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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
Can early-stage throat cancer be cured?
If we are talking about early-stage laryngeal cancer, generally speaking, the cure rate is relatively high. The main treatment methods for early-stage laryngeal cancer are primarily surgical, although radiation therapy can also be considered for some patients. However, specific treatments still need to be tailored according to the patient's own condition and the pathological staging and typing. If the cancer is well-differentiated, the treatment outcomes are generally better. If it is poorly differentiated or moderately differentiated, even though it is early-stage laryngeal cancer, the cure rate is relatively lower, especially within the first two years and the first five years. If a five-year survival rate is achieved without evident recurrences or metastases, this is considered a standard for clinical cure. However, regular follow-ups are still necessary due to the potential risk of recurrence.
How long does it take to recover normally after turbinate hypertrophy surgery?
Turbinate hypertrophy is a relatively common ENT disorder. Most patients can consider conservative medication treatment, usually including oral medications and nasal sprays. Additionally, rinsing the nasal cavity with saline solution can be utilized. If standardized medication does not lead to satisfactory results, surgical intervention might be necessary. Currently, the main procedures are partial turbinectomy under nasal endoscopy or plasma ablation surgery. Generally, these are minimally invasive surgeries with quite favorable outcomes. The recovery period varies among individuals, typically ranging from two weeks to about a month. Regular follow-ups are required during treatment. After surgery, nasal cleaning is necessary due to the presence of bloody secretions or crust in the nasal cavity, which is generally advised to be cleaned once every week or three days. (Please take medicines under the guidance of a professional physician.)
Can nasal polyps be washed with saline?
Nasal polyps can be considered for saline irrigation, with the main types of saline used being physiological saline or physiological seawater. The main function is to help improve nasal ventilation and reduce swelling of the nasal mucosa. It also has some therapeutic effects for patients with poor sense of smell. However, overall, saline irrigation is still considered an auxiliary treatment method, and it is recommended to consider medication treatment. If the nasal polyps cover a wide range and the clinical symptoms are quite apparent, it could also be accompanied by sinusitis. Under such circumstances, endoscopic surgery might be necessary, which involves the removal of nasal polyps under endoscopy. Depending on the condition of sinusitis, concurrent sinus opening surgery might be required. It is advisable to visit an otolaryngology clinic for a formal diagnostic evaluation to determine the best treatment approach.
Is the embryonic antigen high in throat cancer?
Throat cancer is a relatively common otolaryngology disease and also belongs to a common type of head and neck malignant tumor. Generally, the carcinoembryonic antigen does not show obvious elevation because, currently, there are no characteristic tumor markers for throat cancer. Diagnosis is mainly based on the clinical experience of doctors, combined with laryngoscopic examination and CT scan of the throat area. For patients with throat cancer, it is advised to promptly visit an otolaryngology clinic after the onset of the disease and undergo related auxiliary examinations to clarify the specific extent of the condition. Common treatment methods include surgery, radiotherapy, and chemotherapy. A targeted treatment plan should be chosen based on the clinical staging of the patient.
How to determine if the nasal turbinates are enlarged
The diagnosis of turbinate hypertrophy first requires a visit to an otolaryngologist, where the doctor can examine the specific condition of the nasal conchae, along with considering clinical symptoms. Generally, turbinate hypertrophy might be accompanied by nasal congestion, a runny nose, and can also lead to headaches, dizziness, and a reduced sense of smell. Moreover, the more severe the enlargement of the turbinates, the heavier the clinical symptoms might be. In terms of treatment, most patients can opt for conservative medication; common treatments include oral medications and nasal sprays, and rinsing the nasal cavity with saline solution. During the treatment process, regular follow-up checks are necessary to observe the effects. A small number of patients who do not respond well to medication may need to consider surgery. (Please follow medical advice regarding medications.)
Can people with vocal cord nodules eat hot pot?
People with vocal cord nodules can eat hot pot, but it is important to avoid excessive use of the voice and not to eat particularly spicy foods, as both overuse of the voice and spicy foods can directly irritate the throat. Frequent consumption of spicy foods may trigger pharyngitis, and in severe cases, it can lead to hoarseness and further aggravation. Overall, vocal cord nodules do not significantly impact diet, but what is more important is voice rest, especially for those who frequently strain their voices. Vocal cord nodules tend to increase the likelihood of hoarseness, and regular check-ups to monitor changes are necessary. Also, if the symptoms are relatively noticeable, consideration should be given to oral medication and nebulization treatment. After treatment, regular laryngoscopic examinations should be continued to observe specific changes.
What department should I go to for nasopharyngeal carcinoma?
Nasopharyngeal carcinoma is a relatively common type of malignant tumor in the head and neck area. In terms of treatment, if a patient has been diagnosed with nasopharyngeal carcinoma, it is recommended to consult an oncology department or a radiation therapy department. This disease requires consideration of a comprehensive treatment plan involving radiotherapy and chemotherapy, typically spanning several months, and regular follow-ups are needed to monitor recovery. If the diagnosis has not yet been confirmed, it is necessary to first consult an otolaryngology (ENT) department. After visiting the ENT department, a nasopharyngoscopy can be performed, followed by a biopsy under the guidance of the nasopharyngoscopy. Only after the pathology from the biopsy can the specific diagnosis of nasopharyngeal carcinoma be confirmed, allowing for the clinical pathological staging and typing necessary for subsequent treatment.
How to correct a deviated nasal septum?
Currently, the correction of a deviated nasal septum is mainly done through surgery. However, for some patients, if the deviation is mild and without symptoms, surgery may not be necessary. Surgery for deviated nasal septum is considered only if the deviation is severe and accompanied by significant clinical symptoms. Presently, minimally invasive surgery under endoscopy, which may involve partial removal of cartilage or septal cartilage reshaping, is a common procedure in otolaryngology. The results are generally reliable and, although there are risks, they are not considered excessively high. Typically, tertiary hospitals with an otolaryngology department can perform this surgery.
Do people with throat cancer lose weight?
Throat cancer is a relatively common type of malignant tumor in the head and neck area. Some patients may experience weight loss, which can be due to the condition of throat cancer itself, swallowing obstruction caused by the cancer leading to malnutrition, or excessive consumption of the body. Therefore, it is essential for patients with throat cancer to seek prompt medical attention from an otolaryngologist after onset, assess the severity of the condition, and consider comprehensive treatment options such as surgery or radiochemotherapy. During treatment, it is crucial to enhance nutrition, regularly review the condition, and observe changes in the disease. Overall, the treatment outcomes for early-stage throat cancer are relatively good.
How to maintain vocal cord nodules in daily life?
Vocal cord nodules are a relatively common vocal cord disease, mainly characterized by nodular neoplasms at the anterior part of one or both vocal cords. The most common clinical symptom is hoarseness, which, overall, is relatively common and not a major threat to health. For daily maintenance, it is important to use the voice reasonably; excessive use should be avoided as it can aggravate hoarseness and inhibit the recovery of vocal cord nodules. Dietary habits also need to be managed; avoid smoking, alcohol, and spicy or irritating foods. In terms of treatment, oral medication and nebulization therapy are primarily used, along with recommended voice training, which can be more beneficial for recovery.