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Li Rui
Otolaryngology
About me
Graduated from Shanghai Jiao Tong University School of Medicine, engaged in otorhinolaryngology head and neck surgery for more than four years.
Proficient in diseases
Diseases diagnosis and treatment in otolaryngology. Specialized in the diagnosis and treatment of chronic sinusitis, otitis media, head and neck tumors, and other diseases.
Voices
Symptoms of enlarged nasal polyps
Nasal polyps are a relatively common otolaryngology disease with various clinical symptoms and certain individual differences. If the nasal polyps are few, there might not be obvious clinical manifestations. They could be discovered during physical examinations or nasal endoscopy. If there are many nasal polyps, it could lead to reduced sense of smell, headaches, dizziness, nasal congestion, and runny nose. Overall, different patients exhibit different symptoms. In terms of treatment, it is first necessary to assess the specific severity of the condition, which can be evaluated comprehensively using nasopharyngoscopy and sinus CT scans. Most patients can consider medical conservative treatment, while a small number of patients with numerous polyps might need to consider surgical treatment. (The use of medications should be guided by a professional doctor.)
Can sinusitis cause a fever?
Sinusitis may cause fever, but this is mainly seen in acute sinusitis or during the acute flare-ups of chronic sinusitis, which relatively tends to provoke a fever. If it is just a mild case of sinusitis or plain chronic sinusitis, most patients do not experience significant fever changes, but they might have symptoms like nasal congestion, runny nose, headaches, dizziness, and a decrease in the sense of smell. When experiencing a fever, it is important to visit an otolaryngology department as soon as possible where you might consider undergoing a routine blood test to check the extent of the inflammatory response. Most patients will need to consider antibiotic treatment for the infection. If the body temperature exceeds 38.5 degrees Celsius, there may be a need to consider antipyretic medications. If the fever is below 38.5 degrees, physical cooling measures are generally recommended, but it is necessary to regularly reassess and monitor the temperature, selecting targeted treatments based on the fluctuations of the condition. (The use of medications should be under the guidance of a doctor.)
Manifestations of a deviated nasal septum
Nasal septum deviation is a relatively common otolaryngologic condition, which may present clinical symptoms. The extent of these symptoms largely depends on the degree of the deviation and the individual's personal sensitivity. If the deviation is mild and not severe, it might not show any obvious symptoms and is usually discovered during physical examinations or nasopharyngoscope evaluations. Additionally, it may be accompanied by related clinical symptoms such as nasal congestion, nosebleeds, headaches, dizziness, and a decrease in the sense of smell. If these clinical symptoms occur, it is necessary to undergo nasopharyngoscopy and sinus CT scans to assess the specific degree of nasal septum deviation. Some patients may require surgical treatment.
Can acute pharyngitis easily turn into laryngeal cancer?
Acute pharyngitis is unlikely to transform into laryngeal cancer, as it is primarily caused by bacterial or viral infection, with bacterial infections being more common in clinical settings. The main symptoms include sudden throat pain, and some people may also experience a foreign body sensation in the throat or fever. Overall, this disease is characterized as an inflammatory response, and the typical treatment duration is about a week, with recovery generally being rapid, focusing primarily on anti-infection treatment. In terms of inflammation, there is no direct link to laryngeal cancer, so it is not likely to evolve into laryngeal cancer. Moreover, the causes of laryngeal cancer are not yet very clear.
Can vocal cord polyps be treated without surgery?
Some patients with vocal cord polyps may not require surgery, as the treatment of vocal cord polyps is mainly divided into two categories. The first category is conservative treatment, and the second category is surgical treatment. Surgical intervention might be considered if the polyp is particularly large and symptoms are prominent, such as hoarseness or breathing difficulties. However, if the hoarseness is not very pronounced and the polyp is relatively small or the clinical symptoms are not very typical, it is possible that the condition could be alleviated through medication. Common treatments include oral medication and nebulization, accompanied by voice training. With conservative treatment, many patients can achieve effective control, and some may even experience a gradual reduction in the polyp size. Regular follow-up examinations are advised to avoid excessive use of the voice.
Child's rhinitis symptoms
Children's rhinitis is a relatively common ENT disease with various clinical symptoms. Common symptoms include nasal congestion, runny nose, loss of smell, headache, and dizziness. Some patients may also experience snoring and mouth breathing during sleep. For treatment, it is necessary to visit an ENT department to assess the extent of inflammation and type of rhinitis in the nasal cavity. Generally, treatment mainly consists of oral medications and nasal sprays, along with saline nasal irrigation, with a typical treatment period of about one to two weeks. After medication, regular follow-ups are needed to observe the recovery. (Medication should be used under the guidance of a professional doctor.)
Is nebulization useful for acute pharyngitis?
Acute pharyngitis is a relatively common otolaryngologic disease, mainly caused by acute viral or bacterial infections that lead to inflammation. Nebulization could be considered as it is a commonly used treatment method, which helps alleviate throat pain and reduce congestion and edema of the pharyngeal mucosa, and also aids in recovery from the illness. However, oral medication is usually necessary in conjunction with nebulization. If it's a bacterial infection, antibiotics should be considered, and if it's a viral infection, antiviral medications should be used. Some patients might also combine oral traditional Chinese medicine for comprehensive treatment. The general treatment period is about a week, and regular follow-up is needed to monitor recovery. (Specific medication use should be conducted under the guidance of a doctor.)
Can turbinate hypertrophy be left untreated?
Turbinate hypertrophy is a relatively common otolaryngological condition. In terms of treatment, it is first necessary to consider the specific cause and severity of the condition. If it is merely physiological turbinate hypertrophy without significant clinical symptoms, this situation generally can be managed with observation, and regular nasopharyngoscopy check-ups to monitor the recovery process. If the turbinate hypertrophy causes related clinical symptoms, such as nasal congestion, reduced sense of smell, headaches, and dizziness, then it is necessary to visit an otolaryngologist. Nasopharyngoscopy will generally be conducted, and treatment will typically include oral medications and nasal sprays, with regular check-ups to observe the treatment effects. (Please use medications under the guidance of a doctor)
Can vocal cord nodules be treated without surgery?
Vocal cord nodules are a relatively common otolaryngological condition. In treatment, most patients may not require surgery. Generally, it is recommended to first visit an otolaryngologist for a laryngoscopic examination to assess the severity of the vocal cord nodules. If the nodules are small and the symptoms of hoarseness are not particularly severe, treatment usually involves conservative medication, commonly oral medications and nebulization therapy. In addition, voice rehabilitation training can be conducted. Many patients experience gradual improvement in voice hoarseness and reduction of the vocal cord nodules through this treatment. Some patients may even see the nodules disappear, but regular follow-up visits are necessary as there is a possibility of recurrence.
Can Meniere's disease heal itself?
Meniere's disease is a relatively common inner ear disorder. Clinically, the common symptoms include dizziness, nausea, vomiting, tinnitus, and hearing loss, and patients may experience recurrent episodes. In terms of treatment, some patients can alleviate symptoms on their own. Generally, the duration of the condition lasts about half a day. If the condition is not particularly severe, patients can recover on their own, but recurrent episodes may still occur. For patients with more severe conditions and pronounced clinical symptoms, medication therapy should be considered. Most patients can consider oral medication, a minority may need intravenous therapy, and some patients who experience multiple recurrent episodes and do not respond well to conservative treatment may need to consider surgery. (Please follow a doctor's guidance regarding specific medication usage.)