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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
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.)
Can you eat eggs if you have enlarged nasal turbinates?
Patients with hypertrophic turbinates can eat eggs; there is no issue with that. Eggs are rich in protein, which can enhance the body's immunity and resistance, offering significant benefits to patients with hypertrophic turbinates. Hypertrophic turbinates are simply a clinical manifestation, commonly caused by chronic rhinitis or chronic allergic rhinitis. Following hypertrophy of the turbinates, patients typically experience persistent bilateral nasal congestion, accompanied by a sensation of a foreign body in the nose, swelling, and mucous nasal discharge. A detailed examination with an endoscope at the hospital can confirm the diagnosis. During the examination, diffuse congestion and edema of the bilateral inferior turbinates can be observed. For treatment, initial steps can include nebulized inhalation therapy to shrink the turbinates and alleviate nasal congestion, along with regular physical exercise to restore the function of the nasal mucosa. If conservative treatment is ineffective, local surgical treatment may be necessary.
Symptoms of acute pharyngitis
Acute pharyngitis is caused by a Coxsackievirus infection following a decrease in the body's immunity and resistance, leading to symptoms in the throat as well as general body symptoms. Patients will experience sudden high fever, with body temperature above 38°C, dizziness, headache, severe throat pain, primarily pain during swallowing. Additionally, patients may also experience dry throat, itching throat, a sensation of a foreign body in the throat, a sense of obstruction, a burning sensation, and irritative cough. The condition generally occurs in autumn and is more common in children. For treatment, patients should first go to the hospital for an examination using an electronic laryngoscope and complete a blood count test. If diagnosed with pharyngitis, symptomatic anti-inflammatory treatment should be administered. As it is generally a viral infection, symptomatic antiviral treatment can be effective. Additionally, nebulized inhalation is used to alleviate local congestion and edema. A light diet, avoiding spicy and irritating foods, generally leads to gradual recovery within about a week.
Is acute pharyngitis contagious?
Acute pharyngitis can be contagious. Generally, it can spread through the respiratory or digestive systems. If the patient shows symptoms of fever and throat pain, isolation is required. Typically, isolation lasts for 3-5 days. Acute pharyngitis is caused by a viral or bacterial infection, leading to symptoms in the throat as well as systemic symptoms. The patient may experience sudden high fever, with body temperature above 38°C, and severe throat pain. Other symptoms include dry throat, sore throat, itchy throat, sensation of a foreign body in the throat, and a feeling of obstruction. During an examination with an electronic laryngoscope, the mucous membranes in the throat may be found to be congested and significantly swollen, with pus-like secretions present on the posterior pharyngeal wall. For treatment, an examination using an electronic laryngoscope and a routine blood test are first required. If there is an increase in white blood cells, symptomatic anti-inflammatory treatment and oral antibiotics are needed. If lymphocytes are elevated, symptomatic antiviral treatment is required, and recovery can generally occur within about a week. (The use of medications should be under the guidance of a professional doctor.)
What are the symptoms of acute pharyngitis?
Acute pharyngitis is caused by the invasion of bacteria or viruses due to weakened immunity and resistance in the body, leading to systemic symptoms and symptoms in the throat area. Patients may experience sudden high fever, with body temperature above 38.5°C, dizziness, headache, dryness and pain in the throat, as well as a sensation of obstruction and foreign body in the throat. Examination may reveal significant congestion and swelling in the throat, with yellow secretions adhering to the soft palate and pharyngeal wall. For treatment, patients initially need a complete blood count test; if there is an increase in white blood cells, oral antibiotics such as cefixime and amoxicillin are needed. If lymphocytes are elevated, oral administration of ribavirin granules is required, which has good effects. Nebulization can also be used concurrently to alleviate local congestion and swelling, and recovery can generally begin within about a week. Note: Medications should be used under the guidance of a doctor.