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102
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 enlarged turbinates?
It is best not to drink alcohol if you have enlarged turbinates, as alcohol can stimulate the dilation of blood vessels, leading to congestion and swelling of the turbinates, which in turn exacerbates nasal congestion symptoms. Enlarged turbinates are just a clinical presentation, not a disease. The most common cause of enlarged turbinates in clinical settings is chronic rhinitis. Chronic rhinitis results from repeated acute inflammatory stimuli, causing congestion, swelling, and hyperplasia of the turbinate mucosa. Patients may experience bilateral nasal congestion that progressively worsens and may also have abnormal secretions in the nasal cavity. During an examination with an electronic rhinoscope, pronounced congestion and swelling in both middle and lower turbinates can be observed, sometimes showing mulberry-like changes on the surface. For treatment, patients may need to undergo a partial inferior turbinectomy, which requires hospitalization, and recovery is typically about one week before discharge.
Symptoms of chronic pharyngitis
Chronic pharyngitis is caused by a variety of reasons, leading to congestion, edema, and lymph follicle proliferation in the mucous membrane and submucosal tissue of the throat. Common causes include repeated inflammatory stimulation, intake of spicy foods, and local symptoms caused by gastric acid reflux. Patients may experience dryness, pain, itching, foreign body sensation, obstruction feeling, burning sensation, irritating dry cough, and hoarseness in the throat. In severe cases, there may even be blood in the sputum. During examination, swelling of the uvula and significant proliferation of lymph follicles can be found in areas such as the lateral pharyngeal wall, posterior pharyngeal wall, and the base of the tongue. In terms of treatment, patients need to first identify the cause, adopt a light diet, quit smoking and alcohol, exercise, avoid colds, and maintain a regular diet with post-meal physical activity for gradual improvement and to prevent recurrence.
Can people with chronic rhinitis keep cats?
Patients with chronic rhinitis should avoid keeping pets, especially cats, as cats carry many parasites and bacteria and also shed hair. The nasal passages of patients with chronic rhinitis are very sensitive. Once hair enters the nasal cavity, it can cause sudden congestion and swelling of the bilateral nasal conchae mucosa, leading to symptoms of sneezing, runny nose, and persistent bilateral nasal congestion, thus further aggravating the clinical manifestations of the condition. In terms of treatment, patients with chronic rhinitis should first adhere to a bland diet and avoid spicy and stimulating foods. They also need to combine treatment with nebulized inhalation and use corticosteroids to reduce congestion and swelling of the nasal conchae mucosa, to decrease nasal secretions and relieve symptoms of nasal congestion. Additionally, patients should exercise to restore the function of the nasal conchae mucosa, which can gradually lead to improvement. (Specific medication should be administered under the guidance of a physician.)
Treatment of Chronic Rhinitis and Sinusitis
Chronic rhinitis and chronic sinusitis are due to persistent inflammation following acute inflammatory stimuli or recurrent attacks, leading to nasal and systemic symptoms. Patients may experience facial swelling and pain, headaches, and nasal congestion, generally bilateral and progressively worsening. Additionally, there may be yellow purulent discharge from the nasal cavity, sometimes accompanied by an odor. The examination can reveal congested and edematous bilateral nasal turbinates and abnormal secretions in the nasal cavity. For treatment, patients initially need a sinus CT scan; if sinusitis is confirmed, symptomatic anti-inflammatory treatment is necessary, including oral antibiotics, such as cephalosporins, which are relatively effective. Saline nasal irrigation is also required. If conservative treatment fails, the patient may need endoscopic sinus surgery and partial resection of the bilateral inferior turbinates to recover.
Can vocal cord polyps eat bayberry?
People with vocal cord polyps should avoid eating bayberries, as bayberries are acidic and can aggravate acid reflux after consumption. The acid fluid and vapors can also irritate the throat, leading to the enlargement or recurrence of vocal cord polyps. Vocal cord polyps are generally caused by prolonged improper use of the voice, such as yelling loudly, excessive fatigue, and irritation from acid reflux. These polyps can cause the voice to become hoarse and progressively worsen. During examination, a pale, lychee-like mass can be found on the anterior-middle third of one vocal cord, leading to incomplete closure of the vocal cords. Regarding treatment, medication is ineffective for vocal cord polyps. Patients need to undergo a vocal cord polyp removal surgery under supported laryngoscopy. The surgery requires hospitalization and general anesthesia, and postoperative antibiotics are used to prevent local infection. Recovery is usually complete within about a week, allowing for discharge from the hospital.
Will turbinate hypertrophy surgery relapse?
After surgery for enlarged nasal turbinates, it generally does not recur. Enlarged nasal turbinates are commonly seen in cases of deviated nasal septum or chronic hypertrophic rhinitis. Patients with a deviated nasal septum may experience compensatory enlargement of the turbinates on both sides, where local surgical removal is needed for treatment. Chronic hypertrophic rhinitis is due to repeated episodes of simple rhinitis, causing persistent congestion and swelling in the lower turbinates on both sides, with a mulberry-like change on the surface. Treatment for these patients requires partial resection of the lower turbinates on both sides, but the surgery must adhere to principles; removing more than one-third of the lower turbinates should be avoided, as it can easily lead to empty nose syndrome. Postoperatively, patients also need to use antibiotics to prevent local infection. After complete recovery, patients should exercise regularly and avoid colds to prevent recurrent growth of the turbinates. (The use of medication should be conducted under the guidance of a doctor.)
How long will chronic tonsillitis take to heal?
Chronic tonsillitis generally improves gradually over a week. It arises from repeated acute tonsillitis attacks or persistent unresolved infection, leading to symptoms such as persistent low-grade fever, swelling and pain in the throat, primarily during swallowing. Additional symptoms include dryness, itchiness, a foreign body sensation, a sense of obstruction, and cough due to irritation in the throat. Examination with an electronic laryngoscope typically reveals significant congestion and enlargement of the tonsils on both sides, with pus plugs possibly present in the tonsillar crypts. For treatment, patients should first undergo symptomatic anti-inflammatory therapy. Since tonsillitis is usually caused by a bacterial infection, often from hemolytic streptococcus, oral cephalosporin antibiotics are effective. Treatment can also include nebulized inhalation to alleviate local congestion and swelling. It is advisable to drink more water and rest adequately, which should allow for gradual recovery within about a week.
symptoms of cancerous transformation of a deviated nasal septum
A deviated nasal septum does not lead to cancerous changes in patients. It's a condition involving a bony deviation and is a common and frequent disorder in the field of otolaryngology. Generally, a deviated nasal septum occurs due to abnormal development of the nasal septum during the embryonic stage or from subsequent trauma to the nasal septum or tumors in the nasal cavity, causing local pressure and deviation to one or both sides of the septum. Following a septal deviation, patients may experience persistent nasal congestion, accompanied by nasal discharge, facial pain, and headaches. A deviated nasal septum can also trigger the occurrence of nasal polyps and sinusitis, but it does not lead to local cancerous changes. If a patient's symptoms are mild, special treatment is generally unnecessary. However, if clinical symptoms appear, corrective surgery for the deviated nasal septum can completely cure the condition.
Do vocal cord polyps cause coughing?
Vocal cord polyps generally do not cause coughing in patients. Vocal cord polyps are vocal cord lesions caused by prolonged improper use of the voice, shouting loudly, excessive yelling, or irritation of the vocal cords by acid reflux. They primarily cause the patient's voice to be hoarse and progressively worsen. Vocal cord polyps generally occur on one side. When examined with an electronic laryngoscope, a smooth-surfaced, light red or pale white abnormal growth can be found on the anterior middle third of one vocal cord. The glottis moves well, but closure is incomplete, causing persistent hoarseness in the patient. In terms of treatment, conservative treatment for vocal cord polyps is ineffective, and patients need to undergo surgical treatment. The surgery can be performed with a support laryngoscope to remove the vocal cord polyp. Hospitalization is required for the surgery, and recovery with discharge is possible within about a week.
Does pharyngitis cause a fever?
Pharyngitis generally involves fever symptoms in acute cases. Acute pharyngitis results from a lowered immune and resistance response, leading to viral or bacterial infections that cause both local symptoms in the throat and systemic symptoms. Patients may experience high fever, with body temperatures above 38°C (100.4°F), and severe throat pain, primarily during swallowing, leading to refusal to eat due to intense throat pain. Additionally, patients may feel a blockage or foreign body sensation in the throat. Upon examination with an electronic laryngoscope, the mucous membrane in the throat area can be seen as congested and swollen, especially around the soft palate and uvula. Pus-filled secretions may also be present on the posterior pharyngeal wall. Regarding treatment, if the patient's temperature exceeds 38°C, antipyretic medications are required; if below 38°C, wiping the body with warm water can be used. Anti-inflammatory treatment should also be administered based on symptoms, and recovery can generally be expected within a week. (Please use medication under the guidance of a professional physician.)