

Li Rui

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 a deviated nasal septum be treated without surgery?
A deviated nasal septum does not necessarily require surgery. The treatment for a deviated nasal septum mainly depends on the severity of the deviation and clinical symptoms. If it's just a minor deviation without obvious clinical manifestations, most patients don't need specific treatment. Generally, they can just be rechecked in the near future to observe any changes. However, if the deviation is significant and accompanied by clinical symptoms, such as nasal congestion, nosebleeds, runny nose, headaches, or dizziness, surgery might need to be considered. Currently, the surgery can be conducted under endoscopy as a nasal septum deviation correction surgery or as a nasal septoplasty. Overall, the surgery is not very traumatic, and generally, the results are quite definitive. Typically, the recovery period is about two weeks.

What is the fastest treatment for acute pharyngitis?
The treatment of acute pharyngitis mainly involves medication. First, the degree of the inflammatory response should be assessed. It is recommended to visit an otolaryngology specialist and perform an indirect laryngoscopy, as well as routine blood tests and inflammatory response protein tests, as these examinations can preliminarily determine the extent of inflammation. In terms of treatment, acute pharyngitis is generally caused by bacterial infection; oral antibiotics are usually the first choice for anti-infection treatment. Additionally, nebulization and traditional Chinese medicine can be considered for supplementary treatment. It is also necessary to follow a light diet, and avoid smoking and drinking alcohol. With medication treatment, a re-evaluation is typically done after about three days to observe the recovery situation. The overall treatment period is approximately one week, but if the inflammatory response is particularly severe, it may be necessary to extend the treatment duration. (Note: Medication should be used under the guidance of a doctor.)

Can a deviated nasal septum be cured?
A deviated nasal septum can be cured. Firstly, a deviated nasal septum generally arises congenitally or from trauma, leading to the deviation. Most patients have cartilage deviation, and a small portion have bony deviation. In terms of treatment, firstly it is necessary to evaluate the degree of deviation and the clinical symptoms. If it is just a minor deviation without significant clinical manifestations, treatment may not be necessary, and regular check-ups will suffice. However, if the clinical symptoms are noticeable and the degree of deviation is severe, then surgical correction should be considered. Currently, considering endoscopic septoplasty can achieve a cure.

Can you smoke if you have nasal polyps?
Patients with nasal polyps are advised not to smoke. This is because cigarettes are quite irritating and can affect the nasal mucosa and the normal structures inside the nasal cavity, potentially aggravating the condition of nasal polyps, as well as possibly causing nasal congestion or acute upper respiratory infections, all of which could worsen the existing condition. In terms of treatment, it is first necessary to assess the severity of the condition. Some patients may opt for conservative drug treatment, while those with more severe conditions, where conservative drug treatment is ineffective, may need to consider surgical removal. After surgery, regular follow-ups are necessary to monitor the effects of the operation.

What will happen if nasal polyps worsen?
If nasal polyps deteriorate, it might lead to associated clinical symptoms, commonly including nasal congestion, runny nose, bloody nasal discharge, headaches, dizziness, and a reduced sense of smell. A small portion of patients may also experience malignant transformation. The specific clinical symptoms vary from individual to individual. After the onset of the condition, it is necessary to promptly visit an otolaryngology department. Undergoing a sinus CT and endoscopic examination can help assess the severity and extent of the condition. Regarding treatment, some patients may consider conservative medication treatment, but others with more severe conditions where the medication is ineffective might need to consider surgical treatment.

Does adenoid hypertrophy require medication?
Adenoid hypertrophy does not necessarily require medication because it is relatively common clinically. Some cases may need medication, while others can be observed. This mainly depends on the severity of the adenoid hypertrophy and the specific clinical symptoms. If the enlargement is not severe and there are no clinical symptoms, it is possible to consider observation without drug treatment, as the adenoids can gradually shrink as age increases. If the adenoids are significantly enlarged and may be accompanied by clinical symptoms such as nasal congestion, snoring, and mouth breathing, it is necessary to consider timely drug treatment. If drug treatment is ineffective, some cases may need to consider adenoidectomy surgery.

How long does it take for vocal cord polyps to be atomized?
Vocal cord polyps are a relatively common otolaryngological condition. For treatment, nebulization can be considered. The specific duration of nebulization varies from individual to individual, depending mainly on the severity of the condition, clinical symptoms, and the patient's own situation, and should be considered comprehensively. It is generally recommended to nebulize twice a day for over a week. During the treatment process, regular follow-ups are necessary to observe the treatment effects. However, some patients may not respond well to nebulization alone and might require combined oral medication treatment. If the vocal cord polyps are particularly large and conservative treatment is ineffective, surgery might be needed. After surgery, regular follow-ups are also necessary to observe the surgical outcomes. (Please administer medication under the guidance of a professional physician.)

What should be paid attention to in daily life with otolithiasis?
Patients with ear stone disease should pay attention to the following aspects in daily life: The first is to avoid staying up late and excessive fatigue; The second is not to look down at the phone or computer for long periods to avoid cervical spine disease; The third is to avoid external impacts to the head or substantial external pressure, as these could potentially cause a recurrence of ear stone disease; The fourth, even after treatment has ended, regular follow-ups are essential to monitor any changes in the condition; The fifth suggestion is to undergo an MRI of the head to check for any intracranial abnormalities. Overall, most patients with ear stone disease respond well to timely treatment.

How to relieve an uncomfortable nose due to a cold?
In terms of treatment, the primary focus should still be on targeting the common cold, with oral cold medications being the most commonly used. If there is a lot of nasal discharge, you might consider using saline solution to rinse the nasal cavity. Furthermore, if there is significant redness and swelling in the nasal cavity, it is advisable to use a nasal spray medication concurrently, which can effectively alleviate nasal symptoms and also aid in the treatment and recovery from the cold, typically within about a week. During a cold, symptoms of nasal discomfort such as nasal congestion and runny nose can occur. Nasal congestion may be intermittent and alternate between the two nostrils, while the nasal discharge may be purulent or clear. Overall, these are relatively common manifestations.

Throat cancer should be seen in the otolaryngology department.
Throat cancer is a relatively common type of malignant tumor in the head and neck area. For diagnosis and treatment, it is primarily recommended to consult an otolaryngology department. After visiting otolaryngology, related auxiliary examinations are required. Common examination methods include laryngoscopy and CT of the neck, and some patients need to consider screening for new metastatic lesions throughout the body. If feasible, a PET-CT could be considered, which is relatively more accurate. It can assess the extent and severity of the disease, which helps in clinical staging and typing. In terms of treatment, surgery is the main method, and some patients may need to consider combined treatment with radiotherapy and chemotherapy.