How to treat chronic laryngitis?

Written by Li Rui
Otolaryngology
Updated on September 28, 2024
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The treatment of chronic laryngitis is generally conservative. Clinically, it usually starts with a laryngoscopy to examine the specific lesions and severity in the throat area. It is also recommended to observe specific clinical symptoms. If the symptoms are mild and do not affect daily life, observation and dietary adjustments may be considered. Additionally, for more pronounced symptoms, such as throat pain and the sensation of a foreign body, medication treatment should be considered. Currently, oral traditional Chinese medicine is commonly used in conjunction with nebulization therapy. Regular laryngoscopy follow-ups are advised to monitor changes in the throat and vocal cords. Overall, it is considered a relatively common condition.

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Written by Li Rui
Otolaryngology
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Is laryngitis serious?

Laryngitis is a relatively common otolaryngology disease, and generally, it is not particularly severe. The more common types of laryngitis include acute laryngitis and chronic laryngitis. Clinically, it mainly manifests as sore throat, hoarseness, and a foreign body sensation in the throat. In terms of treatment, medication remains the main approach. For acute laryngitis, oral antibiotics can be considered, commonly cephalosporins or penicillins. For chronic laryngitis, taking traditional Chinese medicine orally can be considered, and it is advisable to combine this with nebulizer therapy, with regular follow-ups to monitor recovery. (Medication should be used under the guidance of a doctor.)

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Written by Li Rui
Otolaryngology
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What causes laryngitis?

Laryngitis is a relatively common ENT disease with various clinical symptoms. Common symptoms include sore throat, foreign body sensation in the throat, and burning sensation. Some patients may also experience swallowing obstruction, difficulty breathing, and hoarseness. Regarding the causes, it could be due to an acute viral infection, or an acute bacterial infection leading to inflammation. Some patients are affected due to improper diet or exposure to external irritants. In such cases, it is necessary to visit an ENT department promptly for a laryngoscopy and routine blood tests to assess the severity of the condition.

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Written by Bai Yan Hui
Pediatrics
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How to Prevent Acute Laryngitis in Children

Acute laryngitis in children is generally caused by viral infections, and a smaller portion by bacterial infections. Thus, preventing acute laryngitis in children is essentially about preventing infectious diseases. Firstly, it is advisable to avoid crowded places, especially poorly ventilated public areas. Also, avoid contact with individuals suffering from respiratory infections. Furthermore, enhancing the child's physical constitution, getting more sunlight, and supplementing with vitamin D to boost immune function can reduce the occurrence of acute laryngitis in children.

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Written by Zhang Jun
Otolaryngology
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How is laryngitis treated?

Laryngitis in treatment primarily requires symptomatic anti-inflammatory therapy to eliminate inflammation. Laryngitis is an ENT emergency, commonly seen in infants and young children, and can lead to sudden high fever, hoarseness, severe throat pain, and breathing difficulties. In severe cases, it may also present with a barking cough, choking, and even death. When examining with a laryngoscope, notable bilateral vocal cord congestion and edema can be observed. For treatment, patients firstly need a complete blood count; if there is an increase in white blood cells, a bacterial infection may be considered, and oral or intravenous antibiotics may be administered. If lymphocytes are elevated, symptomatic antiviral treatment should be conducted. Patients also need to use corticosteroids to reduce congestion and edema in the throat area. During treatment, closely monitor the patient's breathing, and if breathing difficulties occur, a tracheotomy may be necessary. (Please administer medications under the guidance of a professional physician and do not medicate blindly.)

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Written by Zhang Jun
Otolaryngology
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Throat inflammation: injections or medication?

For laryngitis, it is best to undergo infusion therapy. Acute laryngitis is an otolaryngology emergency, commonly occurring in infants and toddlers because their pharyngeal mucosa is relatively loose. Once infected by bacteria or viruses, it can cause sudden high fever with temperatures above 38℃ (100.4°F), as well as hoarseness and breathing difficulties. In severe cases, it may lead to asphyxiation or even death. Examination with an electronic laryngoscope can reveal significant hyperemia and edema in the pharyngeal mucosa, especially severe around the bilateral vocal cord arytenoid areas, leading to incomplete glottis closure. Under such circumstances, it is best to use antibiotics, such as cephalosporin antibiotics, and the patient should undergo infusion therapy. Additionally, it is advisable to use corticosteroids to reduce local mucosal congestion and edema. A light diet should be maintained during treatment, closely monitoring the patient’s breathing. If breathing difficulties arise, a tracheotomy may be necessary.