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Zhang Jun
Otolaryngology
About me
Engaged in the field of otolaryngology for ten years, pursued further training at the Second Hospital of Harbin Medical University, under the tutelage of Professor Jin Dejun.
Proficient in diseases
Rhinitis, sinusitis, nasal hypertrophy, nasal polyps, acute and chronic pharyngitis, acute and chronic tonsillitis, epiglottitis, laryngitis, vocal cord nodules, vocal cord polyps, laryngeal tumors.
Voices
Can you drink alcohol with a deviated nasal septum?
Deviated nasal septum should not be associated with excessive drinking. Deviated nasal septum occurs either from abnormal development during the embryonic stage or from later trauma to the nasal cavity or tumor compression, leading to the septum bending to one side. This condition can cause persistent nasal congestion, which progressively worsens over time. Moreover, when the deviation of the nasal septum is severe, it can lead to thinning of the nasal septum mucosa. Drinking alcohol can cause the nasal mucosa to become congested and swollen, which may lead to the rupture of local blood vessels and severe nasal bleeding. Since the blood vessels in the nasal septum are arteries, the bleeding can be substantial. Therefore, it is crucial for patients not to consume alcohol. If a patient experiences severe nasal congestion and significant nasal bleeding, they should seek medical treatment for correction of the deviated septum, which can be curative.
What medicine is good for sinusitis?
Sinusitis is mainly caused by acute inflammatory infections, such as Staphylococcus aureus or Streptococcus pyogenes. When a patient's immunity and resistance are low, these bacteria can invade the sinuses through the sinus openings, leading to congestion, swelling, proliferation, and exudation of the sinus mucosa. Patients will experience persistent nasal congestion and discharge of yellow purulent secretions from the nasal cavity. Additionally, patients may also experience fever, facial swelling and pain, headaches, dry mouth, coughing, and other related symptoms. Upon examination, bilateral nasal turbinate mucosal congestion and swelling can be found, and yellow secretions may be seen adhering in the middle nasal meatus or common nasal passage. In terms of treatment, as it is a bacterial infection, patients firstly need symptomatic anti-inflammatory treatment. Oral cephalosporin antibiotics are effective. Moreover, using saline to rinse the nasal cavity also provides very good results. If necessary, patients may require endoscopic sinus surgery for recovery. (Please use medication under the guidance of a professional physician.)
How long does acute pharyngitis take to heal?
Acute pharyngitis generally heals within seven to ten days. Acute pharyngitis is caused by a viral infection due to lowered immunity and resistance. Patients may experience sudden high fever, severe sore throat, and symptoms such as dry throat, itchy throat, sensation of a foreign body in the throat, and a feeling of obstruction. Examination may reveal swelling and congestion of the soft palate and uvula, and yellow secretions on the posterior pharyngeal wall. In terms of treatment, acute pharyngitis is a viral infection and generally does not require oral antibiotic treatment. Patients can use nebulized inhalation which is effective in reducing congestion and edema of the throat. A bland diet, abstaining from smoking and alcohol, avoiding spicy and irritating foods, drinking more water, and resting more can generally lead to gradual improvement within a week. (The use of medications should be under the guidance of a professional doctor.)
Can people with allergic rhinitis eat mangoes?
For allergic rhinitis, it is first necessary to go to the hospital for a detailed examination of allergen antibody tests to identify the substances causing the allergy. If you are allergic to mangoes, then you must avoid eating mangoes. Allergic rhinitis is mainly caused by a decrease in the body's immunity and resistance, leading to localized symptoms after the nasal and oral cavities come into contact with an allergen. Patients may experience symptoms such as sneezing fits in the morning, runny nose with clear mucus, bilateral nasal congestion, nasal itching, and eye itching. During the examination, pale and swollen nasal conchae mucosa can be observed, and the prick test is positive. In terms of treatment, during the acute phase of allergic rhinitis, symptomatic antiallergic treatment is required first. Patients also need to avoid allergens, wear masks, avoid spicy and irritating foods, exercise regularly to enhance immunity and resistance, and avoid catching colds, which can gradually lead to improvement.
Causes of Chronic Pharyngitis Flare-ups
Chronic pharyngitis has many causes, and common clinical causes include the following: First, it is caused by repeated inflammatory stimulation, commonly seen with acute pharyngitis and acute tonsillitis; second, it is due to long-term spicy diet stimulation, gastrointestinal dysfunction, and acid reflux stimulation. The acid liquid and vapors from reflux can irritate the mucosa of the throat, causing congestion, edema, and proliferation of lymphatic follicles in the mucosal lining. This leads to symptoms such as dry throat, sore throat, itchy throat, a foreign body sensation in the throat, a sensation of obstruction, and a burning sensation. Therefore, in treatment, patients first need to exercise, avoid colds, avoid inflammatory invasions, and at the same time, they need a light diet, to quit smoking and drinking, avoid spicy and irritating foods, regulate gastrointestinal function, and avoid acid reflux to gradually improve and prevent recurrent episodes.
Does hypertrophy of the nasal turbinates cause the appearance of the nose to enlarge?
Prolonged stimulation of turbinates hypertrophy can cause patients to experience widening and thickening of the nostrils, also affecting the appearance of the nose. Clinically, this is referred to as "frog nose." Turbinates hypertrophy commonly stems from prolonged chronic inflammation and episodes of allergic rhinitis, leading to bilateral congestion, swelling, hyperplasia, and enlargement of the inferior and middle turbinates. Patients will experience persistent nasal congestion bilaterally, accompanied by a foreign body sensation and swelling in the nasal cavity. Changes in the shape and appearance of the nose also occur, necessitating a detailed examination at a hospital. Diagnosis can be confirmed with an endoscopic examination and sinus CT scan. In terms of treatment, acute turbinates hypertrophy may be treated with antibiotics, along with nebulized inhalation therapy. If conservative treatment is ineffective, partial resection of the bilateral inferior turbinates may be necessary.
Nasal turbinate hypertrophy: hot compress or cold compress?
Enlarged turbinates can be treated with local heat application. Heat application can shrink the turbinates and relieve the patient's nasal congestion symptoms, while also restoring nasal ventilation. Enlarged turbinates are relatively common in clinical settings, typically caused by symptoms arising from chronic rhinitis and chronic allergic rhinitis. This condition can lead to diffuse congestion, edema, hyperplasia, and enlargement of the bilateral inferior turbinates, resulting in persistent bilateral nasal congestion, along with sensations of a foreign body in the nasal cavity, swelling, and a runny nose. In severe cases, it can lead to a decrease in the sense of smell and memory loss. A detailed examination at a hospital is necessary, and a diagnosis can be confirmed with an electronic nasoscope. Treatment may initially involve nebulized inhalation therapy to shrink the turbinates and relieve nasal congestion, accompanied by local heat application, which has a very definite effect. It is also necessary to enhance immunity and resistance for gradual improvement.
Can you wear a ventilator with a deviated nasal septum?
People with a deviated nasal septum should generally avoid using breathing machines, as the deviation is a bony misalignment that can cause persistent nasal congestion. If a breathing machine is used, the airflow from the machine can irritate the nasal septum membrane, leading to erosion, and in severe cases, cause local rupture and bleeding. A deviated nasal septum is a common and frequent condition in otolaryngology, typically caused by abnormal nasal septum development during the embryonic stage, or by subsequent trauma or tumoral pressure, causing the septum to deviate to one or both sides. This deviation can lead to continuous bilateral nasal congestion, along with a sensation of a foreign body in the nasal passages, swelling, headaches, and other related symptoms. It is advised to consult a hospital for an examination, where a diagnosis can be confirmed with an endoscope. For treatment, the deviated nasal septum usually requires surgical correction, which can effectively cure the condition.
Can nasopharyngeal carcinoma be cured?
Nasopharyngeal carcinoma cannot be completely cured, as it is a malignant tumor, and malignant tumors cannot be completely cured worldwide. Nasopharyngeal carcinoma refers to the malignant tumors that occur at the top or lateral walls of the nasopharynx. The common clinical cause is viral infection, most commonly associated with the Epstein-Barr virus, causing dryness, pain, and itching in the nasopharynx, along with backflow, blood in sputum, and swollen lymph nodes in the neck. Patients need to undergo a detailed examination with an electronic nasopharyngoscope and a CT scan of the nasopharynx for diagnosis. If an abnormal neoplasm is found, local pathological treatment is required. Once confirmed as malignant, local radiation therapy, chemotherapy, and surgical treatment are also needed. After surgery, patients need to undergo regular follow-up examinations, and further treatment may be required if abnormal proliferation is found.
Is adenoid hypertrophy more severe in winter?
Adenoid hypertrophy tends to be more severe in the winter due to the weather changes which can lead to significant adenoid hyperplasia. Adenoid hypertrophy is generally more common in children aged three to eight. It is caused by repeated stimulation from acute inflammation, leading to congestion, edema, and growth of the adenoids. This condition can cause patients to experience persistent bilateral nasal congestion, snoring during sleep, and episodes of breath-holding. Additionally, patients may also experience tinnitus, hearing loss, and other related symptoms. Diagnosis can be confirmed through an electronic nasopharyngoscope and adenoid CT scans. For treatment, patients can initially opt for conservative treatments such as oral antibiotics. Additionally, localized nebulizer inhalation can be used to reduce congestion and swelling of the adenoids. If conservative treatments are ineffective, adenoidectomy may be necessary for recovery. (Medication should be taken under the guidance of a doctor.)