

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

How to determine if the nasal turbinates are enlarged
The diagnosis of turbinate hypertrophy first requires a visit to an otolaryngologist, where the doctor can examine the specific condition of the nasal conchae, along with considering clinical symptoms. Generally, turbinate hypertrophy might be accompanied by nasal congestion, a runny nose, and can also lead to headaches, dizziness, and a reduced sense of smell. Moreover, the more severe the enlargement of the turbinates, the heavier the clinical symptoms might be. In terms of treatment, most patients can opt for conservative medication; common treatments include oral medications and nasal sprays, and rinsing the nasal cavity with saline solution. During the treatment process, regular follow-up checks are necessary to observe the effects. A small number of patients who do not respond well to medication may need to consider surgery. (Please follow medical advice regarding medications.)

Can people with vocal cord nodules eat hot pot?
People with vocal cord nodules can eat hot pot, but it is important to avoid excessive use of the voice and not to eat particularly spicy foods, as both overuse of the voice and spicy foods can directly irritate the throat. Frequent consumption of spicy foods may trigger pharyngitis, and in severe cases, it can lead to hoarseness and further aggravation. Overall, vocal cord nodules do not significantly impact diet, but what is more important is voice rest, especially for those who frequently strain their voices. Vocal cord nodules tend to increase the likelihood of hoarseness, and regular check-ups to monitor changes are necessary. Also, if the symptoms are relatively noticeable, consideration should be given to oral medication and nebulization treatment. After treatment, regular laryngoscopic examinations should be continued to observe specific changes.

What department should I go to for nasopharyngeal carcinoma?
Nasopharyngeal carcinoma is a relatively common type of malignant tumor in the head and neck area. In terms of treatment, if a patient has been diagnosed with nasopharyngeal carcinoma, it is recommended to consult an oncology department or a radiation therapy department. This disease requires consideration of a comprehensive treatment plan involving radiotherapy and chemotherapy, typically spanning several months, and regular follow-ups are needed to monitor recovery. If the diagnosis has not yet been confirmed, it is necessary to first consult an otolaryngology (ENT) department. After visiting the ENT department, a nasopharyngoscopy can be performed, followed by a biopsy under the guidance of the nasopharyngoscopy. Only after the pathology from the biopsy can the specific diagnosis of nasopharyngeal carcinoma be confirmed, allowing for the clinical pathological staging and typing necessary for subsequent treatment.

How to correct a deviated nasal septum?
Currently, the correction of a deviated nasal septum is mainly done through surgery. However, for some patients, if the deviation is mild and without symptoms, surgery may not be necessary. Surgery for deviated nasal septum is considered only if the deviation is severe and accompanied by significant clinical symptoms. Presently, minimally invasive surgery under endoscopy, which may involve partial removal of cartilage or septal cartilage reshaping, is a common procedure in otolaryngology. The results are generally reliable and, although there are risks, they are not considered excessively high. Typically, tertiary hospitals with an otolaryngology department can perform this surgery.

Do people with throat cancer lose weight?
Throat cancer is a relatively common type of malignant tumor in the head and neck area. Some patients may experience weight loss, which can be due to the condition of throat cancer itself, swallowing obstruction caused by the cancer leading to malnutrition, or excessive consumption of the body. Therefore, it is essential for patients with throat cancer to seek prompt medical attention from an otolaryngologist after onset, assess the severity of the condition, and consider comprehensive treatment options such as surgery or radiochemotherapy. During treatment, it is crucial to enhance nutrition, regularly review the condition, and observe changes in the disease. Overall, the treatment outcomes for early-stage throat cancer are relatively good.

How to maintain vocal cord nodules in daily life?
Vocal cord nodules are a relatively common vocal cord disease, mainly characterized by nodular neoplasms at the anterior part of one or both vocal cords. The most common clinical symptom is hoarseness, which, overall, is relatively common and not a major threat to health. For daily maintenance, it is important to use the voice reasonably; excessive use should be avoided as it can aggravate hoarseness and inhibit the recovery of vocal cord nodules. Dietary habits also need to be managed; avoid smoking, alcohol, and spicy or irritating foods. In terms of treatment, oral medication and nebulization therapy are primarily used, along with recommended voice training, which can be more beneficial for recovery.

Can otolithiasis heal by itself?
Otolithiasis is a relatively common ENT disease, clinically known as benign paroxysmal positional vertigo. The main clinical manifestation is vertigo related to changes in body position, but the duration of vertigo is relatively short. Generally, once the head position is stabilized, the vertigo symptoms quickly disappear, and there is no tinnitus or hearing loss. In terms of treatment, a small portion of patients can recover on their own, especially when the symptoms are not particularly noticeable and the condition is not particularly severe, allowing for possible self-recovery. However, if self-recovery is not possible or if clinical symptoms are more severe, timely manual repositioning treatment is recommended. After manual repositioning treatment, most patients can quickly recover and relieve their vertigo symptoms.

What foods are good for vocal cord polyps?
Patients with vocal cord polyps can generally eat normal foods such as steamed buns, filled buns, porridge, rice, and fruits, as these do not exacerbate the condition nor interfere with the treatment of vocal cord polyps. These foods also do not conflict directly with medications used to treat vocal cord polyps. However, it is recommended to avoid spicy, irritating foods and foods that can easily cause allergies, as these may affect the condition of vocal cord polyps. Patients with vocal cord polyps are advised to visit an otolaryngology department after the onset of the disease, where routine blood tests and laryngoscope examinations can be conducted to assess the specific severity of the condition, thus allowing for targeted treatment.

How to deal with enlarged nasal polyps?
Nasal polyps are a relatively common otolaryngological condition. First, it is necessary to assess the extent of the nasal polyps and the clinical symptoms. If the nasal polyps are few and the clinical symptoms are not particularly evident, this condition might be considered for conservative drug treatment, commonly involving nasal sprays and saline nasal irrigation. If there are many nasal polyps and more pronounced clinical symptoms, such as nasal congestion, thick nasal discharge, reduced sense of smell, headaches, and dizziness, and if standardized drug treatment is ineffective, then surgical treatment should be considered. Currently, the most commonly used procedure is endoscopic nasal polyp removal surgery, with regular follow-ups required to monitor postoperative recovery. (The use of medications should be under the guidance of a doctor.)

Does a deviated nasal septum affect breathing?
A deviated nasal septum can potentially impact normal breathing, depending primarily on the severity and specific location of the deviation. If the deviation is mild and does not affect the ventilation of the nasal cavity, it will not impact normal breathing. However, if the nasal septum deviation is more pronounced, especially if it occurs in the middle, or affects the middle or front sections of the nasal cavity, it can interfere with normal airflow and lead to nasal congestion, which may affect breathing. In cases where nasal obstruction is significant and the septum deviation is severe, it is generally considered necessary to perform a septoplasty under endoscopy. After surgery, most patients can achieve effective relief and recovery.