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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
Postoperative precautions for vocal cord nodules
After vocal cord nodule surgery, attention should be paid to the following aspects: The first is regular follow-ups. Generally speaking, after surgery, it is necessary to regularly check through indirect laryngoscopy and fiberoptic laryngoscopy. The main purpose is to observe the specific recovery situation, especially to check for any related surgical complications or recurrence. The second is the need for vocal rest, especially during the first week after surgery. Try to avoid talking as much as possible and do more deep breathing, because excessive use of the voice can affect the postoperative recovery and easily cause hoarseness. Moreover, it is necessary to check the pathology results. After vocal cord nodule surgery, a pathological biopsy is required. If the pathological slice is benign, regular follow-ups are generally sufficient. If the pathology shows other characteristics, or if it is malignant, further examinations and treatments might be necessary.
Acute pharyngitis clinical symptoms
Acute pharyngitis is a relatively common otolaryngologic disease with various clinical symptoms and individual differences. Common symptoms include sudden onset of sore throat, and some patients may experience severe pain. There may also be a sensation of swallowing obstruction and difficulty breathing. In more severe cases, fever may occur. Upon these symptoms, it is necessary to promptly visit an otolaryngologist for routine blood tests and laryngoscopic examinations to determine the specific extent and type of infection and inflammation. Treatment generally focuses on antibiotic therapy to combat infection, and nebulizer therapy can also be used. (Specific medications should be used under the guidance of a doctor.)
How is chronic pharyngitis diagnosed?
Chronic pharyngitis is a relatively common ENT (ear, nose, and throat) disease. In terms of diagnosis, the first step is to look at the clinical symptoms. Common symptoms include recurrent sore throat, a sensation of a foreign body in the throat, and possibly accompanying swallowing obstruction and breathing difficulties. For auxiliary examinations, a laryngoscopy can be performed. Through laryngoscopy, one can directly observe the specific extent of the lesions inside the throat. For example, there may be chronic congestion of the mucous membrane in the throat and hyperplasia of the lymphatic tissue at the base of the tongue, and then combine these with the experiential judgment of the ENT doctor. Generally speaking, a diagnosis can be confirmed after evaluating these three aspects.
What are the symptoms of acute pharyngitis?
Acute pharyngitis is a relatively common ENT (ear, nose, and throat) disease with a variety of clinical symptoms. The most common symptoms include sore throat, a foreign body sensation in the throat, and fever. Some patients may experience swallowing obstruction and breathing difficulties, and there is considerable individual variability in specific symptoms. Generally, it is recommended to conduct a laryngoscopy and complete blood count to determine the specific degree and type of the inflammatory response. In terms of treatment, oral medication is primarily used, which can be supplemented with nebulization. If the inflammatory response is particularly severe and oral medication is ineffective, intravenous therapy may need to be considered.
Can small vocal cord polyps be managed without surgery?
Vocal cord polyps are a fairly common otolaryngological condition. In terms of treatment, if the absorption is minimal, conservative pharmacological treatment is generally considered first rather than surgical intervention. Common treatments include oral medications, often supplemented with nebulization. Typically, with standardized pharmacological treatment, symptoms of hoarseness can gradually improve within one to two weeks. However, regular laryngoscopy follow-ups are necessary to monitor changes in the condition. Additionally, voice training can be considered to improve everyday vocal techniques, which can also help alleviate symptoms of hoarseness. Overall, most patients with minor vocal cord polyps can be successfully treated conservatively. (Specific medication use should be conducted under the guidance of a doctor.)
How is anesthesia administered for nasal polyps?
Nasal polyps are a relatively common ENT disorder, and if there are numerous polyps with clear clinical symptoms and conservative drug treatment is ineffective, surgery should be considered. Currently, the primary procedure is endoscopic nasal polyp removal, which is a commonly used minimally invasive surgery. Generally, the level of pain experienced by patients is not particularly significant. Therefore, in terms of anesthesia, it may be suitable to consider either general anesthesia or local anesthesia. If the nasal polyps are not particularly severe and the patient has a good tolerance, local anesthesia can be considered. However, if the condition is more severe and symptoms are clearly pronounced, it is generally advised that general anesthesia might be a better option.
Can erythromycin be used for nasal polyps?
Nasal polyps are a relatively common otolaryngological (ENT) disease. In terms of medication, if it's just simple nasal polyps, it is not advisable to use erythromycin. This is because erythromycin is a common type of antibiotic, primarily used for treating bacterial infections. However, if the nasal polyps are accompanied by sinusitis, then the use of erythromycin could be considered. For patients with nasal polyps, it is necessary to visit an ENT specialist after the onset of the condition. By conducting examinations such as nasal endoscopy, sinus CT scans, and routine blood tests, the severity of the condition can be assessed, thereby facilitating targeted treatment. During the treatment process, regular follow-ups are needed to observe the specific effects of the treatment.
What are the symptoms of vocal cord polyps?
Vocal cord polyps are a relatively common ENT disorder. Small vocal cord polyps may not show obvious clinical symptoms and are often discovered only during a physical examination or laryngoscopy. However, larger vocal cord polyps can cause noticeable clinical symptoms, most commonly hoarseness. The hoarseness can be recurrent or persistent and may worsen with excessive use of the voice. Some patients may also experience a foreign body sensation in the throat or throat pain, which is primarily considered to be caused by vocal cord polyps accompanied by chronic pharyngitis. A laryngoscopy can provide a definitive diagnosis.
Do nasal polyps need surgery?
Some nasal polyps require surgery, mainly due to the extensive area they cover. For instance, if the nasal polyps have invaded the nasal cavity, middle nasal meatus, and lower nasal meatus, they can cause corresponding clinical symptoms. These symptoms include repeated nasal congestion, thick nasal discharge, reduced sense of smell, headache, dizziness, snoring during sleep, and mouth breathing. When there are many nasal polyps, conservative treatment usually does not yield particularly good results, therefore, surgical removal must be considered. Currently, the main surgical approach is minimally invasive endoscopic nasal polyp removal. Generally, this type of surgery causes minimal harm, has a quicker recovery time, and the overall outcomes are quite clear.
What fruits to eat for suppurative tonsillitis
Purulent tonsillitis is a relatively common otolaryngological disease, mainly caused by acute bacterial infection. Common fruits such as bananas, grapes, kiwis, and dragon fruits can be eaten because these fruits contain rich vitamins and have no irritant effects, thus they will not aggravate the condition of tonsillitis or affect the specific treatment outcome. After medication and dietary adjustment, the condition generally gradually eases. The treatment period is about a week. During the treatment, it is necessary to revisit regularly to observe the recovery situation.