Subscribe
166
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
Does otitis media spread?
Otitis media is a common and frequent disease in the field of otorhinolaryngology, mainly caused by bacterial infections, such as Streptococcus pneumoniae and Staphylococcus aureus. Therefore, otitis media is generally not contagious. In certain situations where families live closely together, it is possible for two children to be sick at the same time; however, this is often related to the living environment or other upper respiratory infections, which does not indicate that otitis media is contagious. On the other hand, some specific infections may be contagious, such as tuberculous otitis media. The secretions from tuberculous otitis media are contagious, so it is important to differentiate between types of otitis media to determine whether they are contagious. Generally, otitis media is not contagious.
Can you speak after laryngeal cancer surgery?
Laryngeal cancer is a malignant tumor of the larynx, and the clinical treatment is mainly surgical, including radiation therapy, chemotherapy, and comprehensive treatment. Whether one can speak after surgery depends on the method of the surgery. Total laryngectomy renders the patient unable to speak. We can help the patient speak through esophageal speech, electronic larynx, and other assistive devices, but there is a significant difference in the sound quality and volume compared to normal speech. With partial laryngectomy, depending on the specific situation, the patient may be able to speak, but the quality of speech still differs greatly from normal speech. Overall, it depends on the condition of the laryngeal cancer and the surgical approach.
The difference between adenoid hypertrophy and rhinitis.
Adenoid hypertrophy and rhinitis certainly have their differences. The adenoid is a lymphoepithelial tissue located in the nasopharynx, and its enlargement can block the posterior nasal aperture, leading to nasal congestion. Rhinitis refers to the inflammation of the nasal mucosa, where the mucosa becomes congested and swollen, leading to narrowing and obstruction of the nasal cavity. There are fundamental differences between them. The clinical treatment for rhinitis primarily involves medication, while the treatment for adenoid hypertrophy mainly involves surgical removal. In the early stages of adenoid hypertrophy, some medications can be used, but the effectiveness of medical treatment is often relatively poor and rarely controls the progression of the condition, so surgery is primarily used. Clinically, it is often seen that rhinitis and adenoid hypertrophy coexist, which requires doctors to differentiate and determine whether the nasal congestion is caused by adenoid hypertrophy or rhinitis.
Is suppurative tonsillitis serious?
Purulent tonsillitis is an acute purulent infection of the tonsils, generally considered relatively severe. Clinically, it manifests as severe throat pain, systemic fever, and chills and discomfort, making the symptoms relatively severe. In clinical treatment, it is important to conduct aggressive anti-infection treatment, mainly through intravenous infusion, such as the use of cephalosporin antibiotics, and the concurrent use of some corticosteroids to enhance the anti-infection effect. It is important to drink plenty of water, replenish bodily fluids, and use some heat-clearing and detoxifying traditional Chinese medicines, such as Banlangen oral liquid, which can be used simultaneously for adjunctive treatment. (Specific medications should be used under the guidance of a physician.)
How to check for nasal polyps?
Nasal polyps are common and frequently occurring clinical conditions. They are benign neoplasms found in the nasal cavity or sinus cavity. Visually, they appear as semi-translucent, half-peeled lychee-shaped tumors. For their examination, initially, an anterior rhinoscopy is carried out to observe the nasal polyps. Following that, an endoscopic examination of the nose is performed. Additionally, a sinus CT scan can be used to assess the extent and origin of the nasal polyps. Post-surgery, the nasal polyp tissue can be sent for pathological biopsy to examine the cell types. These are the main methods of examination for nasal polyps.
Symptoms and Treatment Methods of Turbinate Hypertrophy
Turbinate hypertrophy, clinically, is mainly hypertrophy of the inferior turbinate, although the middle turbinate can also become enlarged. The hypertrophy of the middle turbinate is primarily related to the development of the turbinate itself. Hypertrophy of the inferior turbinate is more common in clinical practice. Its symptoms mainly manifest as nasal congestion, as the enlarged turbinate blocks the nasal passages. Secondly, turbinate hypertrophy can sometimes irritate the nerves of the local septal mucosal tissue, causing headaches and subsequent symptoms like sinusitis. Clinical treatment for turbinate hypertrophy primarily involves medication, including the use of nasal spray drugs and traditional Chinese medicine. A sinus CT scan can be conducted to evaluate the extent of turbinate bone hypertrophy. If there is bony hypertrophy of the turbinate, surgery under endoscopy might be considered.
Do you need to check for allergens for allergic rhinitis?
Allergic rhinitis is a type of hypersensitivity disease. The first thing we need to know about allergic rhinitis is that it requires allergen testing. Traditionally, the diagnosis of allergic rhinitis is based on clinical symptoms, without involving etiological diagnosis. Testing for allergens is aimed at diagnosing based on its etiology. Secondly, we need to be aware of the allergens responsible for allergic rhinitis, which include food allergies and asthma-related allergies. By identifying food allergens, we can avoid consuming these substances in daily life. For instance, if one is allergic to fish and seafood, they should avoid eating these foods. Similarly, if allergic to mangoes, one should also avoid mangoes. Thus, overall, it is necessary to identify the sources of allergens in allergic rhinitis.
Does pharyngitis spread?
Pharyngitis refers to the acute and chronic inflammation of the pharyngeal mucosa, submucosal tissue, and local lymphatic tissue. Clinically, it mainly presents as a sore throat or a foreign body sensation in the throat, among other discomforts. Acute pharyngitis should be noted for its certain contagiousness, primarily due to viral infections, bacterial infections, or a combination of both, thus it is contagious. Appropriate precautions such as isolation measures, like wearing masks, should be considered. As for chronic pharyngitis, it is not contagious, so special isolation measures are not necessary. Regarding pharyngitis accompanying other diseases, such as reflux pharyngitis which may also involve Helicobacter pylori infection of the stomach, some literature reports suggest that Helicobacter pylori can be contagious during chronic pharyngitis, but this has not been fully confirmed and is only based on some reports. In summary, acute pharyngitis is confirmed to be contagious, while chronic pharyngitis is currently not contagious.
Is sinusitis the same as rhinitis?
There are differences between rhinitis and sinusitis. Rhinitis is mainly the inflammation of the nasal mucosa, while sinusitis is the inflammation of the sinus cavity mucosa. The main clinical symptoms of rhinitis are nasal congestion and a runny nose. This runny nose is mostly mucous or watery, which is typically seen in allergic rhinitis. The runny nose in sinusitis, on the other hand, is often a thick yellow discharge caused by a bacterial infection, so there is a distinction between the two. Patients with sinusitis often have rhinitis, but those with rhinitis do not necessarily have sinusitis. Rhinitis is primarily treated with medications and rarely with surgery. For sinusitis, treatment also begins with medications; however, if the response to medical therapy is poor or the condition is severe, surgery is often considered. The likelihood of undergoing surgical intervention is generally higher for sinusitis than for rhinitis.
Can rhinitis cause coughing?
Rhinitis refers to the inflammation of the nasal mucous membrane, which can cause coughing. The rhinitis-induced cough primarily involves two aspects. One is allergic rhinitis, which can lead to allergic pharyngitis, resulting in symptoms of coughing. According to the medical approach to allergic pathophysiological reactions, this is considered 'one airway, one disease,' where the allergic condition starts from the nose and develops into an allergy in the throat. Another situation involves the abundant secretions in rhinitis. These secretions flow back to the nasopharyngeal area and then irritate the throat, which can cause coughing. Therefore, overall, rhinitis can lead to coughing, and it should be managed and treated according to its different causes.