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Xu Qing Tian
Otolaryngology
About me
Specializing in Otorhinolaryngology at Ma'anshan Municipal People's Hospital, with ten years of experience, graduated from Wan Nan Medical College, has been awarded honors such as Outstanding Individual of the Hospital and Best Teaching Supervisor
Proficient in diseases
Acute and chronic sinusitis, acute and chronic rhinitis, acute and chronic pharyngitis, pharyngitis, vocal cord polyps, vocal cord nodules, nasal polyps, pharyngeal tumors, otitis media, tympanic membrane perforation, cholesteatoma, epistaxis, sleep apnea treatment
Voices
Is acute pharyngitis prone to recurrence?
Acute pharyngitis is a disease prone to recurrence and is very common in otolaryngology. The causes are mainly associated with the patient's long-term habits of smoking, drinking alcohol, exposure to colds, and consumption of spicy and irritating food, as well as cold drinks. Patients with acute pharyngitis may experience symptoms such as dry throat, itchy throat, sore throat, and a foreign body sensation in the throat during an episode. For patients with acute pharyngitis, it is important to avoid smoking, drinking alcohol, and consuming spicy and irritating food in daily life to prevent recurrent symptoms. Additionally, rinsing with salt water can be beneficial in reducing inflammation and congestion of the mucous membranes in the throat.
Can adenoid hypertrophy be treated conservatively?
Adenoid hypertrophy is a common condition in children, primarily caused by excessive growth of the adenoid tissue on the posterior wall of the nasopharynx. This can lead to sleep apnea, snoring, and nocturnal hypoxia in patients, subsequently causing a decline in memory, lack of concentration, fatigue, and other symptoms. In mild cases of adenoid hypertrophy, where there are no significant symptoms of breath-holding or hypoxia, conservative treatment can be applied. This includes the use of steroid nasal sprays and oral administration of nasal decongestant granules, which can alleviate snoring and excessive nasal secretions. However, if a patient exhibits clear symptoms of breath-holding or hypoxia, and adenoid hypertrophy is confirmed through sleep monitoring, surgery is then necessary to treat the condition.
Pre-cancerous symptoms of throat cancer
Laryngeal cancer is a common disease in otolaryngology and a type of malignant tumor, which is divided into primary laryngeal cancer and secondary laryngeal cancer. The main clinical symptoms of laryngeal cancer in its early stages often include hoarseness, cough, and lymph node enlargement, among others. Patients can use indirect laryngoscopy or electronic nasopharyngoscopy to detect tumors located in the pharyngeal area, and a local pathological biopsy can be performed for diagnosis. When the tumor is identified as malignant, it is essential to initiate prompt and active treatment. The common method is to surgically remove the detected tumor to achieve clinical cure.
What should be paid attention to for acute pharyngitis?
Acute pharyngitis is a common and frequently occurring disease in otolaryngology. The main symptoms of acute pharyngitis include sore throat, dry throat, burning sensation in the throat, and itchiness. The main pathogens often include hemolytic streptococcus or Coxsackievirus. When acute pharyngitis occurs, it is first advised to avoid exposure to smoking, alcohol, irritative and spicy foods to prevent further irritation and congestion of the throat mucosa. Additionally, maintaining oral hygiene is required to prevent bacterial proliferation. Gargling with saline water can help keep the oral cavity clean. Also, sensitive antibiotics may be used orally or intravenously to eliminate acute inflammation. (Medicine should be used under the guidance of a doctor.)
How to maintain chronic rhinitis usually?
Chronic rhinitis is a common and frequently occurring disease in otolaryngology. The maintenance of chronic rhinitis mainly involves keeping warm regularly and wearing a mask when going out as much as possible to avoid exacerbation of nasal mucosa inflammation due to air pollution. Additionally, in daily life one should enhance physical exercise, engage in running, swimming, and other aerobic activities, which can help improve the immune function of the nasal mucosa and reduce the occurrence of nasal congestion. At the same time, patients with chronic rhinitis can use glucocorticoid nasal sprays in their daily life to reduce mucosal swelling and maintain nasal ventilation. (Medication should be used under the guidance of a doctor.)
What foods to eat for suppurative tonsillitis
Patients with suppurative tonsillitis, a common case in otolaryngology departments. Suppurative tonsillitis is caused by a bacterial infection due to exposure to cold, leading to tonsil swelling, inflammation, and localized suppuration. In such cases, the first step should be to conduct routine blood tests, C-reactive protein tests, and throat swab cultures to diagnose the patient's illness. Treatment usually involves the use of penicillin or cephalosporin antibiotics to improve inflammation. Dietarily, patients should focus on light food and avoid cold foods, spicy and irritating foods, cold drinks, and hot pots to prevent the exacerbation of suppurative tonsillitis. Regular physical exercise should also be emphasized as it can help boost one's immunity and reduce the occurrence of tonsillitis.
The causes of recurrent vocal cord polyps
The recurrence of vocal cord polyps is primarily due to patients not taking care to protect their voice usage, improper voice use, and failing to quit bad habits such as smoking and drinking. The main cause of vocal cord polyps is edema in the Reinke's layer of the vocal cord mucosa, which leads to the proliferation of the surface mucosa. The main symptom in patients is a hoarse voice. After undergoing support laryngoscopy and surgical removal of the vocal cord polyps, patients are required to refrain from speaking for three to four weeks to allow the vocal cord mucosa to recover and heal. If patients do not take care of their voice during this period, there is a possibility of recurrence of the vocal cord polyps.
Can vocal cord nodules turn into cancer?
Patients with vocal cord nodules usually do not undergo cancerous changes. The main causes of vocal cord nodules are related to improper use of the voice, excessive vocalization, and other factors. The pathological basis for the formation of vocal cord nodules involves edema in the Reinke's layer of the vocal cord mucosa, causing symmetrical hyperplasia of the vocal cords on both sides. The main symptoms in patients are hoarseness and difficulty in producing high-pitched sounds. The primary treatments for patients with vocal cord nodules currently include medication and surgery. Additionally, it is important for patients to protect their voice in daily life, practice voice rest, and reduce unhealthy habits like smoking and alcohol consumption to help prevent the occurrence of vocal cord nodules. (Medication should be used under the guidance of a doctor.)
What should I do if I have otitis media?
Otitis media is a common otolaryngological condition that often occurs in patients who frequently swim or clean their ears excessively, as well as those who accumulate cholesteatomas in the external ear canal, leading to otitis media and tympanic membrane perforation. The main pathogens associated with otitis media are typically Streptococcus pyogenes and Staphylococcus aureus. The treatment involves selecting sensitive antibiotics based on throat swab culture and drug sensitivity tests to provide anti-inflammatory symptomatic treatment. If the inflammation is severe and there is formation of cholesteatoma or granulation tissue along with perforation of the tympanic membrane in the external auditory canal, it may be necessary to perform mastoidectomy and tympanoplasty to thoroughly remove the middle ear lesions and achieve healing. (Medication should be used under the guidance of a doctor.)
How long should one rest their voice for vocal cord polyps?
Vocal cord polyps are a common and frequent disease in otolaryngology. The main symptoms of vocal cord polyps in patients are usually hoarseness and vocal fatigue. Diagnosis can be confirmed through examination methods such as electronic laryngoscopy or indirect laryngoscopy. The primary treatment for vocal cord polyps is surgical removal of the polyp tissue to restore normal vocal function. After the surgery for vocal cord polyps, it is generally recommended that patients refrain from speaking for three to four weeks to promote the repair of the vocal cord mucosa and avoid congestion and swelling of the local mucosa due to excessive voicing or overuse, which can affect the recovery time or degree of recovery and are likely to lead to recurrence in patients.