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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
Are laryngitis and pharyngitis the same?
Laryngitis and pharyngitis are common diseases in otolaryngology, occurring in different parts of the throat. Laryngitis primarily affects the mucous membrane and vocal cords of the larynx, causing congestion and swelling of the surface mucosa. The most typical symptom in patients is hoarseness, and some may experience coughing and phlegm among other related symptoms. Meanwhile, patients with chronic pharyngitis primarily present symptoms like a foreign body sensation in the throat, dryness, soreness, and a burning sensation. When these symptoms appear, an initial diagnostic step can be through a digital nasopharyngoscope to confirm the patient's condition, followed by symptomatic treatment with throat-soothing medications under a physician’s guidance. In daily life, it is also important to protect the voice by avoiding loud talking or shouting, and maintaining a light diet, which helps protect the mucous membranes of the throat from inflammation and prevent the aforementioned symptoms.
Are white vocal cord polyps cancerous?
Vocal cord polyps are mainly caused by overuse of the voice by patients, or by edema of the mucous membrane due to smoking, alcohol, and physical or chemical irritations, which gradually form vocal cord polyps. During an examination with an electronic laryngoscope, if whitening of the vocal cord mucosa or symptoms such as folds or erosion are found, it may indicate an early stage lesion of a tumor, or that a tumor has developed, which is often seen in cases of leukoplakia or squamous carcinoma of the vocal cords. If such conditions are discovered, it is important for the patient to take them seriously and promptly visit a hospital for a pathological biopsy to determine if there has been a pathological change in the vocal cords. If a pathological change is confirmed, it is necessary to promptly remove the pathological tissue through carbon dioxide laser surgery or support laryngoscopy surgery to achieve timely treatment.
Causes of Nasopharyngeal Carcinoma
Nasopharyngeal carcinoma is a common malignant tumor in otolaryngology, ranking first in incidence among otolaryngological diseases. The main causes are often associated with the patient's long-term chronic inflammation in the nasal cavity, smoking, drinking, and other bad habits. For patients with nasal cancer, it is mainly about avoiding exposure to irritating gases and abstaining from smoking and drinking in daily life to prevent the occurrence of nasal cancer. Additionally, we can use electronic nasopharyngoscopy, electronic laryngoscopy, and blood system EB virus tests, among others, to exclude nasopharyngeal carcinoma. If local tumor proliferation is found in the pharyngeal recess or nasopharynx, biopsy forceps can be used to remove the patient's tumor for pathological examination and diagnosis.
Can nasal polyps be cured without surgery?
Patients with nasal polyps usually cannot be completely cured without surgery. The formation of nasal polyps is mainly related to the patient's long-term smoking and drinking, pollution in the living environment, and stimulation from physical and chemical factors, which lead to the proliferation of nasal mucosal epithelium and edema. Patients with nasal polyps will have obvious symptoms such as nasal congestion, runny nose, headaches, and sinusitis. The use of medications to treat nasal polyps can only relieve symptoms such as nasal congestion. For a complete cure, functional endoscopic sinus surgery is required to remove the nasal polyps and open the sinus ostia, restoring the normal physiological environment of the nasal cavity, to achieve the therapeutic goal. (The use of medications should be under the guidance of a doctor.)
Is surgery necessary for enlarged nasal turbinates?
Patients with enlarged turbinates do not necessarily need surgical treatment. The causes of turbinate hypertrophy are mainly related to long-term smoking and drinking, catching colds, as well as allergic rhinitis and chronic rhinitis. Patients experience turbinate growth, which affects nasal ventilation. Some patients may suffer from alternating nasal congestion, and in cases of significant enlargement, such as snoring and air holding during sleep at night, or complete nasal ventilation obstruction, surgical methods such as turbinate ablation or inferior turbinate fracture and outward movement surgery may be necessary to expand the nasal airflow. For general turbinate hypertrophy, patients can use hormone-based nasal sprays to relieve nasal mucosa swelling and thickening. (The use of medication should be under the guidance of a doctor.)
What is good for patients with throat cancer to eat?
Laryngeal cancer is a common disease in otolaryngology and is also a type of malignant tumor with a high degree of malignancy. Before surgery, it is generally recommended that patients with laryngeal cancer primarily consume a warm, semi-liquid diet, and avoid spicy and overly greasy food. It is important to control the patient's blood pressure and blood sugar. Additionally, once a tumor diagnosis is confirmed, timely surgical treatment should be carried out to remove the tumor. After surgery, patients typically need to fast from water for about 2-3 weeks and are fed through a gastric tube. During this time, a liquid diet should predominate and can be supplemented with eggs and minced meat to enhance protein intake and resistance, thereby improving immunity.
What causes nasal polyps?
Nasal polyps are a common otolaryngological condition, primarily formed due to chronic inflammation of the nasal cavity in patients, or stimulation from smoking, drinking, and physicochemical factors of air pollution, leading to the proliferation of tissues in the nasal cavity and sinuses. The main symptoms caused by nasal polyps include nasal congestion, runny nose, headaches, and nasal bleeding. The most effective treatment for nasal polyps is functional endoscopic sinus surgery, which involves the removal of the proliferative polyp tissues, thereby restoring normal ventilation and physiological functions to the nasal cavity and improving the patient's symptoms.
Can throat cancer be cured?
Laryngeal cancer is a type of malignant tumor in otolaryngology, divided into primary and secondary types. Secondary tumors refer to malignant tumors that have metastasized from other parts of the body, which are relatively rare; while primary tumors originate in the laryngeal area, with squamous cell carcinoma being the most common. For early-stage laryngeal cancer patients, it is generally necessary to detect and treat the disease early. Minimally invasive surgery using methods such as carbon dioxide laser can be used to remove the tumor, and patients can be cured. However, for hypopharyngeal cancer and late-stage tumors, due to the biological characteristics of the patients, early metastasis is common, making complete recovery difficult. Recurrence is also possible. Therefore, timely treatment is necessary, and postoperative radiotherapy and chemotherapy are needed to further augment treatment, aiming to extend the patient's survival period as much as possible.
Can adenoid hypertrophy be seen with the naked eye?
Adenoid hypertrophy is a common disease in otolaryngology, and it is not visible to the naked eye. The diagnosis of excessive growth and hypertrophy of adenoid tissue is mainly made through electronic nasopharyngoscopy and lateral nasopharyngeal radiograph examinations. Typically, if the adenoid tissue occupies more than 2/3 of the posterior nasal aperture, it can be diagnosed as adenoid hypertrophy. Patients mainly show symptoms such as snoring, breath-holding, and hypoxia during sleep at night, as well as daytime sleepiness and reduced memory. Patients with adenoid hypertrophy require surgical ablation of the hypertrophied adenoid tissue to improve their sleep conditions at night and achieve cure.
recurrence rate of throat cancer after surgery
Throat cancer is a common malignant tumor in the head and neck diagnosed by otolaryngologists. Its occurrence is often related to prolonged smoking, drinking, air pollution, and other adverse environmental factors. Currently, the primary treatment for throat cancer is surgical intervention. The likelihood of recurrence after surgery varies from person to person. For early-stage throat cancer patients, the chance of recurrence is relatively low if a thorough excision is performed. Complete recovery rates are usually above 70%-80%. However, for patients with lymph node metastasis in the middle to late stages, recurrence rates are typically above 50%-60%.