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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
What department should I go to for vocal cord nodules?
Vocal cord nodules are a common and frequently occurring disease in otolaryngology-head and neck surgery, so it is advisable to first visit the otolaryngology-head and neck surgery department when seeking medical treatment.In some hospitals, there are specialized departments such as the laryngology department or a sub-discipline specifically for laryngology, where one can opt to see a throat specialist or a laryngologist.Additionally, in some hospitals where the departments are not specifically divided, the ophthalmology and otolaryngology departments are combined and referred to as the department of otorhinolaryngology, so one can also visit this department.Vocal cord nodules are a common disease in otolaryngology-head and neck surgery, therefore, one should primarily consult the otolaryngology-head and neck surgery department.
What medicine is good for nasal polyps to heal quickly?
Nasal polyps are benign neoplasms in the nasal cavity, sometimes originating from the sinuses, characterized as translucent, colorless, lychee-like neoplasms without blood vessels or nerve distribution. Clinically, nasal polyps are primarily diagnosed and removed during nasal endoscopic surgery. Certain medications can be used early in the development of nasal polyps, including corticosteroid drugs such as nasal sprays, nasal corticosteroids, and oral corticosteroids. These can control, and in some very small cases, even eliminate nasal polyps. However, this possibility is extremely rare in clinical practice because by the time patients seek treatment for nasal polyps at a hospital, the polyps are usually relatively large, and these medications are no longer effective for fundamental treatment. Therefore, nasal polyps are generally treated surgically. (The use of medications should be under the guidance of a doctor.)
What are the dangers of deviated septum and enlarged turbinates?
Nasal septal deviation and hypertrophy of the turbinates refer to the cartilaginous and bony parts of the nasal septum leaning towards one side, or both sides, of the nasal cavity, which interferes with the normal drainage function of the nasal passage. The deviation of the nasal septum to one side can cause compensatory hypertrophy of the turbinate on the same side, primarily the enlargement of the inferior turbinate. Clinically, this is mainly manifested by symptoms such as nasal congestion, nosebleeds, and headaches. Therefore, for severe nasal septal deviation, it is often necessary to perform a sinus CT scan to determine the degree of deviation, followed by endoscopic surgery to correct the deviation.
Does otolithiasis cause headaches?
Ear stone disease, also known as benign paroxysmal positional vertigo, has two types: primary ear stone disease and secondary ear stone disease. Clinically, ear stone disease mainly manifests as vertigo, as well as symptoms of the vestibular system or autonomic nervous system caused by vertigo, such as nausea and vomiting. Patients with ear stone disease rarely or almost never experience headaches. If headache symptoms are present, they are often accompanied by other diseases, such as hypertension, intracranial lesions, etc. These conditions can also cause ear stone disease, which are referred to as secondary ear stone disease as mentioned above. Therefore, if a patient with ear stone disease develops headache symptoms, active examination should be undertaken to avoid missing other lesions.
Causes of Deviated Nasal Septum
A deviated septum refers to the condition where the cartilage and bone structure of the nasal septum are off to one side or both sides of the nasal cavities, resulting in symptoms such as nasal congestion, nosebleeds, and headaches. Clinically, the formation of a deviated septum is commonly caused by trauma. Other factors include congenital and acquired reasons. Congenitally, it may be due to compression during childbirth, and acquired reasons may include conditions like rhinitis or enlarged adenoids, leading to nasal dysfunction. This affects the development of the nasal septum, particularly the uneven growth of the septal cartilage and bones, which results in the deviation of the septum, primarily due to these factors.
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.