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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
Is minimally invasive surgery for enlarged turbinates painful?
Enlarged turbinates are a relatively common clinical manifestation. There are many causes of enlarged turbinates, with the most common being rhinitis, sinusitis, and physiological hypertrophy. In terms of treatment, most patients may consider conservative drug treatment. If the effects of conservative drug treatment are not satisfactory, surgery may be considered. Currently, minimally invasive surgery, such as partial turbinectomy or ablation under nasal endoscopy, is mainly considered. Generally, there will be some pain during the surgery, but the pain is usually not particularly severe and can typically be managed with local anesthesia. Post-surgery, there may be some pain, but most patients can tolerate it. If the pain is particularly severe, oral pain medications can be considered.
Can otolithiasis heal itself?
Otolithiasis is a relatively common otolaryngological disease, clinically referred to as benign paroxysmal positional vertigo. This condition is mainly caused by lesions in the inner ear, vestibule, or semicircular canals. Some patients may recover on their own, but regular follow-ups are needed during the recovery period to monitor changes in the condition. If clinical symptoms are severe and recur frequently, it is recommended to actively seek timely treatment. Currently, manual repositioning therapy is commonly used. However, if manual repositioning therapy is not effective for some patients, mechanical chair repositioning may be an option. Additionally, some patients may need to combine treatment with medications. However, a very small number of patients who do not respond to conservative treatment may need to consider surgery.
What should be paid attention to with sinusitis?
The precautions for sinusitis mainly include the following aspects: First, it is important to determine the degree and type of sinusitis. Currently, sinusitis is primarily classified into two main types: fungal sinusitis and bacterial sinusitis. It is recommended to assess the severity of the inflammation. For mild inflammation, conservative treatment is generally considered. For severe inflammation or fungal sinusitis, surgery may be necessary. Second, it is important to take precautions in daily life to avoid exacerbating sinusitis, especially by avoiding colds and opting for a lighter diet. Third, monitor the recovery of sinusitis in daily life and check for any possible complications. Therefore, it is necessary to visit an otolaryngology (ENT) clinic regularly for follow-up.
How to treat allergic rhinitis?
The treatment of allergic rhinitis is currently mainly divided into three categories: The first category is pharmacotherapy, the second is desensitization therapy, and the third is surgical treatment. Pharmacotherapy generally focuses on nasal sprays and oral medications, which are targeted anti-allergy treatments. This method primarily controls and stabilizes the symptoms but is unlikely to provide a cure. Desensitization therapy is mainly suitable for patients who are solely allergic to mites. Some patients may achieve a cure after undergoing desensitization therapy. Surgical treatment can also be considered, but it is not the first choice. It is mainly used for patients who do not respond well to conservative medication and have particularly severe symptoms. In such cases, surgery might be considered because, whether through pharmacotherapy or surgical treatment, most patients aim primarily to control the disease rather than achieving a cure. (Please use medication under the guidance of a doctor)
Can ear piercing caused keloids be cured?
After getting ear piercings, some patients may develop keloids, which could be related to individual body reactions. Some cases are due to a person's scar constitution. First, the size of the keloid should be examined. If the keloid is small and does not show obvious growth, it is generally considered appropriate to observe and regularly re-examine the growth. However, if the keloid is large and gradually increasing in size, surgical removal should be considered. After surgery, superficial radiotherapy is recommended to help prevent recurrence. However, it is typically necessary to have regular follow-ups post-surgery, as some patients are prone to recurrence.
Can rhinitis be cured completely?
There are many types of rhinitis, but in general, it is difficult to cure completely. Most cases of rhinitis focus on controlling and alleviating the condition. Common types of rhinitis include chronic rhinitis, hypertrophic rhinitis, allergic rhinitis, atrophic rhinitis, and dry rhinitis. Generally, the treatment for these types of rhinitis primarily involves medication, with nasal sprays and oral medications being more commonly used. In daily life, using physiological saline to clean the nasal cavity can be considered, but the main focus is on controlling and alleviating the condition. From the existing methods, it is still difficult to achieve a complete cure, and there may be some recurrence. However, overall, the illness of rhinitis itself does not pose a significant danger to overall health; therefore, through conservative treatment, the condition can generally be stabilized and controlled well.
Does otolithiasis cause tinnitus?
Benign paroxysmal positional vertigo (BPPV) is a relatively common otolaryngological condition characterized by vertigo that does not involve tinnitus and is associated with changes in body position. The duration of the vertigo is typically very short, usually around 10 seconds, and the symptoms disappear once the head or body position is stabilized. There are no accompanying symptoms such as tinnitus or hearing loss. In terms of treatment, the first choice is usually manual repositioning, which is effective for most patients. If manual repositioning does not yield satisfactory results, treatment may involve using a rotary chair in conjunction with medication. If these methods are ineffective, surgical treatment might be considered.
Is mumps contagious?
Mumps may be contagious as it is often caused by infection with the mumps virus. Initially, the virus can spread through daily activities, especially through close contact, infecting others. This rate of contagion and incidence is relatively higher among children and adolescents. In terms of treatment, it is advised to undergo a parotid gland ultrasound and a routine blood test. If it is determined to be an acute bacterial infection, antibiotics should be considered. If it is a viral infection causing inflammation, antiviral medications should be considered. Additionally, topical ointments including traditional Chinese medicine or herbal remedies may be applied externally to reduce swelling, kill bacteria, and disinfect. (Please use medications under the guidance of a professional physician and do not self-medicate.)
How to identify allergens in allergic rhinitis
Allergic rhinitis is a relatively common otolaryngological disease. The main cause is the body's immune response triggered by contact with allergens, leading to an imbalance in the immune status and causing a series of clinical symptoms. Therefore, in terms of treatment, it is first necessary to identify the specific types of allergens. Currently, there are two methods for allergen testing. The first method is ex vivo allergen screening, which involves blood tests. The second method is the skin prick test to identify specific allergens. Both methods are commonly used at present, and generally, choosing one of them is sufficient. However, a subset of patients may need a combination of both tests for a comprehensive assessment.
How to completely cure chronic pharyngitis?
Chronic pharyngitis currently cannot be completely cured. Generally, the approach is to control symptoms, alleviate the condition, and improve clinical manifestations. With the existing medical methods, whether it is Chinese medicine or Western medicine, the focus is on control, as current measures cannot achieve a complete cure. Chronic pharyngitis is primarily caused by chronic inflammation in the throat area. This disease is a relatively common chronic illness, and the nature of the disease determines its recurrent nature, which may also be accompanied by fluctuations in clinical symptoms. Overall, the treatment mainly involves oral medications, supplemented by nebulization. Lifestyle and dietary adjustments are also necessary. It is a common disease and does not pose a significant risk to overall health. Regular follow-up with laryngoscope examinations generally allows for control and stabilization of the condition.