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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
Minimally invasive surgery for adenoid hypertrophy
Adenoids refer to the glands in the nasopharyngeal area. Enlarged adenoid tissues can block the nasal cavity or the pharyngeal orifice of the Eustachian tube. Clinical symptoms often require surgical removal of the adenoids. The main steps in the surgery include the following: firstly, general anesthesia is administered; secondly, the adenoids are exposed, primarily by suspending the soft palate with a catheter, followed by the insertion of a tonsil opening device; thirdly, the adenoids are gradually ablated and removed using a nasopharyngoscope and a plasma ablation knife head; finally, the surgery is concluded. After the surgery, it is necessary to continue treating the enlarged adenoids with medications such as mometasone furoate nasal spray. (Medication should be used under the guidance of a doctor.)
Is otitis media easy to treat?
Clinically, otitis media is a common and frequently occurring disease, primarily referring to acute and chronic inflammation of the eardrum, tympanic cavity, and mastoid antrum. Its clinical treatment mainly involves two aspects: surgical treatment and medication. Generally, during the acute phase of the disease, medication is the main treatment, primarily using antibiotics to control the infection. Surgical treatment is mainly aimed at chronic otitis media, secretory otitis media, or cholesteatoma otitis media, involving the removal of lesions and repair of structures. Overall, the treatment for otitis media is generally effective and yields good results. The key is to detect and treat it early without delay.
How to manage chronic tonsillitis?
Chronic tonsillitis is a chronic inflammatory disease of the tonsils, which clinically manifests as various discomforts in the throat area, and can even present symptoms such as bad breath. In clinical management of chronic tonsillitis, dietary adjustments are primary. It is essential to have a nutritious, easily digestible, and bland diet; spicy foods such as peppers, as well as smoking and alcohol, should be avoided. Consumption of certain fruits that can cause allergies, like mangoes, and other irritant fruits like pineapple should be limited. For medicinal treatment, it mainly involves the use of traditional Chinese medicines that clear heat and detoxify, such as Nei Xiao Luo Li Wan, Xuan Mai Gan Ju Granules, Watermelon Frost Lozenges, Coral Lozenges, etc. Thirdly, it is important to regulate your diet, drink plenty of water, and avoid factors like colds and upper respiratory infections that may trigger acute episodes of tonsillitis.
What medicine is good for adenoid hypertrophy?
The adenoids are lymphatic tissue located in the nasopharynx, and adenoid hypertrophy can be treated with some medications. Adenoid hypertrophy is often related to allergic factors or stimulation from bacterial infections. Therefore, for the treatment of adenoid hypertrophy, some medications can be used for nasal administration, such as mometasone furoate nasal spray, as well as anti-allergy medications like montelukast sodium. Additionally, some traditional Chinese medicines with aromatic properties, such as Bi Yuan Tong Qiao granules, can be used as adjunct therapy. In summary, the pharmaceutical treatment for adenoid hypertrophy is not directly targeted, and the effectiveness of medication is relatively poor, so a comprehensive evaluation of the condition should be considered when contemplating medication treatment.
How to treat otitis media with effusion?
Otorrhea in otitis media suggests that it may be acute purulent otitis media. This fluid could be mucopurulent or purulent secretion, primarily considered to be caused by bacterial infection. Clinically, we mainly focus on anti-infection treatment. Locally, antibiotic ear drops like ofloxacin ear drops can be used. Systemically, oral antibiotics such as cephalosporins are utilized among others. Additionally, in cases of otorrhea, we need to rule out cerebrospinal fluid leakage caused by otitis media, which results in drainage through the external auditory canal. This requires a CT scan for verification.
The difference between adenoid hypertrophy and tonsil hypertrophy.
There is a fundamental difference between adenoid hypertrophy and tonsil hypertrophy, yet there are certain connections between them. The adenoids are located in the nasopharynx and are also a lymphoepithelial organ. The nature of adenoid hypertrophy leads to an increase in size, causing obstruction of the posterior nasal apertures and the Eustachian tubes, resulting in symptoms such as snoring and otitis media. Tonsils, on the other hand, are located in the oropharynx and their enlargement can block the oropharynx, leading to rapid breathing and obstructed breathing. It is common for tonsil hypertrophy to occur physiologically in children; clinically, it is often observed that children with tonsil hypertrophy also have adenoid hypertrophy. Both generally occur together because they are part of the internal ring of the pharyngeal lymphatic ring, which establishes a link between them. In summary, while adenoid hypertrophy and tonsil hypertrophy differ fundamentally in location and the manner of pathological changes, they are connected in certain ways.
What are the symptoms of late-stage nasopharyngeal carcinoma?
Nasopharyngeal cancer is a common malignancy in otolaryngology, primarily located in the nasopharyngeal area. In advanced stages, nasopharyngeal cancer manifests symptoms in two main aspects. One involves symptoms directly caused by the cancer or its metastasis, typically presenting as increased nasal masses, enlarged cervical lymph nodes, severe headaches, decreased hearing, and bleeding in the nasal area due to tumor cells or tissue eroding the internal carotid artery. Additionally, there is a foul smell from the nasopharyngeal area. The second aspect relates to systemic symptoms due to the growth of nasopharyngeal cancer, leading to poor overall nutritional status and cachexia, characterized by extreme emaciation. There is also the potential for distant metastasis of the tumor cells, presenting symptoms in the corresponding areas.
How to Diagnose Allergic Rhinitis
Allergic rhinitis is a common and frequently occurring disease clinically. The definite diagnosis of allergic rhinitis primarily relies on the following points: First, the medical history, such as a history of living in an allergenic environment or a family history, along with a past history of the condition. Second, the clinical manifestations of allergic rhinitis, such as rhinitis, paroxysmal sneezing, a large amount of clear watery nasal discharge, and upon nasal examination, the nasal mucosa appears pale and swollen with clear watery discharge present in the nasal cavity. Additionally, supportive examinations can reveal an increase in eosinophils or lymphocytes in the complete blood count, or the detection of allergens, and specific IgE tests, etc. With these medical histories, clinical symptom manifestations, and supportive examinations, allergic rhinitis can be definitively diagnosed.
Is acute tonsillitis contagious?
Acute tonsillitis is an acute infectious inflammation of the tonsils, primarily caused by bacterial infection, though it often also involves viral infection. Acute tonsillitis is mildly contagious; the contagion is not severe or serious, and general isolation is not necessary. It is sufficient to take some precautions in daily life, such as avoiding kissing and the mouth-to-mouth transfer of food. Generally speaking, the contagiousness of acute tonsillitis is relatively weak. Appropriate use of a mask for local isolation, such as wearing a mask to prevent transmission, is sufficient without the need for other special treatments.
How to drain fluid from otitis media
Otitis media with effusion refers to the fluid in the tympanic cavity of secretory otitis media. Clinically, the methods for draining or reducing the effusion mainly include the following: First is pharmacological treatment, which primarily involves antibiotics, steroids, and medications that promote the secretion of fluids. This is the pharmaceutical approach to treatment. There is also invasive treatment, which includes procedures such as tympanocentesis, tympanostomy tube placement, and eustachian tube balloon dilation, with the aim of draining or extracting these fluids. Clinically, treatment generally begins with pharmacological approaches, followed by invasive procedures.