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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
How many days does acute pharyngitis take to get better?
Acute pharyngitis generally begins to improve after about a week. Acute pharyngitis is a condition of the throat caused by viral or bacterial infection due to lowered immunity and resistance. Patients may experience sudden high fever with temperature above 38.5°C, severe throat pain predominately during swallowing. Additionally, symptoms such as dry throat, itchy throat, and a sensation of a foreign body in the throat may occur. Upon examination, swollen and congested soft palate and uvula can be observed, with dot-like pus plugs found on the surface and yellow secretions on the posterior pharyngeal wall. In terms of treatment, patients first need to undergo routine blood tests. If there is an increase in white blood cells, symptomatic anti-inflammatory treatment with oral antibiotics is required. If lymphocytes are elevated, symptomatic antiviral treatment is needed, along with nebulization inhalation and a light diet. The condition generally begins to improve gradually after a week. (Note: The use of medication should be carried out under the guidance of a professional physician.)
Where is throat cancer likely to metastasize?
The metastasis of laryngeal cancer primarily involves local spread, mainly to the lymph nodes in zones 2, 3, and 4 of the neck. When the cancer becomes more severe, it can break through the lymphatic vessels and spread to the liver, kidneys, spleen, brain, lungs, and other related areas. Laryngeal cancer is a malignant tumor of the pharyngeal region, typically caused by long-term smoking, drinking, immunodeficiency, and cellular mutations. It commonly occurs in the vocal cords, esophagus, laryngeal ventricle, piriform sinus, base of the tongue, and epiglottis. It causes patients to feel a foreign body sensation in the throat, persistent hoarseness that progressively worsens, irritative cough, difficulty swallowing, and difficulty breathing. An examination with an electronic laryngoscope can help diagnose the condition. If an abnormal mass is found, a local biopsy is necessary. If laryngeal cancer is confirmed, related surgical treatment as well as radiotherapy or chemotherapy may be required.
How to treat nasal congestion caused by sinusitis?
Nasal congestion caused by sinusitis requires symptomatic anti-inflammatory treatment as the initial step, because sinusitis, which includes inflammation of the paranasal sinuses, is caused by acute inflammatory irritation leading to nasal symptoms. This condition can result in nasal congestion due to the repeated stimulation of the nasal conchae by yellow purulent secretions. Additionally, patients may experience discharge of yellow purulent material from the nasal cavity, facial swelling and pain, headaches, and fever among other symptoms. Examination with an endoscope may reveal bilateral congested and swollen nasal mucosa, and yellow purulent secretions in the nasal passages. Treatment initially requires symptomatic anti-inflammatory measures to reduce inflammation. Since it is a bacterial infection, patients can use antibiotics. Also necessary is the use of saline nasal irrigation and nebulized inhalations to contract the nasal conchae and alleviate congestion. Once the inflammation is reduced, nasal congestion will gradually improve. (The use of medications should be under the guidance of a doctor.)
Can a deviated septum be detected by a CT scan?
A CT scan can detect a deviated nasal septum, which is a common and frequently occurring condition in otolaryngology, typically due to abnormal development of the nasal septum during the embryonic stage or from trauma or pressure from nasal tumors. When the nasal septum is deviated, it can cause persistent nasal congestion on both sides, as well as facial swelling, headaches, and may also lead to sinusitis or nasal polyps. Diagnosis can be confirmed with an endoscopic examination using an electronic nasal endoscope and a sinus CT scan at the hospital. If the deviation of the nasal septum is severe and accompanied by nasal congestion and headaches, surgical correction of the deviated septum may be necessary to completely resolve the symptoms.
Can nasal turbinates hypertrophy be seen with the naked eye?
Turbinate hypertrophy is visible to the naked eye as the turbinates are located on the lateral wall of the nasal cavity. When the turbinates are excessively enlarged, a dark red protrusion will appear inside the nasal cavity. Turbinate hypertrophy primarily leads to persistent progressive nasal congestion for the patient, along with feelings of nasal swelling, a foreign body sensation, and mucous nasal discharge. Turbinate hypertrophy is generally caused by acute and chronic rhinitis, allergic rhinitis, deviated nasal septum, and nasal polyps. It is necessary to visit a hospital for a detailed examination, where procedures like nasal endoscopy, sinus CT, complete blood count, and skin prick tests can confirm the diagnosis. In terms of treatment, during the acute phase, nebulized inhalation therapy using corticosteroids can be the first approach. This helps to reduce turbinate size and alleviate nasal congestion. Additionally, regular physical exercise and treatment of the primary disease are recommended. If conservative treatment is ineffective, partial resection of the bilateral lower turbinates may be needed.
Can massage help with enlarged turbinates?
Local massage is not effective for hypertrophic turbinates, which are generally caused by prolonged chronic inflammation stimulation, as well as episodes of allergic rhinitis leading to bilateral turbinate diffuse congestion, edema, hyperplasia, and hypertrophy. After the enlargement of the turbinates, patients mainly experience persistent, gradual nasal congestion on both sides, accompanied by a foreign body sensation in the nasal cavity and swelling. Patients may also experience a decrease in sense of smell, memory decline, facial swelling, and headaches, and should visit a hospital for a detailed examination with an endoscope and sinus CT scan to confirm the diagnosis. In terms of treatment, if the condition is due to inflammation or infection, symptomatic anti-inflammatory treatment is required, and if it is due to a localized allergic reaction, symptomatic anti-allergy treatment should be administered. Regular physical exercise to restore the function of the nasal mucosa is recommended. If conservative treatment is ineffective, surgery to partially remove the inferior turbinates on both sides may be necessary.
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.