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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 acupuncture be used for a deviated nasal septum?
Nasal septum deviation is a relatively common ENT disorder. It is not recommended to treat it with acupuncture, as it is difficult to correct the deviated septum through acupuncture. If the deviation of the nasal septum is mild and there are no related clinical symptoms, there is no need for treatment. If the nasal septum deviation is severe and accompanied by related clinical manifestations such as nasal congestion, headache, and nasal bleeding, it may be necessary to consider performing a nasal endoscopy for septum deviation correction surgery. Generally speaking, the surgical outcome is quite good, but it still requires regular postoperative follow-up to observe the recovery.
Is a tracheotomy necessary for laryngeal cancer?
Most patients with laryngeal cancer need to undergo a tracheotomy. Only a small number of early-stage laryngeal cancer cases might consider temporarily avoiding a tracheotomy. If it's an early-stage vocal cord or glottic laryngeal cancer, especially in T1 cases, many might consider minimally invasive surgery under endoscopic support, which typically involves using a laser for surgical removal. After such procedures, the glottis is relatively wider, which reduces the likelihood of breathing difficulties or asphyxiation, and in these cases, a tracheotomy might temporarily not be necessary. If the lesion is extensive, categorized as middle to late-stage, or if there is a need for laryngotomy, all these situations require a tracheotomy to ensure effective breathing and prevent airway obstruction. Severe cases could lead to asphyxiation or even be life-threatening.
Chronic pharyngitis?
Chronic pharyngitis is a relatively common otolaryngology disease with many clinical symptoms. The most common symptoms are a sensation of a foreign body in the throat, throat pain, and possibly accompanied by swallowing obstruction and difficulty breathing. A laryngoscopy can be conducted to assess the extent of the inflammation. Most patients can consider oral medication, primarily traditional Chinese medicine, combined with nebulization. In terms of diet, it is recommended to eat lightly and avoid spicy and irritating foods, smoking, and drinking alcohol. Furthermore, regular follow-ups are necessary to observe changes in the condition. Currently, it is still difficult to completely cure, and the main focus is on controlling and alleviating symptoms. (The use of medication should be under the guidance of a professional doctor.)
Can nasal polyps be eradicated by medication?
Nasal polyps are a relatively common type of nasal disease. In terms of treatment, some patients can opt for medication, commonly using corticosteroid nasal sprays. After medical treatment, nasal polyps may gradually recede in some patients, but for others, the treatment might not be effective, especially in severe cases accompanied by symptoms such as nasal congestion, reduced sense of smell, headache, and dizziness. In such cases, surgical removal may be considered. Currently, the common procedure is endoscopic nasal polyp surgery, which is a minimally invasive surgery with generally good outcomes and minimal damage. (Please use medications under the guidance of a doctor to avoid misuse.)
Nasopharyngeal cancer examination items
Nasopharyngeal carcinoma is a relatively common type of malignant tumor in the head and neck area, with many examination procedures commonly used. Clinically, nasopharyngoscopy, magnetic resonance imaging (MRI), and pathological biopsy are frequently utilized. Nasopharyngoscopy and MRI of the nasopharyngeal area help determine the specific range of the lesion, which is useful for clinical staging and typing. However, the gold standard for diagnosing nasopharyngeal carcinoma still requires a pathological biopsy. During a nasopharyngoscopy, a sample of soft tissue can be taken for pathological analysis, which allows for a clear diagnosis as well as pathological staging and typing, aiding in subsequent treatment.
What impact do nasal polyps have on the throat?
Nasal polyps are a relatively common otolaryngological disease. If there are few nasal polyps, they generally do not directly affect the throat. However, if there are many nasal polyps, they can cause nasal congestion, open-mouth breathing, and the backflow of nasal mucus. These factors can irritate the throat, leading to pharyngitis or tonsillitis, which may cause symptoms like a sore and itchy throat and coughing, and may also cause recurrent tonsil inflammation. Therefore, in such cases, it is advisable to visit an otolaryngology clinic for a nasopharyngoscopy to assess the severity of the condition before proceeding with targeted treatment.
How to distinguish between throat cancer and pharyngitis.
Laryngeal cancer and pharyngitis are fundamentally different. First, there is the specific nature of the lesions: laryngeal cancer is a type of malignant tumor in the pharyngeal and laryngeal areas, posing significant health risks; whereas pharyngitis is a common clinical symptom in the pharyngeal and laryngeal areas, mainly caused by inflammatory reactions, and may involve sensations of a foreign body in the throat, pain, and burning, but overall, it poses less risk to health. Additionally, the specific sites of disease onset differ. The lesions in laryngeal cancer primarily occur in the vocal cord area, with some in the supraglottic or subglottic areas, where new growths might be found, which can be identified through pathological biopsy. In contrast, pharyngitis primarily involves chronic congestion and inflammatory reactions of the mucous membranes in the pharyngeal area, with no direct new growth, which can be directly diagnosed and differentiated through pathological biopsy.
Does nasal turbinate hypertrophy cause nosebleeds?
Symptoms of hypertrophic turbinates are numerous, but generally do not cause nosebleeds. Common symptoms include nasal congestion, runny nose, reduced sense of smell, headache, and dizziness. It is necessary to seek treatment from an otolaryngologist after onset of these symptoms. Nasal endoscopy, sinus CT scans, and routine blood tests can help clarify the extent of the condition. In terms of medication, oral medications and nasal sprays are commonly used, and irrigating the nasal cavity with saline solution can also be beneficial. However, some patients with severe conditions may not respond well to conservative treatment and might need to consider surgery. After surgery, regular follow-ups are needed to monitor recovery.
Initial symptoms of turbinate hypertrophy
The initial symptoms of turbinate hypertrophy are quite numerous, the most common being nasal congestion and a runny nose. There may also be headaches, dizziness, decreased sense of smell, and snoring during sleep. The specific symptoms can vary greatly between individuals. After the onset of symptoms, it is necessary to visit an otolaryngology (ENT) specialist. Tests such as nasal endoscopy and sinus CT scans can help assess the severity of the condition. Most patients may consider conservative medical treatment, commonly using nasal spray medications and oral medications. However, a small number of patients may not respond well to conservative drug treatments and might need to consider surgical treatment, which requires regular follow-ups to monitor the effectiveness of the surgery. (Please follow medical advice when using medications.)
Will nasal polyps recur after surgery?
Nasal polyps are a relatively common otolaryngologic condition. In terms of treatment, some patients may consider conservative medication, while others may need to consider surgical treatment. Both medical and surgical treatments can potentially recur. Therefore, after nasal polyp surgery, long-term regular follow-ups are necessary. Generally, it is recommended to have a follow-up once a week, and if the condition recovers well, the follow-up interval can be extended to about once a month. During the follow-up, a nasopharyngoscopy can be performed to check the specific recovery status. Additionally, many patients may need to use corticosteroid nasal sprays. Also, rinsing the nasal cavity with saline is recommended. Generally, with standardized follow-ups and treatment, the chances of recurrence are relatively small. (Please use medication under the guidance of a professional physician, and do not self-medicate.)