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Yao Jun
Otolaryngology - Head and Neck Surgery
About me
Director of the Otolaryngology Department, Master's Supervisor. Engaged in Otolaryngology medical, teaching, and research work for over 20 years. Currently has published over 20 professional and management papers in national core journals or professional magazines above the provincial level.
Proficient in diseases
Specializes in surgical treatment of laryngeal cancer, head and neck tumors with lymph node dissection for metastasis, thyroid tumors, salivary gland and submandibular gland tumors, sublingual gland tumors, mastoid surgery, functional endoscopic sinus surgery for sinusitis, as well as comprehensive treatment for dizziness, tinnitus, and snoring.
Voices
Do vocal cord polyps require hospitalization?
Vocal cord polyps are a common condition treated in otolaryngology, mainly caused by excessive voice use, inflammatory irritation, and physical and chemical factors. These factors lead to the formation of granuloma-like neoplasms at the junction of the anterior and middle third of the vocal cords. These growths have a broad base or may be pedunculated, and the mucosa is smooth. When the vocal cords attempt to close during phonation, closure is poor, causing symptoms such as effortful speech and easy vocal fatigue. Diagnosis can be confirmed through indirect laryngoscopy or videolaryngoscopy. If diagnosed with vocal cord polyps, outpatient surgery may be an option if the patient cooperates well with topical anesthesia and if the clinician's technique is highly adept. Otherwise, inpatient surgery under general anesthesia may be necessary, as outpatient treatments do not allow for reimbursement or the execution of necessary anesthesia. Therefore, vocal cord polyps generally require inpatient treatment.
What can you eat with acute tonsillitis?
Acute tonsillitis refers to acute inflammation of the tonsil mucosa and submucosa in the throat area, which may be related to bacterial infections, viral infections, and some physical and chemical factors, such as dust and high temperature. Therefore, it is advisable to avoid spicy and irritating foods in the case of acute tonsillitis. Instead, we can eat more bland, easily digestible, high-protein foods rich in vitamins, such as foods with a bitter taste. We can also consume some throat-clearing fruits like watermelon, dragon fruit, apple, and snow pear, etc. Thus, during the anti-inflammatory treatment for acute tonsillitis, one can also adopt a light diet.
Allergic rhinitis symptoms
Allergic rhinitis is a common disease in otolaryngology, often occurring throughout the year. It can be categorized into perennial allergic rhinitis or seasonal allergic rhinitis. Perennial allergic rhinitis may be related to dust, talcum powder, dust mites, or animal dander, among others. Seasonal rhinitis is often associated with hay fever. Therefore, it is necessary to determine the type of allergic rhinitis based on the patient's season of onset and the allergens involved. Common symptoms include nasal congestion, runny nose, sneezing, itching of the nose, and itchy eyes. Perennial allergic rhinitis occurs throughout the year, whereas pollen-induced allergic rhinitis, or seasonal rhinitis, tends to have more severe symptoms during the blooming season of spring.
How to effectively treat vocal cord polyps?
Vocal cord polyps are neoplasms that occur in the anterior middle third of the vocal cords due to excessive voice use. The mucous membrane of the polyp is relatively smooth, and the base may be broad or pedunculated. During phonation, the shape of the glottis changes, thus patients with vocal cord polyps experience a hoarse voice and find speaking strenuous. If treatment with medications aimed at clearing blockages and dispersing accumulations is ineffective, surgery is generally considered. The procedure is performed under general anesthesia with direct vision through a supported laryngoscope. Postoperatively, patients should avoid speaking and overusing their voice to reduce the risk of recurrence, and consume more foods that are cooling and reduce heat. (Medication should be used under the guidance of a doctor.)
Is nasopharyngeal cancer hereditary?
Nasopharyngeal carcinoma is a malignant tumor of the nasopharynx, primarily found in regions populated by Mongoloid races, and is particularly common in coastal areas or in Guangdong and Guangxi regions. Nasopharyngeal carcinoma has a genetic component, meaning if you have a family history of this cancer, your chances and your descendants' chances of developing nasopharyngeal carcinoma are higher compared to those without such a family history. However, having a family history does not guarantee the development of nasopharyngeal carcinoma, nor does the absence of a family history ensure one will not get it. Under such circumstances, patients with a family history should regularly check their nasopharynx and consider whether there are traces of blood in the first sputum they cough up in the morning, which might indicate a malignancy in the nasopharynx. In such cases, performing a nasopharyngoscopy can generally clarify the presence or absence of a tumor.
Symptoms of chronic pharyngitis
Chronic pharyngitis is a diffuse chronic inflammation of the mucous membrane, submucosal layer, and lymphatic tissues mainly seen in adults. Its primary symptoms include a foreign body sensation in the throat, itchiness, a sensation of heat, dryness, and potentially pain during swallowing. Thick secretions often adhere to the throat wall, causing patients to experience frequent irritative coughing and a nauseous feeling upon waking in the morning. Sometimes, there may be no phlegm or only granular secretions coughed up. In the case of atrophic pharyngitis, there might be foul-smelling scabs. Clinically, it is advised to avoid spicy and irritating foods, and not to smoke or drink alcohol, etc.
How should pharyngitis be treated?
Pharyngitis refers to the chronic inflammation of the mucosa and submucosa in the throat, which can extend to the lymphatic tissue around the pharynx. The causes of pharyngitis may include bacterial infection, viral infection, environmental factors, and the patient's diet and lifestyle habits. It may also be related to excessive use of the voice or excessive talking. Traditional Chinese medicine considers it a type of heat syndrome. Therefore, one should avoid spicy and irritating foods, avoid shouting loudly, drink plenty of water, gargle with salt water, maintain oral hygiene, and consume foods that clear heat, detoxify, strengthen the spleen, and stimulate the appetite. Avoid smoking, drinking alcohol, staying up late, and overheating. Under the guidance of a doctor or pharmacist, one may use some traditional Chinese medicines that clear heat and detoxify. If pharyngitis is accompanied by symptoms such as pain and fever, taking anti-inflammatory medications can enhance the treatment effect.
How to treat adenoid hypertrophy?
Adenoid hypertrophy mainly occurs in infants and children. It is a congenital disease, meaning that most children are born with varying degrees of adenoid hypertrophy. However, in many children, the adenoids begin to shrink after six months and generally do not cause symptoms. If the adenoids are enlarged, it can lead to the child breathing through their mouth, snoring, and gasping, which may cause facial changes, brain hypoxia, and delayed brain development. In such cases, adenoidectomy might be considered, generally performed under general anesthesia. However, some children with adenoid hypertrophy also have enlarged tonsils, so both surgeries are often performed together. Otherwise, if only the adenoid hypertrophy is treated without addressing enlarged tonsils, problems such as mouth breathing and snoring may not improve.
How to treat vocal cord nodules
Vocal cord nodules, also known as singer's nodules, are typically located at the junction of the anterior and middle thirds of both vocal cords, featuring symmetrical nodular protrusions. They are more commonly found in individuals who use their voices professionally, such as singers, teachers, or other vocations that involve frequent shouting, as well as in children. Prolonged or improper use of the voice is a major cause of this condition. Therefore, during treatment, voice rest is primarily advised. Early stage vocal cord nodules can spontaneously resolve with sufficient vocal rest, and nodules in children often disappear naturally during puberty. Additionally, medication can be used for treatment, such as traditional Chinese medicines, including Jin Sang San Jie Wan and Kai Yin Pills. If conservative treatment fails, surgical removal of the vocal cord nodules under fiberoptic laryngoscopy can be performed, followed by a two-week voice rest period. Post-surgery, it is recommended to inhale medicated vapors, avoid spicy and irritating foods, drink plenty of water, avoid staying up late, and refrain from excessive voice use or shouting.
Can nasopharyngeal carcinoma be treated with surgery?
Nasopharyngeal cancer is a malignant tumor in the nasopharynx, which is mainly found in coastal and Guangdong areas, and is more common among Mongoloid races. The treatment methods for nasopharyngeal cancer include radiotherapy, chemotherapy, and combined chemoradiotherapy. If the tumor does not disappear after combined chemoradiotherapy and is insensitive to drugs, surgery can be considered. Surgery is not the first-line treatment option for nasopharyngeal cancer; the first-choice treatments are radiotherapy and combined chemoradiotherapy, which are very effective and have a high five-year survival rate. If the cancer is insensitive to radiation and drugs, surgical treatment can be an option in such cases.