Does laryngitis require nebulization?

Written by Zhang Jun
Otolaryngology
Updated on June 30, 2025
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Laryngitis can be treated with nebulized inhalation, which is very effective. Laryngitis is a common and frequent disease in otolaryngology, and it most commonly occurs in infants and young children. This is because the mucous membrane of the pharynx in infants and young children is relatively lax. Once their immunity and resistance decreases, bacteria or viruses can invade, leading to congestion and edema of the pharyngeal mucous membrane. It also causes the patient to develop fever and pain in the throat, predominantly pain during swallowing. Additionally, the patient may experience a barking cough, hoarse voice, and in severe cases, it can lead to breathing difficulties, suffocation, and even death. Upon examination, obvious congestion and swelling of the pharyngeal mucous membrane can be found, particularly severe on both vocal cords, with good vocal cord movement but incomplete closure. In terms of treatment, the patient first needs symptomatic anti-inflammatory treatment, and can also use nebulized inhalation to help reduce the congestion and swelling of the throat, which generally improves gradually over about a week.

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Difference between the symptoms of laryngitis and throat cancer

There is a fundamental difference between laryngitis and laryngeal cancer. Laryngitis is an inflammatory infectious disease, mainly caused by bacterial infection or chronic inflammatory conditions, clinically characterized primarily by hoarseness. Treatment is mainly through medication, such as oral medications or nebulized inhalation therapy. Laryngeal cancer is a malignant tumorous disease, primarily squamous cell carcinoma. Clinically, in addition to hoarseness, we can also observe tumorous lumps and swelling of the cervical lymph nodes, which are manifestations of malignant tumors. The treatment of laryngeal cancer primarily involves comprehensive treatment led by surgery, including surgery, radiotherapy, chemotherapy, and some biological treatments, etc. Therefore, there is a fundamental difference between the two.

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What foods should not be eaten with laryngitis?

If it's just a simple case of laryngitis, depending on the general condition of the child, if it's only hoarseness and the overall symptoms are not severe, there are usually no special restrictions. However, if there is significant laryngeal obstruction, difficulty in swallowing, or difficulty in breathing, a liquid diet should be the main focus. A light diet is easier for the child to accept and helps with a quicker recovery. The general rule is to avoid spicy and irritating foods temporarily, as these can exacerbate swelling in the throat and hinder recovery. This is something that needs attention.

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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.

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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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Does laryngitis require infusion?

Laryngitis is a relatively common otolaryngological disease. In terms of treatment, most patients do not require infusion therapy; only a small number of patients might need to consider infusion, primarily based on the specific severity of the condition, clinical symptoms, and overall health condition. If the severity of the laryngitis is mild and the clinical symptoms are not significant, some patients may recover on their own, while others may need to combine oral medication and nebulization treatment. However, if the severity of the laryngitis is particularly severe, accompanied by symptoms such as hoarseness, breathing difficulties, and swallowing obstruction, there may be a need to consider infusion therapy.