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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
How is anesthesia administered for nasal polyps?
Nasal polyps are a relatively common ENT disorder, and if there are numerous polyps with clear clinical symptoms and conservative drug treatment is ineffective, surgery should be considered. Currently, the primary procedure is endoscopic nasal polyp removal, which is a commonly used minimally invasive surgery. Generally, the level of pain experienced by patients is not particularly significant. Therefore, in terms of anesthesia, it may be suitable to consider either general anesthesia or local anesthesia. If the nasal polyps are not particularly severe and the patient has a good tolerance, local anesthesia can be considered. However, if the condition is more severe and symptoms are clearly pronounced, it is generally advised that general anesthesia might be a better option.
Can erythromycin be used for nasal polyps?
Nasal polyps are a relatively common otolaryngological (ENT) disease. In terms of medication, if it's just simple nasal polyps, it is not advisable to use erythromycin. This is because erythromycin is a common type of antibiotic, primarily used for treating bacterial infections. However, if the nasal polyps are accompanied by sinusitis, then the use of erythromycin could be considered. For patients with nasal polyps, it is necessary to visit an ENT specialist after the onset of the condition. By conducting examinations such as nasal endoscopy, sinus CT scans, and routine blood tests, the severity of the condition can be assessed, thereby facilitating targeted treatment. During the treatment process, regular follow-ups are needed to observe the specific effects of the treatment.
What are the symptoms of vocal cord polyps?
Vocal cord polyps are a relatively common ENT disorder. Small vocal cord polyps may not show obvious clinical symptoms and are often discovered only during a physical examination or laryngoscopy. However, larger vocal cord polyps can cause noticeable clinical symptoms, most commonly hoarseness. The hoarseness can be recurrent or persistent and may worsen with excessive use of the voice. Some patients may also experience a foreign body sensation in the throat or throat pain, which is primarily considered to be caused by vocal cord polyps accompanied by chronic pharyngitis. A laryngoscopy can provide a definitive diagnosis.
Do nasal polyps need surgery?
Some nasal polyps require surgery, mainly due to the extensive area they cover. For instance, if the nasal polyps have invaded the nasal cavity, middle nasal meatus, and lower nasal meatus, they can cause corresponding clinical symptoms. These symptoms include repeated nasal congestion, thick nasal discharge, reduced sense of smell, headache, dizziness, snoring during sleep, and mouth breathing. When there are many nasal polyps, conservative treatment usually does not yield particularly good results, therefore, surgical removal must be considered. Currently, the main surgical approach is minimally invasive endoscopic nasal polyp removal. Generally, this type of surgery causes minimal harm, has a quicker recovery time, and the overall outcomes are quite clear.
What fruits to eat for suppurative tonsillitis
Purulent tonsillitis is a relatively common otolaryngological disease, mainly caused by acute bacterial infection. Common fruits such as bananas, grapes, kiwis, and dragon fruits can be eaten because these fruits contain rich vitamins and have no irritant effects, thus they will not aggravate the condition of tonsillitis or affect the specific treatment outcome. After medication and dietary adjustment, the condition generally gradually eases. The treatment period is about a week. During the treatment, it is necessary to revisit regularly to observe the recovery situation.
Is nasal polyp surgery under general anesthesia dangerous?
Nasal polyps are currently primarily treated by two methods: medication and surgery. If there are many polyps, surgery is usually considered necessary. There are two types of anesthesia used in surgery: local anesthesia and general anesthesia. Generally speaking, general anesthesia, administered through endotracheal intubation or a laryngeal mask, is relatively safe and does not significantly affect the surgery or the patient themselves. However, there are certain risks involved, such as anesthesia accidents or slow metabolism of anesthetic drugs, which could trigger other or existing underlying diseases, further increasing the risk. Additionally, there could be damage to the nasal cavity or structures around the nose, such as periorbital ecchymosis, nasal bleeding, severe bleeding leading to shock, and some might experience changes in vision or visual field, or effects on the olfactory nerves.
Are nasal polyps serious?
Overall, it is generally not very severe. Most patients with nasal polyps have localized conditions, which may be accompanied by clinical symptoms such as nasal congestion, runny nose, reduced sense of smell, headaches, and dizziness. Initially, a nasopharyngoscopy is required to determine the specific range of the polyps and clarify if there are any other pathologic conditions. If the diseased area is extensive, further nasal sinus CT scans may be needed to determine if there are any abnormalities in the sinuses. In terms of treatment, conservative treatment is recommended for patients with small polyps and non-significant symptoms. However, if the polyps are numerous and there are notable clinical symptoms, surgical removal should be considered. After surgery, regular follow-ups are necessary to monitor the recovery situation.
How to completely cure chronic pharyngitis and rhinitis?
Chronic pharyngitis and chronic rhinitis are both relatively common otolaryngological diseases. In terms of treatment, the use of oral medications and nasal sprays is common. Some patients can also use saline solution to rinse the nasal cavity, but currently, there is no particularly effective way to completely cure these conditions. The main treatment strategy is to control the condition and alleviate symptoms, reducing the likelihood of acute outbreaks, but they cannot be completely cured and may recur. However, overall, chronic pharyngitis and rhinitis do not pose a significant threat to overall health or life safety.
Common symptoms of sinusitis
The symptoms of sinusitis can vary widely, primarily related to the extent of the inflammation and the patient's own immune resistance. It is possible to have no obvious clinical manifestations, mainly in those with good resistance and very mild inflammation. The patient may not experience any significant symptoms, and sinusitis might only be discovered through a sinus CT or a head CT. If the inflammatory response is more noticeable, symptoms may include nasal congestion, purulent nasal discharge, headache, dizziness, and a reduction or loss of smell. Some patients might also experience numbness and a feeling of pressure in the face. Diagnosis typically involves a sinus CT or nasopharyngeal examination, as well as direct visual observation of the nasal cavity and an overall assessment of the patient's condition, followed by targeted treatment.
Do nasal polyps always require surgery?
Nasal polyps are a relatively common ENT (Ear, Nose, and Throat) disease, with various clinical symptoms such as nasal congestion, runny nose, and reduced sense of smell. Regarding treatment, surgery is not always necessary. Nasopharyngoscopy and sinus CT scans may be required to assess the specific extent and severity of the condition. If the nasal polyps are limited and the clinical symptoms are mild, conservative treatment with medication is recommended rather than surgical treatment. However, if there are multiple polyps and severe clinical symptoms, and the results from standardized conservative treatment with medication are not satisfactory, then surgical treatment should be considered.