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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 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.
Symptoms of acute tonsillitis
Acute tonsillitis is an acute infectious disease of the tonsils, primarily caused by bacterial infection. Clinically, it mainly manifests as pain in the throat area, and sometimes the pain is very severe, even radiating to the base of the ears and down to the jaw. Additionally, there might be systemic symptoms such as loss of appetite, overall lethargy, weakness in the limbs, fever, night sweats, and chills. Generally, the presence of systemic symptoms indicates a severe infection of tonsillitis, requiring treatment through intravenous fluids. Clinical examinations can reveal enlarged tonsils, congested surfaces, and the presence of pin-point-like gray or white purulent secretions.
Treatment course for acute tonsillitis.
Acute tonsillitis is an acute, infectious inflammation of the tonsils, primarily caused by bacterial infection. For the treatment of acute tonsillitis, we mainly adopt antibiotic treatment for infection. The general course of treatment lasts 7-10 days, especially for acute suppurative tonsillitis, which may even extend to about 10-14 days. Clinically, we primarily administer cephalosporin antibiotics to control the infection. If the infection is severe, we may even opt for infusion therapy to counter the infection. During the infusion, we can administer some corticosteroids such as dexamethasone to treat concurrently, enhancing the anti-inflammatory effect. Clinically, we should pay attention to drinking plenty of water and eating a light diet, avoiding spicy and irritating foods.
Is surgery necessary for nasal polyps?
Nasal polyps are benign neoplasms that occupy the spaces of the nasal cavity and sinuses. Clinically, once nasal polyps appear, they are generally removed through surgery. Currently, the main clinical approach is functional endoscopic sinus surgery. For some early-stage small nasal polyps, medications such as corticosteroids, methylprednisolone, and prednisone can be used for treatment, which can cause the gradual disappearance of very small polyps, a process known as chemical resection. In clinical practice, when nasal polyps are detected, they are usually relatively large, so once polyps are discovered during a hospital visit, treatment is typically conducted through surgery.
The difference between nasal polyps and hypertrophy of the nasal turbinates.
Nasal polyps are neoplasms located in the nose, nasal cavity, or sinus cavity, typically appearing as fully developed, translucent, lychee-like growths that are benign. In contrast, hypertrophy of the nasal concha involves swelling and thickening of the mucous membrane of the concha itself, which may partly demonstrate changes resembling nasal polyps, but it is not identical to nasal polyps. Nasal polyps do not have nervous or vascular supply, whereas the nasal concha does. Clinically, there are different treatments for each; nasal polyps usually require surgical removal, while treatment for hypertrophy of the nasal concha depends on the specific cause. If the hypertrophy is simple, it is often treated with medication; if it is hypertrophic, decisions on surgical intervention may depend on results from CT scans or X-rays.
Can suppurative tonsillitis heal itself?
Purulent tonsillitis is a relatively severe acute infectious inflammation of the tonsils, clinically characterized by severe throat pain and difficulty swallowing, even leading to difficulty in eating. The pain worsens during swallowing, and patients may experience symptoms like chills and fever. Therefore, purulent tonsillitis generally cannot heal on its own and requires active intervention. Active anti-infection treatment is necessary, as it cannot be expected to resolve spontaneously. Clinical treatment primarily involves the use of antibiotics, such as cephalosporins, and may even include infusion and other anti-infection treatments.