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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 nasal turbinates hypertrophy be treated with surgery?
Hypertrophy of the nasal turbinates is a relatively common otolaryngological disease. In terms of treatment, some patients may consider surgical treatment, but most patients should first consider pharmacotherapy. Common treatments include nasal sprays and oral medications, as well as rinsing the nasal cavity with saline solution. Many patients can gradually recover and find relief after standardized pharmacological treatment. However, for cases where the hypertrophy of the nasal turbinates is particularly severe and pharmacological treatment is ineffective, surgical treatment may be necessary. Nonetheless, whether through pharmacotherapy or surgery, it is difficult to achieve a complete cure at present, and recurrence is common. (Medication should be used under the guidance of a professional doctor.)
Will nasal polyps grow back after they are removed?
Nasal polyps are a relatively common ENT disorder, requiring surgical removal if they are numerous. Even after surgery, there is a possibility of recurrence, so regular follow-up is advised post-surgery. Initially, follow-ups should be conducted weekly, and if recovery is satisfactory, the interval can be extended to once every one to three months. If signs of recurrence of nasal polyps are observed, timely medical treatment should be administered. In cases where the recurrence is severe and the polyps are numerous, another surgery might be necessary. Generally, nasal polyps that recur multiple times are comparatively more difficult to completely cure.
What medicine should I take for vocal cord polyps?
Some patients with vocal cord polyps can consider medication treatment, mainly aimed at smaller polyps with limited lesion scope and not particularly obvious clinical symptoms. In such cases, medication treatment can be considered, generally focusing on oral and nebulized medications. It is also necessary to avoid excessive voice use and to frequently revisit the laryngoscope to monitor the changes in the vocal cord polyps, typically revisiting every 1-3 months. If the polyps are larger and have caused obvious hoarseness or severely affected breathing, conservative medical treatment is likely to be ineffective, and it may be necessary to consider undergoing a microlaryngoscopic surgery to remove the vocal cord polyps. Regular follow-ups are still required after the surgery to observe the recovery. (Medications should be used under the guidance of a doctor, based on the specific situation.)
Symptoms of Meniere's disease during the remission period
Meniere's disease is a relatively common inner ear disorder. If it is in the remission phase, there are likely no clinical symptoms because Meniere's disease may cause related clinical symptoms only during an acute episode, such as tinnitus, hearing loss, and a feeling of fullness in the ears. However, specific symptoms can vary greatly from person to person. Therefore, after the onset, it is necessary to visit an otolaryngologist as soon as possible. Audiology testing, otoscopic examination, and head MRI can be conducted to determine the specific cause and extent of the condition, and then targeted treatment can be administered. Generally, during the remission period, medication may not be required, but it is important to ensure rest, improve sleep, and avoid emotional distress.
What should I do about vocal cord polyps and nodules?
Vocal cord polyps and nodules are relatively common ENT diseases. After the onset, it is necessary to visit an ENT clinic for a laryngoscopy to assess the severity of the condition. If the condition is mild, conservative treatment with medications can be considered first, commonly including nebulization and oral traditional Chinese medicine, along with voice rehabilitation training. Many patients see gradual improvement after timely treatment. However, if the original condition is severe, the symptoms of hoarseness are pronounced, and conservative treatment does not yield satisfactory results, surgical removal may need to be considered, followed by monitoring for any recurrence.
How to conservatively treat vocal cord polyps?
Vocal cord polyps are a relatively common ENT disorder. In terms of treatment, there are generally two types: conservative treatment and surgical treatment. If the vocal cord polyps are small and the clinical symptoms are not particularly severe, conservative treatment is considered first. Common treatments include oral medication, which can be complemented with nebulization therapy. Most patients can gradually alleviate symptoms with medication. Additionally, voice training can be conducted to learn the correct and reasonable use of the voice. In daily life, it is necessary to avoid overuse of the voice as much as possible and to regularly re-examine the laryngoscopic observations to monitor any changes in the vocal cord polyps.
Does acute pharyngitis require nebulization?
Acute pharyngitis is caused by acute bacterial or viral infection leading to inflammation. For treatment, nebulization can be used, which helps to alleviate congestion and edema of the pharyngeal mucous membrane, improve clinical symptoms, and control inflammatory responses. However, if the condition is severe, using only nebulization may not be effective, and oral medication needs to be combined. If it is caused by acute bacterial infection, antibiotics can be considered; if it is due to viral infection, antiviral medication can be chosen for treatment. During the treatment process, regular follow-ups are necessary to monitor the recovery of the condition. (Please use medication under the guidance of a doctor)
Can acute pharyngitis heal itself?
Acute pharyngitis is a relatively common otorhinolaryngological disease, and the degree of inflammatory response and clinical symptoms vary greatly among individuals. If the inflammatory reaction is mild and the clinical symptoms are not particularly obvious, and the individual has good resistance, this condition might resolve on its own. However, if the clinical symptoms are severe and the inflammatory reaction is significant, this situation requires consideration of drug treatment. Common treatments include antibiotics and traditional Chinese medicines, often used in conjunction with nebulization. The treatment period is generally about a week. After medication treatment, it is necessary to regularly re-examine with a laryngoscope and perform routine blood tests to observe the specific recovery of the condition. Overall, most patients have good treatment outcomes. (Medication treatment should be carried out under the guidance of a professional doctor.)
What should I do if I have acute pharyngitis and a fever?
Acute pharyngitis causing fever is relatively common. Acute pharyngitis is mainly due to an inflammatory reaction caused by acute bacterial infection. There are many clinical symptoms, with the most common being sore throat, foreign body sensation in the throat, and fever. In terms of treatment, the first step is to perform a routine blood test to determine the extent of the inflammatory reaction. Generally, oral antibiotics are the main form of treatment for infection. Some patients may also choose to take traditional Chinese medicine orally, combined with nebulization, as a supportive treatment. The treatment period is generally about a week. After medication, regular follow-ups are necessary to monitor the recovery of the condition.
Can you smoke with sinusitis?
Patients with sinusitis are advised not to smoke, as cigarettes have a relatively strong irritation and may affect the treatment of sinusitis, as well as increase the degree of inflammatory response. Some patients may also suffer from acute upper respiratory tract infections. Therefore, patients with sinusitis should visit an ENT specialist as soon as they experience symptoms, undergo a nasal endoscopy and sinus CT scan to assess the severity of the condition. Most patients can consider conservative treatment. Common treatments include nasal spray medications, oral medications, and rinsing the nasal cavity with saline. Regular follow-ups during the treatment process are needed to observe the treatment effects.