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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 you smoke with acute pharyngitis?
Acute pharyngitis is an acute inflammatory disease of the pharyngeal mucosa, submucosal tissue, and local lymphatic tissue. Initially, it is a viral infection or a mixed infection of viruses and bacteria; in later stages, when secondary infections occur, it may entirely turn into a bacterial infection. During acute pharyngitis, there is pain in the pharyngeal region, and the pharyngeal mucosa becomes congested and swollen. We must advise patients not to smoke as it further irritates and exacerbates the congestion and swelling of the pharyngeal mucosa, worsening the condition of acute pharyngitis. Smoking can even cause the infection in the pharynx to spread to the lower airways, leading to tracheitis, bronchitis, and pneumonia; therefore, smoking should be avoided during acute pharyngitis.
What should I do if otitis media causes a fever?
Otitis media is an acute infectious inflammation of the ear, which can also be chronic. Fever indicates that the otitis media is an acute inflammation, and the presence of fever, indicating an increase in body temperature, suggests that the inflammation is relatively intense and severe. Therefore, it is mainly necessary to provide enhanced anti-infection treatment. Otitis media is primarily a bacterial infection, so the main treatment is the use of cephalosporin antibiotics. Generally, when there is a fever, blood can be drawn to check a complete blood count to see the level of white blood cells, indicating the degree of infection. Clinically, infusion anti-infection treatment is generally provided, mainly using cephalosporin antibiotics. If the pain is significant and the temperature is high, corticosteroids can also be used for combined treatment.
Treatment methods for adenoid hypertrophy
Adenoid hypertrophy refers to the hyperplasia and enlargement of the adenoid tissue in the nasopharynx, blocking the local upper airway passages, leading to conditions such as rhinitis, sinusitis, otitis media, and snoring during sleep. Clinically, there are two treatment methods: conservative medication and surgery. Currently, there are no specific drugs aimed at adenoid hypertrophy. Typically, treatments involve the use of nasal corticosteroids such as mometasone furoate nasal spray and anti-allergic medications like montelukast. However, the effectiveness of the treatment may vary from person to person or be unpredictable. Generally, medication is first tried for one to three months, or depending on the severity of the adenoid hypertrophy, treatment can last about two weeks to four weeks. If the medication is not effective, or shows no results, surgical intervention to remove the enlarged adenoids and facilitate airway clearance is necessary. (Please use medication under the guidance of a clinical doctor and do not self-medicate.)
Can vocal cord polyps cause loss of voice?
Vocal cord polyps are benign neoplasms that occur on the vocal cords. They protrude from the surface of the vocal cords. Generally, after the occurrence of vocal cord polyps, surgical treatment is performed to remove them, as vocal cord polyps can cause hoarseness, affecting our work, and impacting our career and life. Severe vocal cord polyps, if not treated, can lead to repeated friction between the vocal cords, which may even result in the potential malignancy. Of course, vocal cord polyps severely affect our voice quality, causing hoarseness and in severe cases lead to voice loss, causing a sensation of air leakage when we speak. In summary, vocal cord polyps can lead to loss of voice.
Is surgery necessary for suppurative tonsillitis?
Purulent tonsillitis refers to the acute purulent inflammation of the tonsils, mainly caused by bacterial infection, including infections by Streptococcus pyogenes, Staphylococcus aureus, etc. Purulent tonsillitis is an acute inflammation, so during this acute inflammation phase, the primary treatment is the use of antibiotics for anti-infection. After the anti-infection treatment, the symptoms of the patient disappear, and then it can be assessed whether surgical treatment is needed. Generally speaking, sporadic occurrences of purulent tonsillitis do not require surgical treatment. For frequently recurring purulent tonsillitis and enlarged tonsils, surgical treatment should be considered after the acute inflammation has subsided.
What ointment is used for otitis media?
Clinically, otitis media primarily refers to the acute and chronic infections of the middle ear caused by various reasons, mainly acute infectious inflammation of the middle ear. The treatment of otitis media primarily involves the local and systemic use of anti-infection drugs, such as local use of ofloxacin ear drops, and systemic treatment with cephalosporin antibiotics. Ointments are generally not used for treatment. Ointments are difficult to apply to the external ear canal; once an ointment enters the external ear canal, it can block it. This blockage can prevent the timely expulsion of secretions from the ear canal, potentially exacerbating the inflammation. Currently, ointments are not used in the treatment of otitis media.
Is nasal polyp surgery painful?
Nasal polyps are space-occupying lesions that occur in the nasal cavity and sinus cavity. After the discovery of nasal polyps, they are usually removed surgically. Currently, the surgery for nasal polyps is performed under general anesthesia using functional endoscopic sinus surgery, which involves removing the nasal polyps and opening the sinus ostia. There is no significant pain during the surgery, as it is conducted under general anesthesia. After the surgery, the nasal cavity is packed with some hemostatic materials. There is discomfort when this nasal packing material is removed on the second day after the surgery, but this discomfort is only significant during the removal and subsides afterward. Therefore, there is some pain associated with nasal polyp surgery, but the pain is not very severe.
How to medicate for secretory otitis media?
Secretory otitis media refers to a type of sterile otitis media caused by the negative pressure in the middle ear cavity due to blockage of the Eustachian tube, leading to the exudation and accumulation of fluid in the middle ear cavity. The treatment of secretory otitis media includes both pharmacological and surgical interventions. Pharmacologically, corticosteroids such as dexamethasone and prednisone are mainly used. Some antibiotics, like cephalosporin antibiotics, may also be used. Nasal treatments, such as mometasone furoate nasal spray, are also necessary. Additionally, medications that facilitate the drainage of secretions from the middle ear, such as Mucosolvan, can be used. (Medication should be used under the guidance of a doctor.)
Does adenoid hypertrophy require surgery?
The adenoids are tissue organs located in our nasopharynx. Whether we need surgery after adenoid hypertrophy depends on two circumstances. The first is the degree of hypertrophy; if the adenoids are significantly enlarged, we might consider surgery. However, merely having enlarged adenoids is not enough; we need to see if the hypertrophy blocks the nasal cavity, obstructs our Eustachian tube, leads to adenoid facies, etc. If there are symptoms and secondary diseases, such hypertrophied adenoids, also known as adenoid hypertrophy, will necessitate surgery. If the adenoid hypertrophy is mild and presents no symptoms, we can temporarily observe without needing surgical intervention.
Is chronic tonsillitis contagious?
Chronic tonsillitis is a chronic inflammatory disease of the tonsils, mainly due to repeated attacks of acute tonsillitis or the presence of a chronic infectious focus in the teeth and oral cavity, which prevents acute tonsillitis from being actively cured and then gradually develops and prolongs into chronic tonsillitis. Since it is a chronic inflammation, it should be noted that it generally is not contagious. Even acute tonsillitis has relatively weak contagiousness. In clinical treatment, chronic tonsillitis is mainly treated symptomatically with traditional Chinese medicines that clear heat and detoxify. In summary, chronic tonsillitis is not contagious.