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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
Does chronic tonsillitis hurt?
Chronic tonsillitis can lead to throat pain. Chronic tonsillitis typically results from repeated bouts of acute tonsillitis or persistent, unresolved inflammation, leading to chronic inflammation of the tonsils. It can cause continuous dryness, itching, pain, a sensation of a foreign body, obstruction, and burning in the throat area. In severe cases, it may lead to hoarseness and irritative cough. Upon examination, both tonsils are seen to be swollen and congested, with visible crypts on the surface, and yellowish-white abnormal secretions may be expressed from these crypts when the tonsils are compressed. In terms of treatment, if the tonsils are repeatedly inflamed and accompanied by fever, the patient may need to undergo a bilateral tonsillectomy. The surgery requires hospitalization, general anesthesia, and postoperative use of antibiotics to prevent local infection. Recovery and hospital discharge can typically occur about a week after the procedure. (Medication should be used under the guidance of a professional doctor.)
Do enlarged turbinates cause fear of heat?
Turbinates hypertrophy tends to be heat-sensitive since excessive heat can lead to congestion and swelling of the nasal conchae's mucous membrane, thereby worsening nasal congestion in patients. Turbinates hypertrophy is a symptom caused by inflammation of the turbinates, commonly seen in chronic rhinitis in clinical settings. Patients experience persistent nasal congestion in both nasal cavities, along with sensations of a foreign body and swelling in the nasal cavity. The nasal cavity may discharge viscous abnormal secretions, accompanied by facial swelling, pain, headaches, and other related symptoms. A detailed examination at the hospital using electronic rhinoscopy, routine blood tests, and sinus CT can confirm the diagnosis. During the examination, diffuse congestion and swelling of the bilateral inferior turbinates can be observed, along with abnormal secretions inside the nasal cavity. In terms of treatment, nebular inhalation therapy can be used to shrink the turbinates and relieve symptoms of nasal congestion. Additionally, a light diet and regular exercise can gradually improve the condition.
Symptoms of cancerous changes in vocal cord nodules
The possibility of malignant transformation of vocal cord nodules is very small. If cancerous transformation occurs, the patient will experience persistent hoarseness, as well as symptoms such as difficulty in breathing, difficulty in swallowing, persistent cough, and blood in the sputum. Vocal cord nodules are caused by prolonged improper use of the voice, shouting, or long-term irritation of the vocal cords by acid reflux. If patients do not undergo surgical treatment, the vocal cord nodules may continue to enlarge and undergo cellular mutations, leading to malignancy. At this point, patients may find cauliflower-like neoplasms or ulcers on the surface of the vocal cords. They will experience hoarseness, difficulty breathing, and difficulty swallowing. At this stage, it is necessary to perform a local biopsy. If a malignant tumor is confirmed, localized surgical treatment can lead to improvement.
How long does nasal polyp surgery take?
The duration of hospitalization for nasal polyp surgery is approximately one week, as the surgery requires general anesthesia. Patients need to undergo endoscopic nasal polyp removal and cleaning of the nasal and sinus mucosa. Prior to surgery, routine examinations such as urine and blood tests, chest X-rays, electrocardiograms, and hepatitis B tests are required, along with consultations from relevant departments like respiratory medicine, internal medicine, and anesthesiology to fully assess the patient's vital status. After the surgery, patients need to use an expandable sponge to fill the nasal cavity to prevent local bleeding, and postoperative antibiotics are necessary to avoid local infections. If the patient does not have a fever or local bleeding, they can be discharged a week post-surgery. During the treatment period, it is recommended to drink more water and rest adequately.
Is nasal irrigation effective for a deviated nasal septum?
Nasal septum deviation washing is ineffective because the deviation is bony. Generally, nasal septum deviation occurs due to abnormal development of the nasal septum during the embryonic stage, or it is caused by trauma to the nasal septum or pressure from nasal cavity tumors later in life, resulting in deviation to one or both sides. After the deviation of the nasal septum, it primarily causes the patient to experience bilateral nasal congestion that progressively worsens. It is also accompanied by facial swelling, headaches, and the deviation itself can potentially trigger the onset of nasal polyps and sinusitis. First, it is necessary to go to the hospital for a detailed inspection using an electronic nasal endoscope and sinus CT to make a diagnosis. If patients with nasal septum deviation do not exhibit any clinical symptoms, generally no treatment is needed. However, if the patient's nasal congestion symptoms persist and worsen, accompanied by headaches, then corrective surgery for the nasal septum deviation is required to completely cure the condition.
How to perform pediatric massage for adenoid hypertrophy
Children's adenoid hypertrophy does not respond to massage therapy. It is typically caused by an acute inflammatory response, leading to sudden congestion, edema, proliferation, and exudation of the glands. Symptoms include fever, nasal congestion, sneezing, and snoring during sleep; severe cases can also lead to a decrease in hearing, tinnitus, and a feeling of fullness in the ears. In treating acute adenoid hypertrophy, symptomatic anti-inflammatory treatment is required first. This includes oral or intravenous antibiotics, which are usually effective due to bacterial infections, with penicillin antibiotics often having good outcomes. Local treatments such as nebulization can also help to reduce gland congestion and swelling. A light diet, drinking more water, and resting can generally lead to improvement. However, if the condition recurs frequently, local surgical treatment may be necessary. (Medication should be used under the guidance of a doctor.)
What are the symptoms of chronic pharyngitis?
Chronic pharyngitis is caused by a variety of reasons; it results in congestion and edema of the pharyngeal mucosa and submucosal tissues, along with proliferation of lymphatic follicles. Patients may experience dryness, itching, foreign body sensation, obstruction, burning sensation, and irritative cough in the throat. Severe cases may lead to bloody sputum. Common causes can include repeated acute inflammatory stimuli such as tonsillitis, acute pharyngitis, or long-term smoking, alcohol consumption, spicy food intake, digestive system disorders, and gastroesophageal reflux, all of which can cause congestion and edema of the pharyngeal mucosa and submucosal tissues, as well as lymphatic follicle proliferation. Examination with a laryngoscope can reveal significant congestion in the pharyngeal mucosa, uvula, and uvula, and lymphatic follicles can be found on the posterior pharyngeal wall, at the base of the tongue, and in the pharyngeal recesses. Treatment initially requires identifying and avoiding the cause. Nebulization inhalation can be used to alleviate local congestion and swelling, and adopting a light diet and quitting smoking and drinking can gradually lead to improvement and prevent recurrence.
What nebulization is used for vocal cord nodules?
Nebulized inhalation is very effective in treating vocal cord nodules. It requires the use of corticosteroids, as corticosteroids can reduce congestion and edema on the surface mucosa of the vocal cords, which is helpful for the recovery of vocal cord nodules. Vocal cord nodules are caused by improper or excessive use of the voice over a long period, loud and strenuous talking, and irritation from gastric acid reflux, leading to congestion, edema, and hyperplasia of the vocal cord surface mucosa. Patients may experience persistent hoarseness that progressively worsens. Vocal cord nodules are generally bilateral. Examination with a laryngoscope can reveal pale, granular neoplasms at the anterior-middle third of both vocal cords. Conservative treatment, such as nebulized inhalation, can be very effective initially. Voice rest, or refraining from speaking, is also necessary. If conservative treatment is ineffective, local surgical excision may be required for a cure.
Can Traditional Chinese Medicine cure vocal cord polyps?
Vocal cord polyps in traditional Chinese medicine are considered incurable because they are a benign tumor that must be surgically removed for a cure. The causes of vocal cord polyps generally include improper long-term voice use, shouting loudly, and excessive fatigue. For instance, teachers and singers are prone to developing vocal cord polyps. These polyps can cause persistent hoarseness in the patient's voice, which progressively worsens. Vocal cord polyps usually occur unilaterally. During an electronic laryngoscopy examination, an abnormal neoplasm can be observed on the anterior middle third of one vocal cord, typically pale white or pale red, soft, painless, and not prone to bleeding. For treatment, the patient needs to undergo local surgical removal to be cured. The surgery, which can be performed under a supporting laryngoscope, involves the excision of the vocal cord polyp, and recovery typically takes about a week before discharge from the hospital. After surgery, patients need to take good care of their vocal cords to prevent recurrence.
How to treat vocal cord nodules?
Vocal cord nodules are caused by improper, prolonged use of the voice, excessive strain, or shouting loudly, resulting in bilateral vocal cord lesions. They can lead to persistent hoarseness in patients, with intermittent exacerbations. Vocal cord nodules cause incomplete closure of the glottis. Examination with an electronic laryngoscope reveals symmetrical, pale, nodular protrusions on the anterior middle third of both vocal cords. In terms of treatment, vocal cord nodules can initially be managed conservatively. This involves complete vocal rest for one week, combined with nebulized inhalations to reduce local congestion and edema. After one week, if there is no improvement and the nodules persist, the patient may require excision surgery under supported laryngoscopy. The surgery requires hospitalization, general anesthesia, and patients typically recover and are discharged within a week after the operation.