

Li Rui

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

Does laryngitis require infusion?
Laryngitis is a relatively common otolaryngological disease. In terms of treatment, most patients do not require infusion therapy; only a small number of patients might need to consider infusion, primarily based on the specific severity of the condition, clinical symptoms, and overall health condition. If the severity of the laryngitis is mild and the clinical symptoms are not significant, some patients may recover on their own, while others may need to combine oral medication and nebulization treatment. However, if the severity of the laryngitis is particularly severe, accompanied by symptoms such as hoarseness, breathing difficulties, and swallowing obstruction, there may be a need to consider infusion therapy.

Is the nasal polyps spray effective?
Some patients find nasal polyps effectively treated with sprays, and this largely depends on the extent of the specific lesion. If the nasal polyps are relatively mild, localized, and the clinical symptoms are not particularly severe, most patients could consider using conservative treatments first to see the results. The common conservative treatment is nasal sprays, generally corticosteroid sprays. Their main function is to reduce nasal polyps and alleviate inflammatory responses. Overall, many patients find effective results following standardized medication treatment. If the conservative medication treatment is ineffective and the nasal polyps are extensive, surgery might be considered as a necessity. (Please use medication under the guidance of a doctor.)

How long should medicine be taken for chronic rhinitis?
Chronic rhinitis is a relatively common ENT disorder with a high incidence among the population. In terms of treatment, if the inflammatory reaction is mild and there are no obvious clinical symptoms, it can generally be considered to periodically re-examine without the immediate use of medication. However, if the condition of chronic rhinitis is severe and accompanied by symptoms such as nasal congestion, runny nose, and reduced sense of smell, targeted treatment should be considered. It is advisable to undergo nasopharyngoscopy and sinus CT scans to assess the severity of the condition. Most patients can consider oral medication treatments. In addition, nasal spray medications can be used in combination. During treatment, regular follow-ups are necessary to observe the effects, and the treatment period is generally about one to two weeks. (Specific medication use should be conducted under the guidance of a doctor.)

Early symptoms of throat cancer
Laryngeal cancer is a relatively common type of malignant tumor in the head and neck region. In terms of clinical symptoms, if it is early-stage laryngeal cancer, there may not be obvious clinical manifestations. This condition is usually discovered during physical examinations or laryngoscopic examinations. Some patients may experience hoarseness, sore throat, a foreign body sensation in the throat, or possibly swallowing obstruction and difficulty breathing. Once these symptoms appear, a laryngoscopic examination is necessary. Generally, the scope of the condition can be preliminarily judged through laryngoscopic examination, and surgical treatment or radiation therapy can typically be considered.

Is vocal cord polyp removal painful?
Vocal cord polyp removal surgery generally does not cause notable pain. Currently, there are mainly two types of surgery for vocal cord polyps. The first type is under general anesthesia, and the second type is under local anesthesia, including topical anesthesia. If you choose surgery under general anesthesia, the patient will be under anesthesia throughout the procedure and will not feel pain. However, there might be varying degrees of pain after the surgery, although it is generally tolerable. If you choose surgery under topical anesthesia, there might be some pain during the procedure, but it typically isn't severe. Post-surgery pain is usually not too intense, but regular follow-ups are necessary, mainly to monitor for any recurrence of the polyps.

Will the nose become larger if the nasal concha is hypertrophic?
Nasal turbinate hypertrophy is a relatively common otolaryngological condition. This condition mainly involves the growth and thickening of the tissue in the lower or middle nasal concha inside the nasal cavity. However, it does not affect the overall appearance of the nose; there are no obvious changes or deformities, nor significant enlargement. Symptoms of nasal turbinate hypertrophy may include nasal congestion, runny nose, reduced sense of smell, headache, and dizziness. Upon experiencing these symptoms, it is necessary to visit an otolaryngologist for a nasopharyngoscope examination to assess the extent of the inflammatory response. In terms of treatment, most patients may consider using nasal spray medication and oral medication, while a small portion of patients might need to consider surgical treatment.

Do vocal cord polyps definitely require surgery?
Vocal cord polyps do not necessarily require surgery. This decision mainly depends on the size of the polyp and the symptoms presented. If the polyp is small and the clinical symptoms are not particularly severe, it may be considered to observe and manage with oral medications and nebulized treatments. It is also important to minimize speaking and avoid overusing the voice. If the polyp is larger, and there are noticeable symptoms such as a hoarse voice, or if it affects normal breathing and swallowing, surgery is generally considered. After surgery, regular follow-ups are necessary to monitor recovery. It is crucial to avoid overusing the voice and to regularly have laryngoscopic exams to check for any recurrence.

Can chronic rhinitis cause coughing?
Chronic rhinitis has a variety of symptoms. Some patients may experience coughing, which is mainly caused by the backflow of nasal discharge irritating the throat. Other common symptoms include nasal congestion, runny nose, reduced sense of smell, as well as possible headache and blood-tinged nasal mucus. After the condition of chronic rhinitis appears, it is necessary to visit an otolaryngology clinic. Diagnostic steps can include nasopharyngoscopy and routine blood tests, which help to clarify the specific severity of the condition. Some patients may also need a sinus CT scan to determine the presence of any sinus pathology. Once the condition is diagnosed, targeted treatment can be administered, commonly involving oral medications and nasal sprays. Regular follow-up is needed to monitor the effectiveness of the treatment.

What should be noted for turbinate hypertrophy?
Patients with enlarged turbinates should pay attention to the following aspects: First, they need to visit an otolaryngologist regularly to observe changes in their condition. If accompanied by related clinical symptoms, medication should be considered. Second, in daily life, nasal irrigation with saline can be used to reduce the retention of nasal secretions, improve clinical symptoms, and alleviate the severity of enlarged turbinates. Third, it is important to avoid exposure to external irritants in daily life as much as possible and to avoid catching colds, as these factors can exacerbate the existing condition. Overall, enlarged turbinates are a common condition, and with timely treatment, the condition will gradually improve.

Is sinusitis serious?
Sinusitis is a relatively common otolaryngological disease and generally is not very severe. The main clinical symptoms include nasal congestion with thick nasal discharge, reduced sense of smell, headache, and dizziness. After onset, it is necessary to visit an otolaryngology department for a sinus CT scan to help determine the extent of the lesion. If the inflammatory response is localized and the clinical symptoms are mild, conservative medical treatment can be considered. Common treatments include oral medications and nasal sprays. During treatment, regular follow-ups are needed to observe the effects. If the inflammatory response is severe and conservative medical treatment is ineffective, surgical treatment may need to be considered.