Subscribe
472
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
Why does vocal cord polyp surgery require general anesthesia?
Vocal cord polyps are a relatively common type of ENT (Ear, Nose, and Throat) disorder. For larger polyps where conservative treatment with medication is ineffective, surgical treatment should be considered. Currently, the main surgical procedure is the excision of vocal cord polyps under a supported laryngoscope, which requires general anesthesia. This is because the procedure is difficult for patients to endure without general anesthesia, as the supported laryngoscope is a type of metal tube that needs to be inserted through the mouth into the pharynx. Local anesthesia would be insufficient as patients might struggle to cooperate and tolerate the pain or nausea, hence general anesthesia is necessary for the surgery.
Post-laser sequelae of turbinate hypertrophy
Using laser treatment for hypertrophic turbinates can potentially lead to complications, the more common ones being nasal dryness and mucosal erosion. It may also cause recurring nasal bleeding. Additionally, some patients might experience a burning sensation or the feeling of a foreign body in the nasal cavity. More serious cases could lead to a nasal septum perforation. Hence, the specific complications vary from individual to individual. After surgery, it is necessary to have regular check-ups at the otolaryngology department, where procedures like nasal endoscopy and routine blood tests can help in assessing the condition. In the event of complications, timely and targeted treatment should be administered to mitigate the severity of these complications and improve the patient's quality of life.
Does otolithiasis require hospitalization?
Most patients with vestibular neuritis do not need hospitalization. Only in cases where the condition is particularly severe and has significantly impacted normal life, is hospitalization considered. The symptoms of vestibular neuritis are generally short-lived, with most patients experiencing transient vertigo related to changes in body position. When the body position is stabilized, the vertigo symptoms quickly alleviate. Therefore, outpatient treatment is generally considered, where a repositioning test can be conducted during the outpatient visit to identify the specific affected semicircular canal. Once identified, targeted manual repositioning treatment can be administered, with regular follow-ups needed to monitor the treatment effects.
Can people with vocal cord polyps eat spicy food?
Vocal cord polyps are a relatively common otolaryngological condition. It is advised to avoid spicy foods in the diet. This type of food tends to irritate the vocal cords significantly, potentially causing congestion and edema in the vocal cords, and aggravating the condition of the vocal cord polyps. Moreover, it may also lead to further worsening of hoarseness. Some patients may even develop acute pharyngitis, which can cause throat pain, breathing difficulties, and possibly even fever. After the onset of vocal cord polyps, it is necessary for patients to visit an otolaryngology department, undergo a laryngoscopy to assess the condition, and consider medical conservative treatment or surgical removal depending on the case.
Can nasal polyps heal by themselves?
Nasal polyps can potentially heal on their own, but overall, this possibility is relatively small. Once nasal polyps form, they often progressively increase in number and spread in size. Generally, after the onset of the condition, it is necessary to take targeted treatment measures as soon as possible. If the affected area is relatively mild and the clinical symptoms are not particularly severe, conservative treatment methods may be considered initially. These usually involve the use of nasal sprays and oral medications, along with nasal irrigation. Most patients can still achieve effective control with these methods. If the area is already quite extensive and the response to medication is poor, then surgery may need to be considered. (The use of medications should be carried out under the guidance of a doctor.)
Symptoms of sinusitis recovery
Sinusitis is a relatively common otolaryngological disease. If sinusitis is cured after treatment, clinically it means that the symptoms have subsided; there is no nasal congestion, no purulent nasal discharge, normal sense of smell, and no headache, dizziness, or blood in the nasal discharge. However, individual differences in treatment outcomes do exist. During the treatment process, regular follow-up visits are necessary to observe the recovery status of the condition. Additionally, combining nasal endoscopy, routine blood tests, and sinus CT scans with the doctor's clinical experience can help determine whether the sinusitis has healed. However, some patients may experience a recurrence of symptoms after treatment.
Check which items for pharyngitis
Pharyngitis is a relatively common otolaryngological disease, requiring a visit to the otolaryngology department, where routine blood tests and an indirect laryngoscopy can initially assess the severity of the condition. However, some patients may have more complex conditions and may need additional examinations such as a fiberoptic laryngoscopy or an electronic laryngoscopy. Through these examinations, the changes in the throat can be more accurately diagnosed, which then allows for targeted treatment. Most patients can opt for oral medication, combined with nebulization therapy. During the treatment process, regular follow-ups are necessary to monitor the recovery process, and a bland diet is advised, avoiding spicy and stimulating foods.
Are nasal polyps serious?
Nasal polyps are a relatively common otolaryngologic disease, and for the most part, most patients are not too serious; only a small number of patients have more severe nasal polyps with more obvious symptoms. In terms of treatment, if the nasal polyps are few and the clinical symptoms are not particularly pronounced, conservative medical treatment can be considered. Commonly used are corticosteroid nasal sprays, and physiological saline can be used to rinse the nasal cavity to help improve clinical symptoms; if there are many nasal polyps and the clinical symptoms are very pronounced, and standard medication treatment is ineffective, surgery may be considered. A common procedure is endoscopic nasal polyp removal. (Medication should be used under the guidance of a doctor according to specific circumstances.)
Do nasal polyps need treatment?
Most nasal polyps need to be considered for treatment. If the nasal polyps are particularly small, limited in scope, and without obvious clinical symptoms, it can be reasonable to initially opt for observation. This mainly involves monitoring whether the polyps grow or multiply over time and whether symptoms worsen progressively. If the condition remains particularly stable without significant changes, periodic reviews can be considered. However, if there are many polyps accompanied by corresponding clinical symptoms such as nasal congestion, runny nose, reduced sense of smell, headache, or dizziness, it is generally necessary to consider timely treatment. Currently, the treatment options mainly include conservative treatment or surgery. Overall, these are relatively common conditions that can usually be effectively controlled and improved with standardized treatment.
Chronic Pharyngitis Formation Mechanism
Chronic pharyngitis is a relatively common otolaryngological disease, caused by many factors. It might be due to an untreated cold or acute pharyngitis. It can also be caused by long-term exposure to external irritants, improper diet, frequent consumption of spicy and stimulating food, or mucosal lesions in the throat area. For treatment, it is first advised to conduct a laryngoscopy to evaluate the specific condition of the pharyngitis. Generally, oral traditional Chinese medicine is considered, and it is recommended to combine this with nebulizer treatment. The treatment period is usually about one to two weeks. After medication treatment, regular follow-ups are necessary to observe the treatment effects. (Specific medications should be used under the guidance of a doctor.)