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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
Can patients with nasopharyngeal carcinoma eat zongzi?
Patients with nasopharyngeal carcinoma can eat rice dumplings, which are a common food mainly made from glutinous rice. Eating rice dumplings does not have side effects on the condition of nasopharyngeal carcinoma nor does it affect the treatment outcomes, so patients can eat them normally. Patients with nasopharyngeal carcinoma should seek medical attention in the oncology department as soon as they are diagnosed, and consider undergoing radiation therapy, with some needing to combine it with chemotherapy. After treatment, regular long-term check-ups are necessary, as some patients may experience local recurrence or distant metastasis, which requires timely subsequent targeted therapy.
Can hypertrophic turbinates be treated with erythromycin?
Hypertrophy of the nasal turbinate is a relatively common otolaryngology disease. It is not recommended to use erythromycin ointment because erythromycin ointment does not have a therapeutic effect on nasal turbinate hypertrophy and it may cause side effects. For patients with hypertrophic nasal turbinates, it is advised to visit an otolaryngologist after the onset of symptoms. Routine blood tests and nasal endoscopy can be performed to assess the severity of the condition. If it is simply hypertrophy of the nasal turbinate without significant clinical symptoms, observation and nasal irrigation with saline solution can be considered. If there are symptoms like nasal congestion and a runny nose, oral medications combined with nasal spray treatments can be considered. Regular follow-up visits during the treatment process are necessary to observe the effects.
Can people with Meniere's disease smoke?
Ménière's disease is a relatively common inner ear disorder that can lead to associated clinical symptoms such as vertigo, tinnitus, hearing loss, nausea, and vomiting. It is recommended that patients with Ménière's disease should not smoke, as cigarettes are irritants and may cause acute episodes of Ménière's disease or provoke an exacerbation of the existing condition. Furthermore, it is advised to avoid alcohol, staying up late, and consuming strong coffee or tea, since these substances are also irritants and can easily trigger an acute episode of the disease, aggravate clinical symptoms, and affect the efficacy of treatment. If standard conservative drug treatment does not yield satisfactory results, surgery may need to be considered.
Can otitis media heal itself?
Some cases of otitis media can recover on their own, mainly depending on the degree of inflammation and the patient's own resistance. If the inflammatory response is mild and the patient’s own resistance is strong, there is a chance for gradual recovery through resistance. However, this situation requires dynamic observation of the changes in the condition. Without treatment, some patients may gradually worsen, and in such cases, timely consideration of medication is necessary. If the inflammatory response is already significant, or if the patient's own resistance is poor, it is generally recommended to promptly perform an otoscopy and cooperate with antibiotics to fight the infection. Generally, the treatment period is about one week.
What age does throat cancer generally occur?
Throat cancer is a relatively common type of malignant tumor in the head and neck region. It more commonly affects middle-aged or elderly men, with most patients being over 40 years old. Specific clinical symptoms vary among individuals, but common symptoms include sore throat and hoarseness. Some patients may experience difficulty breathing. In terms of treatment, surgery and radiation therapy are commonly used, and some patients may require a combination of comprehensive treatment plans. Regular follow-ups are necessary during the treatment process to monitor the effectiveness of the treatment.
How to check for sinusitis?
The examination for sinusitis is mainly divided into three major categories. The first category is visual inspection. The second is endoscopic examination, and the third is radiologic examination. Visual inspection mainly involves directly observing with the naked eye the mucosa inside the nasal cavity, the inferior turbinate, and assessing the presence of thick nasal mucus. For some patients, a basic diagnosis can be made through visual inspection alone. However, for other patients whose conditions are not very clear, it becomes necessary to use endoscopic examinations, such as nasal endoscopy or fiberoptic nasopharyngoscopy, to visually inspect the interior of the nasal cavity and the nasopharynx for any abnormalities. If the inflammation is severe and conservative medical treatment is ineffective, it may also be necessary to consider a CT scan of the sinuses to make a clearer and more accurate diagnosis.
Adenoid hypertrophy conservative treatment
Adenoid hypertrophy is a relatively common disease, mainly seen in children, with only a small portion of adults possibly experiencing adenoid hypertrophy. In terms of treatment, the first consideration is conservative medical treatment, which currently commonly involves oral medications and nasal sprays. Additionally, rinsing the nasal cavity with saline solution and adopting a side-sleeping position during sleep can be considered. Most patients see a significant improvement in symptoms after standardized medication treatment, and with increasing age, many adenoids may gradually atrophy. However, there is a small group of patients for whom medication does not work well and symptoms are more apparent; in these cases, adenoidectomy might be considered. After the surgery, regular follow-ups are necessary to monitor the relief of symptoms and to check for any recurrence. (The use of medications should be carried out under the guidance of a doctor.)
Can nasopharyngeal cancer be cured?
Nasopharyngeal carcinoma is a relatively common type of head and neck malignant tumor. Currently, radiation therapy is commonly used for treatment. Depending on the severity of the patient's condition, some patients may also need to combine chemotherapy. The specific treatment effectiveness varies from individual to individual, and some patients can achieve clinical cure. For early-stage nasopharyngeal carcinoma, the treatment effectiveness is relatively good, and the clinical cure rate is comparatively high. For mid to late-stage nasopharyngeal carcinoma, the treatment becomes more challenging, and the treatment effectiveness is relatively poorer. After treatment, regular check-ups are required to monitor the recovery of the condition. If no recurrence or distant metastasis is found five years after treatment, the patient is considered clinically cured.
Can nasal polyps be cured?
Nasal polyps are a common condition, but whether they can be completely cured varies from person to person. Generally, treatment is divided into two main categories: conservative treatment and surgical treatment. If the nasal polyps are few and do not cause significant clinical symptoms, most patients will consider conservative treatment, which includes the use of nasal sprays, nasal irrigation, and oral medication. Generally speaking, most patients can achieve effective control and relief. However, if conservative treatment is ineffective and the nasal polyps gradually increase or if the polyps are originally extensive, medical treatment might not be effective, which may necessitate surgical removal. Currently, the main procedure performed is endoscopic sinus surgery for nasal polyp removal, which is considered minimally invasive. However, neither medical treatment nor surgery can guarantee complete and permanent cure without recurrence, thus long-term follow-up is required.
Can throat cancer be detected by a CT scan?
Most laryngeal cancers can be detected through CT scans because, during the scan, it is possible to see whether there are neoplasms in the area of the pharynx and larynx, especially around the laryngeal cavity, ventricle, and vocal cords. Generally, if there are any growths, they will be visible on a CT scan. However, some early-stage laryngeal cancers, where the mucosa has just started to show changes, might be missed by CT scans. In such cases, it is generally recommended to also perform a laryngoscopic examination. If possible, conducting an NBI (Narrow Band Imaging) laryngoscopy could reveal early mucosal changes. If early-stage laryngeal cancer is confirmed by pathology, surgical or radiation treatment can be very effective and generally has a low chance of recurrence.