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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
Does voice rest have an effect on vocal cord polyps?
Vocal cord polyps are a relatively common ENT disease. Resting the voice can benefit symptoms of hoarseness. However, the effectiveness of treatment can vary individually. If the polyps are large, resting alone may not be completely effective, and in such cases, oral medications and nebulization treatments should be combined. During treatment, regular check-ups to observe the effects are necessary. However, some patients may not achieve satisfactory results with conservative treatment and might need to consider surgical removal. Currently, minimally invasive surgery is commonly used, and after the surgery, symptoms of hoarseness in most patients will significantly improve, but there may be a risk of recurrence. (Please use medication under the guidance of a professional physician.)
What should I do if I have a vocal cord polyp with a cold?
Patients with vocal cord polyps who catch a cold may experience worsening of their condition, which could lead to further hoarseness, as well as possible nasal congestion, runny nose, sore throat, coughing, and phlegm. Therefore, it is necessary to visit an otolaryngologist after the onset of symptoms. Tests such as a complete blood count and laryngoscopy can be performed. Generally, oral medication combined with nebulization treatment can be considered, and regular follow-up examinations are needed to monitor the treatment effects. Most patients will gradually improve with timely medication treatment, but recurring episodes are possible. (Specific medications should be taken under the guidance of a physician.)
Do vocal cord nodules require surgery?
Vocal cord nodules generally do not require surgery, and most patients consider conservative treatment. Conservative treatment is mainly divided into two aspects. The first is voice training, which involves standardized voice training under the guidance of a professional voice doctor. This treatment method is non-invasive, and the overall effect is generally good. The second is pharmacological treatment, which currently mainly involves oral traditional Chinese medicine, and may also consider combining with nebulized drugs for comprehensive treatment. Most patients can achieve effective control and relief. If conservative treatment is not effective and symptoms like hoarseness are particularly pronounced, surgery might be considered, and regular follow-ups are needed after surgery to avoid overuse of the voice.
Precautions for sleeping posture with otolithiasis
Benign positional vertigo is a relatively common ENT disease. It is advised not to sleep on the affected side, as this may trigger an acute episode of the condition, leading to temporary dizziness, nausea, and vomiting. Some patients may also experience palpitations, increased blood pressure, and accelerated heart rate. Most patients need to visit an ENT department after the onset, where a repositioning test can be conducted to identify the specific location of the lesion in the semicircular canals. Once identified, targeted manual repositioning treatment can be administered. After this treatment, the condition generally improves gradually.
What are the symptoms of a pharyngitis attack?
During the onset of pharyngitis, related clinical symptoms may appear, the more common ones being sore throat, foreign body sensation in the throat, and itching. Some patients may experience coughing and expectoration; in more severe cases, it may lead to suppuration and fever. The specific symptoms vary individually. Upon noticing these clinical symptoms, it is necessary to promptly visit an otolaryngology department. Routine blood tests and laryngoscopic examinations can be performed to assess the severity of the condition. Generally, oral medication combined with nebulization therapy can be considered, and only a small number of patients with severe conditions need to consider infusion therapy. (Please take medication under the guidance of a professional physician.)
Do you need to be hospitalized for nasal polyp surgery?
Nasal polyps are a relatively common ENT (Ear, Nose, and Throat) disease. For treatment, some patients need to consider surgery. If surgery is planned, hospitalization is required. After hospitalization, thorough pre-surgical preparations are needed, such as routine blood tests, coagulation functions, and biochemical examinations, as well as sinus CT and nasopharyngoscopy to assess the severity of the nasal polyps. Post-surgery observation is also necessary. Generally, it is required to observe for 2 to 3 days to monitor the recovery after surgery. Discharge from the hospital is only possible if specific discharge criteria are met. After discharge, patients need to return to the hospital for regular follow-ups to observe the outcomes.
Does throat cancer spread?
Laryngeal cancer is a relatively common type of head and neck malignancy, which may spread or metastasize. Generally, early-stage laryngeal cancer is less likely to spread, primarily occurring in the middle to late stages. Commonly, there is metastasis to the cervical lymph nodes, and some patients may also experience metastasis to other parts such as the lungs, liver, or bones, with individual variations in the specific metastasis patterns. Patients with laryngeal cancer need to seek prompt medical consultation in an otolaryngology department and undergo relevant diagnostic tests to assess the severity of the condition. If metastasis or spread has already occurred, treatment can be very challenging, and many patients do not achieve ideal therapeutic outcomes.
Does chronic pharyngitis cause a fever?
Chronic pharyngitis generally does not cause fever. The symptoms of chronic pharyngitis are various, with the most common being sore throat, a sensation of a foreign body in the throat, and burning sensation. Some patients might also experience nausea and vomiting. However, it generally does not cause fever. If it is an acute episode of chronic pharyngitis, it could possibly be due to an acute bacterial infection or inflammation, which might lead to fever. Some patients might even exhibit high fever, and it is necessary to consider timely medical treatment. At the same time, physical cooling can be used in conjunction with medication. Generally, through standard medical treatment, conditions can gradually recover and relieve. (Please administer medication under the guidance of a professional physician and do not self-medicate blindly.)
Do nasal polyps have to be operated on?
Nasal polyps are a relatively common otolaryngological disease, and treatment does not necessarily require surgery. Currently, there are mainly two treatment plans considered: the first is medication treatment, and the second is surgical treatment. If the nasal polyps are few and the clinical symptoms are not particularly severe, the first consideration would be conservative medication treatment. Commonly used are corticosteroid nasal sprays, along with saline nasal rinses. Treatment is effective for most patients, but regular follow-ups are needed to monitor the recovery. If there are many nasal polyps and standardized medication treatment is ineffective, surgical treatment needs to be considered. Currently, the commonly used method is endoscopic nasal polyp removal surgery, which is a minimally invasive surgery with generally good results. (Medication use should be under the guidance of a doctor.)
How to prevent and pay attention to otolithiasis
Otolithiasis is a relatively common clinical disease, and prevention mainly focuses on the following aspects. First, it is suggested to avoid vigorous exercise and to prevent the head from being subjected to severe impacts or stimulations, as these factors may cause otolithiasis. Second, it is advisable not to stay up late, excessively use mobile phones or computers, or overwork, as these factors might also lead to otolithiasis. Third, if there is a history of otolithiasis, it is recommended to regularly visit an otolaryngologist for follow-up to check the recovery status. If there is a recurrence of the condition, timely manual repositioning treatment is necessary.