe conditions, where conservative treatments are ineffective, may need to consider surgical removal.
Can nasal polyps disappear on their own?
Nasal polyps may disappear on their own, but overall, this possibility is very small. If the nasal polyps are particularly small and localized, in the early stages of the disease, they may shrink on their own if the body's immune response is strong and the nasal cavity maintains normal ventilation and drainage. However, overall, the likelihood of spontaneous regression is very low. Most nasal polyps, without timely treatment and intervention, tend to gradually increase in size, and can easily cause nasal congestion, runny nose, reduced sense of smell, and may even trigger sinusitis, leading to headaches, dizziness, and thick nasal discharge. Therefore, it is recommended to visit an otolaryngologist (ENT specialist) for a formal assessment and timely treatment after discovering nasal polyps, and then observe the effects.
How to treat chronic pharyngitis?
Chronic pharyngitis is a relatively common otolaryngological disease. In terms of treatment, the first step is to conduct a laryngoscopic examination to assess the severity of the pharyngitis. Generally, the treatment primarily involves oral medication and nebulization therapy. Commonly, traditional Chinese medicine taken orally is used, along with corticosteroid medication for nebulization. Diet should also be light, avoiding spicy and irritating foods, and one should not smoke or drink alcohol. Generally, with standardized treatment, the condition can gradually be controlled and alleviated in about one to two weeks, but regular follow-ups are necessary. Currently, the main approach to managing chronic pharyngitis is control rather than cure, as the condition tends to recur. (The use of medication should be under the guidance of a doctor.)