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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
Is nasal irrigation useful for enlarged turbinates?
Treatment of inferior turbinate hypertrophy with a nasal rinse device is effective as it can clean the bacteria, dust, and allergens from the surface of the turbinates, and can act to shrink the turbinates. However, patients should not rely solely on the nasal rinse device to treat turbinate hypertrophy, as it is generally seen in chronic rhinitis. Chronic rhinitis is caused by long-term chronic inflammation due to lowered immunity, leading to bilateral turbinate mucosal congestion, edema, hyperplasia, and exudation. This can cause patients to experience alternating nasal congestion, facial swelling pain, headaches, and other clinical manifestations. In treatment, patients also need to use Biyankang, which has good therapeutic effects; consult a local physician for specific dosages. Additionally, nebulized inhalation should be used to shrink the turbinates and restore nasal patency. Using the nasal rinse device for daily washing can regularly shrink and dilate the turbinates, achieving certain effectiveness.
Vocal cord nodules voice repair how many days
Vocal cord nodules must be completely silenced for one week. Vocal cord nodules are caused by long-term improper use of voice, loud fatigue, and excessive shouting, leading to vocal cord lesions. Usually, it involves both vocal cords. This condition causes persistent hoarseness in the patient. An examination with an electronic laryngoscope can reveal a symmetrical, smooth-surfaced neoplasm at the anterior-middle third of both vocal cords, causing persistent hoarseness in the patient. In terms of treatment, the patient needs to undergo vocal cord nodule removal surgery under supported laryngoscopy. The surgery requires inpatient general anesthesia, postoperative use of antibiotics, and complete voice rest for a week to prevent recurrence after surgery. Postoperatively, the patient also needs to follow a light diet, abstain from smoking and drinking, and avoid spicy and irritating foods. If hoarseness is noticed, an electronic laryngoscopy check is mandatory at the hospital. If there is a recurrence, further local surgical treatment is needed.
Can recurrent vocal cord polyps turn into cancer?
Recurrent vocal cord polyps can potentially lead to cancerous changes. Vocal cord polyps are caused by improper use of the voice over an extended period, such as yelling loudly or excessive fatigue, leading to changes in the vocal cords. Generally, it affects one vocal cord and causes the patient to experience persistent, progressive hoarseness. During an examination with an electronic laryngoscope, a neoplasm can be observed on the anterior-middle third of the affected vocal cord. This neoplasm is smooth, pale white or pale red, and has a thin stalk, leading to incomplete closure of the vocal folds and subsequent hoarseness. In terms of treatment, conservative methods are ineffective. The patient requires a microlaryngoscopy under general anesthesia to remove the vocal cord polyp. Postoperative care includes antibiotics to prevent local infections, and the patient can typically recover and be discharged about a week after the surgery.
Can a deviated nasal septum be manually adjusted by hand?
A deviated nasal septum cannot be manually adjusted, as the site of deviation is deep within the nasal cavity and thus inaccessible by hand. A deviated nasal septum is a common and frequent condition encountered in otolaryngology. It mainly results from abnormal nasal septum development during the embryonic stage or from postnatal trauma to the nasal septum and pressure from nasal tumors causing the septum to deviate to one side. After developing a deviated nasal septum, the patient may experience continuous, progressive nasal congestion, as well as facial swelling, pain, and headaches among other symptoms. In severe cases, the deviation may lead to complications such as sinusitis and nasal polyps, which can be diagnosed with an endoscopic examination and sinus CT scan at a hospital. In terms of treatment, minor deviations of the nasal septum do not require intervention. However, if associated symptoms are present, localized surgical correction may be necessary and can be curative.
Can you eat chili peppers with enlarged turbinates?
People with enlarged nasal turbinates should avoid eating spicy peppers, as they are considered irritants. Consumption of spicy peppers can worsen the enlargement of nasal turbinates, leading to persistent nasal congestion. For enlarged nasal turbinates, it is necessary to visit a hospital and undergo examination with an electronic nasoscope to determine the cause. Generally, this condition is caused by chronic rhinitis or chronic allergic rhinitis. Enlargement of the nasal turbinates typically leads to symptoms such as persistent and progressive bilateral nasal congestion, swelling sensation in the nasal cavity, foreign body sensation, facial swelling, pain, headache, and the discharge of abnormal mucous secretions from the nasal cavity. In terms of treatment, initial management of enlarged nasal turbinates can involve the use of nebulized inhalation to shrink the turbinates and relieve nasal congestion. Regular physical exercise can also help restore the function of the nasal mucosa. If conservative treatment is ineffective, surgical removal of parts of the lower turbinates on both sides may be required to completely cure the condition.
How long does it take for vocal cord polyps to go away with medication?
Vocal cord polyps do not respond to medical treatment. The majority of vocal cord polyps are caused by improper or excessive use of the voice, such as prolonged speaking, overexertion, and shouting, leading to vocal cord lesions. The disease typically affects one vocal cord, causing the patient to have persistent and progressively worsening hoarseness. During an examination with a laryngoscope, a smooth, pale white or pale red neoplasm with a thin stalk can be seen at the anterior-middle third of one vocal cord. The vocal cord moves well but does not close completely. In terms of treatment, medication is ineffective for vocal cord nodules and polyps. The patient needs to undergo a vocal cord polypectomy under a support laryngoscopy. This surgery requires hospitalization, general anesthesia, and postoperative use of antibiotics to prevent local infection. Recovery and discharge can typically occur about a week post-operation. After recovery, patients are advised to speak softly and minimally, and avoid exhaustion to prevent recurrence. (The use of medication should be under the guidance of a professional doctor.)
How many types of chronic rhinitis are there?
Chronic rhinitis can be clinically divided into chronic simple rhinitis, chronic hypertrophic rhinitis, and chronic allergic rhinitis, which are the most common types seen in clinical practice. Chronic simple rhinitis is often seen in children and generally occurs due to repeated acute rhinitis attacks or prolonged unresolved symptoms. Chronic hypertrophic rhinitis results from repeated simple rhinitis, causing bilateral turbinate mucosal diffuse congestion and hyperplasia with poor shrinkage effects. Chronic allergic rhinitis is caused by inhalation of certain allergens into the nasal cavity due to weakened immunity and resistance, leading to symptoms such as nasal congestion, runny nose, and sneezing. In terms of treatment, simple rhinitis can be effectively managed with medication. Chronic hypertrophic rhinitis may require partial turbinectomy of both sides for cure, while allergic rhinitis can be gradually improved by enhancing immunity and resistance.
How to deal with frontal headache caused by sinusitis?
In the acute phase, symptomatic anti-inflammatory treatment is needed, which can be administered orally or intravenously through antibiotics, whereas chronic sinusitis requires local surgical treatment. The frontal headache caused by sinusitis is generally common in frontal sinusitis. Frontal sinusitis is a common type of sinusitis which occurs when the body's immunity is lowered, allowing bacteria to invade along the opening of the frontal sinuses, thus affecting the mucous membranes of the frontal sinuses, leading to congestion, swelling, proliferation, and exudation. Patients may experience symptoms such as nasal congestion, runny nose, and frontal swelling pain. An examination with an endoscope and a CT scan of the sinuses will reveal purulent secretions in both nasal cavities. At the same time, enlargement of the nasal conchae on both sides can block the nasal passages causing nasal congestion in patients. In terms of treatment, the acute phase requires symptomatic anti-inflammatory treatment. Generally, in cases of bacterial infection, patients can achieve good results with oral or intravenous antibiotic treatment. However, for chronic sinusitis, local surgical treatment is required for cure.
Early symptoms of suppurative tonsillitis
The early symptoms of suppurative tonsillitis include fever, muscle weakness, muscle pain, as well as swelling and pain in the throat, and a runny nose. Suppurative tonsillitis is primarily caused by bacterial infections of the upper respiratory tract due to lowered immunity and resistance, often resulting from infections by hemolytic streptococci. Patients may exhibit fever, swelling, and pain in the throat area. A thorough examination at a hospital with an electronic laryngoscope and a complete blood count can confirm the diagnosis. The examination may reveal bilateral tonsillar enlargement and congestion, with the presence of pale white or yellowish pus-like secretions on the surface. For treatment, symptomatic anti-inflammatory therapy is required, which may include the use of penicillin or cephalosporin antibiotics, usually with good results. In addition, rest and attention to diet are important for gradual improvement during the treatment period.
How should nasal turbinate hypertrophy be treated?
Enlarged turbinates are just a clinical manifestation, not a disease in itself. In clinical practice, many diseases can cause enlarged turbinates, such as chronic rhinitis, deviated nasal septum, and nasal polyps. These conditions can lead to compensatory hypertrophy of the turbinates, which results in symptoms of nasal congestion. Initially, it is necessary to visit a hospital for a detailed examination with an electronic nasal endoscope to make a clear diagnosis. If the condition is due to a deviated nasal septum, septoplasty may be required. If nasal inflammation is causing the enlarged turbinates, conservative treatment should be attempted first. If conservative treatment is ineffective, bilateral partial inferior turbinectomy may be necessary. After the surgery, the patient should continue with a light diet and regular exercise to restore the function of the nasal mucosa, strengthen the body, and avoid colds to prevent recurrent hypertrophy of the turbinates.