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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
Symptoms of chronic rhinitis with bleeding
Chronic rhinitis accompanied by bleeding is a common clinical manifestation in otolaryngology. The causes of the symptoms mentioned primarily relate to damage to the nasal mucosa and rupture of capillaries due to inflammation, leading to bleeding. When experiencing nasal bleeding, patients should first apply a cold towel or ice pack to the affected nostril to constrict the capillaries, which can reduce or stop the bleeding. If the bleeding is severe, it can be controlled by packing the nostril with gauze or using petroleum jelly. In daily life, it is important to avoid getting chilled, picking the nose, and the onset of colds and other related symptoms, to prevent exacerbation of chronic rhinitis and further nasal bleeding.
Can vocal cord nodules be cured completely?
Vocal cord nodules can be cured. The occurrence of vocal cord nodules is mainly related to improper or excessive use of the voice, most commonly seen in professions such as teachers or singers. Prolonged use of the voice can lead to the formation of nodular growths on the surface of the vocal cord mucosa, causing hoarseness and difficulty in producing high-pitched sounds. For patients with vocal cord nodules, if the occurrence is relatively recent, symptomatic treatment can be administered through oral medications that reduce stasis and swelling. If the nodules do not resolve after medication use, it is advisable to surgically remove the nodules via a supportive laryngoscopy. Post-surgery, it is important to take care of the voice, including voice rest, to allow the vocal cord mucosa to recover. (The use of medications should be under the guidance of a doctor.)
Can adenoid hypertrophy be treated with massage?
Patients with adenoid hypertrophy generally do not see significant therapeutic effects from massage therapy. Adenoid hypertrophy is due to the proliferation of lymphoid tissue at the posterior nasopharyngeal wall, which leads to nasal congestion and sleep apnea at night. When sleep apnea occurs, it is first necessary to complete sleep monitoring and blood oxygen saturation monitoring and other relevant tests to make a clear diagnosis of the patient's condition. For patients with adenoid hypertrophy occupying more than two-thirds of the posterior nasal aperture, plasma surgery is usually required to ablate the hypertrophied adenoid tissue and restore normal nasal ventilation function, thereby alleviating the patient’s sleep apnea and hypoventilation syndrome.
Can a deviated nasal septum be inherited?
Nasal septal deviation is not hereditary. The main causes of nasal septal deviation are due to different growth rates of the nasal septal cartilage in patients during infancy and adolescence, which leads to tension-induced deviation, or due to local trauma caused by impact, resulting in deviation of the patient's nasal septum. For the symptoms mentioned above, they mainly cause nasal congestion, headaches, nosebleeds, and other related conditions. The primary treatment method for patients with nasal septal deviation involves the submucosal removal of cartilage under functional endoscopy, in order to correct the deviated parts of the patient's nasal septum. This is done with the goal of restoring normal airflow in the nasal passages and alleviating contact headaches.
How to reposition otoliths in benign paroxysmal positional vertigo?
Otolithiasis is a common ENT disorder that causes vertigo in patients and is also known as benign paroxysmal positional vertigo. The condition occurs when otoliths detach from the utricular macula and enter the horizontal and anterior semicircular canals, leading to symptoms of irritation in the semicircular canals, causing nausea, vomiting, spinning vision, and cold sweats among other related symptoms. The primary treatment for otolithiasis involves manual repositioning. This method requires the patient to lie flat on a bed, where the position of the Eustachian tube and the fallen otoliths are assessed to facilitate movement and allow the otoliths to return to the normal utricular macula position, thereby improving the patient's symptoms.
Can vocal cord polyps cause difficulty breathing?
Vocal cord polyps rarely cause breathing difficulties, but for some patients with large vocal cord polyps, there is a possibility of gradually developing breathing difficulties. Vocal cord polyps are often due to patients overusing their voice, or from physical and chemical factors such as irritations from smoking and alcohol, which then lead to edema of the vocal cord mucosa. Prolonged irritation can gradually form vocal cord polyps, and the main symptoms include a hoarse voice, throat pain, and difficulty breathing. Once vocal cord polyps are discovered, they generally need to be treated surgically. Smaller vocal cord polyps can also be treated with medication. If medication is ineffective, surgical treatment can also be considered.
The difference between throat cancer and pharyngitis.
Throat cancer and pharyngitis are two completely different diseases. Throat cancer is a common malignancy in the field of otolaryngology, whereas pharyngitis is caused by long-term chronic inflammation irritating the mucous membrane in the throat area, leading to symptoms such as the sensation of a foreign body in the throat, as well as dryness, itchiness, and pain in the throat. For patients with throat cancer and pharyngitis, diagnosis can be confirmed through the use of a laryngoscope, a nasopharyngoscope, and a CT scan of the neck with contrast enhancement. For patients with throat cancer, the primary treatment method is surgical removal of the tumor tissue. For patients with pharyngitis, the focus is on care. In daily life, it is advisable to avoid consuming spicy, irritating foods and cold drinks, while it is also important to eat more vegetables and fruits to protect the mucous membrane of the throat and to conserve the voice.
How to rule out throat cancer
Throat cancer is a common malignant tumor in otolaryngology, ranking among the top of various malignant tumors in this field. Patients with throat cancer typically experience symptoms such as throat pain and discomfort in the early stages. We can use electronic laryngoscopy and CT scans of the throat area for diagnosis to achieve early detection and treatment. For cases showing cauliflower-like or abnormal proliferation in the throat area, a local biopsy can be conducted for pathological confirmation. Once throat cancer is detected, it is crucial to complete necessary examinations promptly, rule out surgical contraindications, and proceed with surgery as soon as possible. Treatment should also be complemented with radiotherapy and chemotherapy to aid in curing the patient.
What causes throat cancer?
Laryngeal cancer is a common malignant tumor in daily life. Its occurrence is due to factors related to long-term smoking, drinking, and stimulation from physical and chemical factors in the air or work environment. For patients with laryngeal cancer, it is usually necessary to make a definitive diagnosis through examinations such as electronic nasopharyngoscopy, electronic laryngoscopy, and CT of the larynx. Particularly when the patient presents symptoms such as hoarseness, cough with blood, and breathing difficulty, it should draw the patient's attention to seek timely medical examination at a hospital, aiming for early detection and early treatment.
Is nasopharyngitis pharyngitis or rhinitis?
Nasopharyngitis is caused by chronic inflammation in the nasal cavity of the patient, which leads to sore throat, burning sensation, rhinorrhea, and other related symptoms at the junction of the posterior nostrils and the nasopharynx. Nasopharyngitis is a borderline disease between pharyngitis and rhinitis. The primary treatment methods include antibiotic anti-inflammatory symptomatic treatment and steroids to reduce mucosal edema. Additionally, patients with rhinitis should avoid smoking, drinking alcohol, and consuming spicy and irritating foods in daily life to prevent worsening of nasopharyngitis symptoms. (Medication should be used under the guidance of a doctor.)