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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
Is chronic rhinitis contagious?
Chronic rhinitis is a chronic inflammatory disease of the nasal mucosa. Clinically, it can be divided into simple, hypertrophic, and atrophic types. The treatment generally primarily involves the use of local medications, and typically does not involve the use of antiviral or antibiotic medications. Chronic rhinitis is not contagious. However, it is important to be aware of other conditions that can cause chronic rhinitis, such as tuberculosis-induced rhinitis and syphilitic rhinitis. These are not cases of the rhinitis itself being contagious, but rather the transmission of pathogens, so it cannot be simply stated that chronic rhinitis is contagious. Clinically diagnosed chronic rhinitis is definitively non-contagious.
Is throat cancer easy to treat?
Laryngeal cancer is a malignant tumor in the larynx, clinically mainly squamous cell carcinoma. Currently, the main treatment is comprehensive treatment centered around surgery, including surgical radiation therapy and chemotherapy. Laryngeal cancer can be completely cured if detected early. It is divided into three types: supraglottic, glottic, and subglottic cancer. Glottic cancer, due to the early and noticeable symptom of hoarseness, is usually detected early, thus the clinical treatment outcomes are relatively good. Therefore, laryngeal cancer is among the malignant tumors with relatively good treatment outcomes, and is considered relatively easy to treat. In summary, the current treatment outcomes for laryngeal cancer are still quite good.
What should I do about turbinate hypertrophy?
Clinically, turbinate hypertrophy is mainly caused by the stimulation of inflammatory factors such as acute and chronic rhinitis and sinusitis, leading to the proliferation of the turbinate, including the mucosal and even bony growth, as well as congenital developmental factors causing turbinate enlargement. Initially, treatment typically involves medication, using nasal sprays such as corticosteroids for nasal treatment. Secondly, surgical treatment can be employed. We can assess the extent of turbinate hypertrophy with a nasal CT scan to determine if there is bony enlargement. If there is bony hypertrophy, partial resection of the submucosal turbinate bone can be performed. If the hypertrophy is only in the mucosal and soft tissue, it can be treated using plasma ablation. In summary, turbinate hypertrophy can be treated with medication or surgery, depending on the specific extent of the pathology.
Common sites of laryngeal cancer
Laryngeal cancer is a malignant tumor in the larynx, and clinically, it is primarily squamous cell carcinoma. There are several types of laryngeal cancer: firstly, glottic cancer; secondly, supraglottic cancer; there is also subglottic cancer, and transglottic cancer that spans two regions. Among these types, glottic cancer is the most common. Early-stage glottic cancer is generally detected earlier due to hoarseness, and the outcomes after surgery are relatively better. Consequently, the most frequently diagnosed site of this disease is the vocal cords. After surgery, regular follow-up appointments are necessary to monitor and observe the healing process post-operation.
What fluid should be administered for suppurative tonsillitis?
Purulent tonsillitis is a serious infectious disease clinically, mainly manifesting as severe pain in the pharyngeal area, general malaise in patients, and even symptoms such as chills and fever. Therefore, active treatment is required. Clinical treatment is mainly anti-infection treatment. Infusion primarily uses cephalosporin antibiotics such as ceftriaxone and cefazolin for treatment. To enhance the anti-infection effect and reduce the edema of the patient's throat mucosa, corticosteroid drugs such as dexamethasone or prednisolone are often used simultaneously in the infusion treatment.
Vocal cord polyps should be seen by the ENT (Ear, Nose, and Throat) department.
Vocal cord polyps are benign neoplasms that occur on the free edge of the vocal cords. Therefore, they are primarily treated in the otolaryngology departments of clinics. In larger comprehensive hospitals, where specialties are more detailed, one might see an expert in the pharyngology or laryngology departments. In traditional Chinese medicine hospitals, patients might visit the department of otorhinolaryngology, which is included within the broader five senses (otorhinolaryngology) department. In general, the treatment of vocal cord polyps is predominantly managed by otolaryngologists, with the main treatment method being surgical removal of the polyps. After surgery, it is recommended to speak less to avoid the recurrence of the polyps.
The main reason that a deviated septum causes headaches
In clinical practice, a deviated nasal septum can be structural, which often leads to symptoms such as nasal congestion, nosebleeds, and headaches. There are primarily two reasons why a deviated nasal septum may cause headaches. First, the deviated septum directly irritates the middle turbinate, leading to anterior ethmoid nerve syndrome and severe headaches. Second, the deviated septum may lead to secondary conditions such as rhinitis or sinusitis, which also cause headaches. Therefore, in clinical practice, surgical intervention is needed to correct a deviated nasal septum causing headaches. Before surgery, a CT scan is usually conducted to rule out sinusitis or other diseases causing the headaches. However, it is important to inform patients preoperatively that even after the surgery, headaches caused by the deviated septum may not be completely relieved or eliminated. This is crucial information to communicate to patients before the procedure.
Should you avoid certain foods if you have suppurative tonsillitis?
Purulent tonsillitis is an acute purulent infection of the tonsils, with relatively severe clinical symptoms, mainly manifested as severe pain in the throat, difficulty swallowing, and even systemic symptoms such as fever. Therefore, it is necessary to be cautious about diet in cases of purulent tonsillitis, mainly as follows: Firstly, avoid irritants like smoking, alcohol, and spicy foods such as chili peppers. Secondly, food should be neither too cold nor too hot, to avoid stimulating the tonsils and exacerbating the inflammation. Also, some fruits, like mangoes and pineapples, may cause allergies and can irritate the inflamed tonsillar tissue, worsening the condition. Therefore, these are the precautions that need to be taken.
How to treat chronic tonsillitis?
Chronic tonsillitis is a chronic inflammation of the tonsils, with clinically subtle symptoms, or a sensation of a foreign body in the throat, which can lead to recurrent acute attacks. The clinical treatment of chronic tonsillitis mainly focuses on local treatments, or treatments with traditional Chinese patent medicines. Local treatment may involve the use of oral rinses, local nebulization inhalation, as well as some heat-clearing and detoxifying Chinese patent medicines, such as Ban Lan Gen oral liquid, Pu Di Lan oral liquid, and others that can be used for treatment; some lozenges may also be used. Apart from medication, during the chronic phase of chronic tonsillitis, due to the recurrent acute attacks of tonsillitis, surgery to remove the tonsils can be considered to prevent repeated acute attacks and subsequent secondary damage. (Medication should be used under the guidance of a clinical doctor, according to specific conditions.)
How long to receive IV therapy for acute tonsillitis?
Acute tonsillitis is an acute infectious inflammation of the tonsils, primarily caused by bacterial infection. Therefore, intravenous therapy is required for acute tonsillitis, which indicates that the symptoms of the tonsillitis are severe, often being suppurative tonsillitis. The duration of intravenous treatment generally lasts about three to five days, but it specifically depends on the patient's condition, and can even last longer. After the infection is controlled and symptoms are alleviated, treatment can switch to oral medications for anti-infection. Overall, there is no specific time rule for how long the infusion should last; it is often determined based on the specific condition of the patient.