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Deng Bang Yu
Otolaryngology
About me
Deputy Chief Physician of Otolaryngology Head and Neck Surgery, Master's degree, proficient in the diagnosis, treatment, and surgery of common and frequent diseases in otolaryngology head and neck surgery. Specializes in research areas including allergic diseases, sleep and snoring disorders, vertigo diseases, and vocal medicine.
Proficient in diseases
Chronic rhinitis, allergic rhinitis, nosebleeds, sinusitis, nasal polyps, benign and malignant tumors of the nose, skull base tumors in the nose area, pharyngitis, tonsillitis, snoring, hypopharyngeal tumors; laryngitis, vocal cord polyps, throat cancer.
Voices
Can adenoid hypertrophy cause a fever?
Adenoid hypertrophy is a common condition in children and is an overgrowth of normally occurring tissue. It does not cause fever on its own. However, diseases secondary to adenoid hypertrophy, such as sinusitis and otitis media, might lead to fever. During the acute infection phase of hypertrophied adenoids, referred to as acute adenoiditis, fever can occur. Therefore, clinically, it is essential to distinguish between different stages and conditions of adenoid hypertrophy to manage it correctly. Simply put, adenoid hypertrophy does not cause fever by itself.
What should be noted for vocal cord polyps?
Vocal cord polyps are benign space-occupying lesions on our vocal cords. It is important to note that vocal cord polyps should be surgically removed promptly since once formed, they are unlikely to completely disappear with medication alone. Secondly, after surgery for vocal cord polyps, it is crucial to rest your voice, avoid talking too much, and refrain from shouting loudly, among other activities. Thirdly, diet should be nutritionally rich and light, easily digestible. Avoid using substances that are spicy and irritating, such as cigarettes, alcohol, and chili peppers. Additionally, if there are any pulmonary diseases, like gastroesophageal reflux disease, they should be actively treated.
Do deviated nasal septum and enlarged turbinates require surgery?
Whether surgery is needed for a deviated nasal septum and enlarged turbinates should be determined based on the following aspects. First, it depends on whether there are clinical symptoms, such as nasal congestion, and particularly if it is severe and persistent, and whether symptoms like nosebleeds and headaches are present. Symptoms are a necessity before considering surgery; Second, some tests can be conducted, such as a sinus CT scan, to assess the extent of turbinate enlargement and the severity of the nasal septum deviation. If the deviation of the nasal septum is severe, then surgery is absolutely necessary; Third, some tests related to nasal cavity function can be combined to determine the necessity for surgery. The main function of the nasal cavity refers to its ventilation capability, such as the nasopharyngeal reflex and nasal resistance tests. An overall assessment of the impact of enlarged turbinates and the deviated septum on the nasal cavity can then guide the decision on whether to undergo surgical treatment.
How to treat sinusitis?
In clinical practice, the treatment for sinusitis depends on the patient's symptoms, whether it is acute or chronic sinusitis, and whether there are any complications associated with acute sinusitis. Generally, for sinusitis, the main treatment involves the local use of nasal corticosteroids sprays such as mometasone furoate. Additionally, oral anti-inflammatory drugs are used, mainly macrolide antibiotics such as erythromycin and clarithromycin. Some Chinese patent medicines that open orifices aromatically can also be used, such as Bi Tong Jing Granules and Dan Xiang Bi Yan Tablets, to provide auxiliary treatment. Of course, a CT scan of the sinuses can also be performed to assess the extent of the lesion and determine if the problem can be resolved through surgery. (Please use medications under the guidance of a doctor.)
Is nebulization effective for vocal cord polyps?
Vocal cord polyps refer to benign neoplasms located on the vocal cords. These neoplasms cause hoarseness, which is persistent, and in severe cases, may lead to voice loss or a distinct sensation of a lump when speaking. Clinically, vocal cord polyps are primarily removed through surgery. Nebulized inhalation treatments with medication can help reduce the swelling of the vocal cord polyps and alleviate congestion. Thus, nebulized inhalation plays a definite role in the treatment of vocal cord polyps, but it should not be expected to completely eliminate the polyps, as this is unrealistic and unachievable. Post-surgical nebulized inhalation can help reduce congestion and swelling, and actively aid in the recovery from vocal cord polyp surgery.
Is there a high possibility that nasal polyps are malignant?
Nasal polyps are a type of benign neoplasm in the nasal cavity, appearing as half a lychee, translucent, and either oval or ovoid in shape. They occupy the normal passages of the nasal cavity, causing symptoms such as nasal congestion, and even headaches in the head or forehead area. Nasal polyps are benign neoplasms and rarely develop into malignant lesions. Clinically, there have been no cases seen where nasal polyps have turned malignant. Some growths that look like nasal polyps may actually be nasal papillomas, which are more prone to malignancy. Therefore, it is recommended that patients with nasal polyps undergo early surgical intervention followed by a pathological examination to differentiate them from nasal papillomas and to assess the prognosis of the condition.
Yellow nasal discharge is what kind of cold?
Yellow nasal discharge is not a symptom of a cold. A cold, also known as an upper respiratory tract infection, typically presents with clear nasal discharge, indicating a viral infection. The appearance of yellow nasal discharge could suggest two possibilities: it could either be a symptom of sinusitis or it could indicate a secondary bacterial infection following a cold, especially in the later stages of a cold, manifesting symptoms similar to sinusitis. Therefore, yellow or yellow-purulent nasal discharge is definitively not a cold; it might be a symptom of sinusitis occurring late in the course of a cold or as the cold is resolving. In conclusion, yellow nasal discharge is not indicative of a cold.
Which is more serious, chronic rhinitis or allergic rhinitis?
Chronic rhinitis primarily involves inflammation of the nasal mucosa, submucosal tissues, nasal conchae, tympanic membrane, and even the bones. Allergic disease mainly involves allergic inflammation of the nasal mucosa. There is no clear distinction in severity between chronic rhinitis and allergic rhinitis. If chronic rhinitis tends towards an atrophic progression, then it is relatively serious. Allergic rhinitis, with its recurrent episodes, causes allergic cough and allergic asthma, which also signifies a relatively serious condition. Therefore, both chronic rhinitis and allergic rhinitis require active treatment, rather than distinguishing which one is more severe or which condition is milder. All issues should be actively treated.
What to eat after vocal cord polyp surgery
Vocal cord polyps are benign neoplasms located on the vocal cords, typically affecting one side. Clinically, the removal of vocal cord polyps is usually done under a microscope-supported laryngoscopy. Post-operative dietary guidelines include: 1. Eating can generally resume six hours after anesthesia has fully worn off, with a requirement for a bland diet. Consuming spicy and stimulating foods, such as tobacco, alcohol, and chili peppers, must be avoided. 2. Since hospital stays for vocal cord polyp surgery are relatively short, after discharge, one can use proprietary Chinese medicines that clear the throat and benefit the voice, or use corticosteroid medications concurrently. These medications can help prevent the recurrence of vocal cord polyps and reduce post-operative congestion and swelling of the vocal cord mucosa. 3. After surgery, a normal diet can be resumed, so long as it remains bland. However, care should be taken sometimes to avoid foods like fish, shrimp, and other seafood, which can cause allergies, as well as certain fruits like mangoes. It is advisable to minimize consumption of allergy-prone foods.
Can people with vocal cord nodules drink alcohol?
Vocal cord nodules are benign neoplasms located on the vocal cords, usually occurring bilaterally and symmetrically. The main clinical symptom is hoarseness. Individuals with vocal cord nodules should avoid alcohol, as drinking can cause the vocal cord mucosa to become congested and swollen, exacerbating vocal cord nodules or chronic inflammation, and worsening the condition. Additionally, alcohol can directly irritate the vocal cords because it is a spicy and irritating substance. Therefore, it is advised not to drink alcohol when you have vocal cord nodules. It is also important to avoid abusing the voice, which includes refraining from long periods of speaking and not screaming loudly. These precautions need to be adhered to.