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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 stage IV nasopharyngeal cancer be cured?
Nasopharyngeal carcinoma is a relatively common type of malignant tumor in the head and neck region. If it is stage IV nasopharyngeal carcinoma, achieving clinical cure is very difficult; only a small portion of patients have the chance to achieve clinical cure, as stage IV nasopharyngeal carcinoma is considered advanced. The current common treatments are a combination of radiotherapy and chemotherapy. During the treatment process, regular reviews are necessary to observe the effects of the treatment. Some patients respond well to the treatment, and the tumor can be completely eliminated after treatment; however, for some patients, the treatment can only control the rapid growth of the tumor, not completely eradicate it. Even if the tumor completely subsides, there might still be a chance of local recurrence or distant metastasis after the treatment ends.
Do vocal cord polyps absolutely require surgery?
Vocal cord polyps do not necessarily require surgery as there are various treatment options available. Clinically common treatments include medication, voice training, and surgical removal. If the polyp is small and the symptoms are mild, conservative treatment is generally recommended. This mainly involves voice training, oral medications, and nebulized drug therapy, along with regular check-ups using a laryngoscope to monitor changes. Most patients can effectively alleviate and recover through conservative treatment. However, if the polyp is large and causes significant hoarseness, surgical removal under a laryngoscope might be considered, followed by regular check-ups to prevent recurrence.
Can nasal polyps heal by themselves?
There is a possibility of spontaneous healing for nasal polyps, but this possibility is relatively low. For cases with fewer polyps, conservative treatment with medication is generally recommended, commonly involving spray medications, along with saline nasal irrigation. However, it is necessary to regularly re-examine and observe the treatment results. If there are many polyps and the results of conservative treatment are not satisfactory, then surgical removal may be required. Currently, the common practice is to remove nasal polyps via endoscopic surgery, which is a minimally invasive procedure with generally good overall results, less damage, and shorter recovery time. However, regular follow-up is required as some patients may experience recurrence after the surgery.
Can people with vocal cord polyps eat beef?
Patients with vocal cord polyps can eat beef. Beef is a common type of meat and does not have any side effects on vocal cord polyps, nor does it exacerbate the condition or affect the treatment outcomes. It does not directly conflict with medications used to treat vocal cord polyps. For patients with vocal cord polyps, it is recommended to follow a light diet and avoid spicy and irritating foods, smoking, and drinking alcohol. Additionally, timely medical treatment should be considered. For some patients where the condition of the vocal cord polyps is severe and medical treatment is ineffective, surgery may need to be considered.
The difference between acute pharyngitis and chronic pharyngitis
Acute pharyngitis and chronic pharyngitis are relatively common otolaryngological diseases, with certain differences between them. First, in terms of the onset of the disease, chronic pharyngitis has a longer duration, generally more than three months, and is recurrent; whereas acute pharyngitis typically has a sudden onset and clinically usually lasts no more than a week. There are also differences in clinical symptoms. The main manifestations of acute pharyngitis are sudden throat pain and a sensation of a foreign body in the throat, and some patients may also develop a fever. In contrast, chronic pharyngitis typically presents with a sensation of a foreign body and pain in the throat, which are generally not very severe and do not lead to fever. The third point is the cause of the disease. Acute pharyngitis is generally caused by acute viral or bacterial infections, leading to congestion and swelling of the mucosa in the throat. Chronic pharyngitis, on the other hand, involves non-bacterial, non-viral inflammatory responses.
How is nasal polyp treated?
Nasal polyps are a relatively common otolaryngological condition. In terms of treatment, it is first necessary to assess the severity of the condition. It is advisable to undergo a nasal endoscopy and a sinus CT scan. For cases where the nasal polyps are few and the clinical symptoms are mild, conservative medical treatment may be considered, typically involving the use of nasal spray medications, along with saline nasal irrigation. If the nasal polyps are numerous and the clinical symptoms are severe, and if conservative medical treatment is ineffective, nasal endoscopic polypectomy surgery may be considered. This is a minimally invasive surgery that generally yields good results, with less damage and a quicker recovery.
Characteristics of headaches caused by nasopharyngeal carcinoma
Nasopharyngeal carcinoma is a relatively common otorhinolaryngological disease with various clinical symptoms. The more common symptoms include nasal congestion, runny nose, and bloody nasal discharge. Some patients may experience headaches, which could potentially be due to intracranial metastasis of the nasopharyngeal carcinoma or nerve invasion, causing neuropathic pain. The specific characteristics of the headache mainly manifest as persistent and severe pain. Although pain relief medications can temporarily alleviate the symptoms, the relief usually does not last long. After the effects of the medication wear off, the pain may recur. Moreover, this condition is generally challenging to treat, and treatment outcomes may not be ideal.
Does acute pharyngitis have phlegm?
The symptoms of acute pharyngitis are numerous and can cause coughing and expectoration, as well as sore throat, foreign body sensation in the throat, fever, swallowing obstruction, and difficulty breathing. There is significant individual variation in specific symptoms. After the onset of the disease, it is necessary to visit an otolaryngology department, where routine blood tests and indirect laryngoscopy can be conducted to assess the severity of the condition. In terms of medication treatment, oral medications are commonly used at present, and can be combined with nebulizer therapy. During the treatment process, regular follow-ups are needed to observe the recovery of the condition. Most patients will gradually improve after timely medical treatment.
Does nasal polyp hypertrophy require surgery?
The treatment methods for nasal polyps are mainly divided into two categories. The first category is surgical treatment, and the second category is conservative medical treatment. If the nasal polyps are relatively small and the clinical symptoms are not very obvious, conservative medical treatment should be considered first. Common treatments include nasal spray medications and saline nasal irrigation. If accompanied by rhinitis or sinusitis, oral medications may be considered. If the extent of the nasal polyps is large and the clinical symptoms are clear, and if the results from medication are not good, surgery may need to be considered. After surgery, regular follow-ups are necessary to observe the recovery.
Can nasal polyps be eliminated by taking medicine?
Nasal polyps are a relatively common otolaryngologic condition, presenting with a variety of clinical symptoms. The more common symptoms include nasal congestion, runny nose, reduced sense of smell, headache, and dizziness. In terms of treatment, the usual approaches are conservative treatment and surgical treatment. If there are few nasal polyps and the clinical symptoms are not particularly severe, medication treatment can be considered. Some patients may see a gradual reduction in their nasal polyps after medication treatment. However, in cases where there are many polyps and the clinical symptoms are significant, and standardized medication treatment is ineffective, surgical removal may be necessary. Currently, the more common procedure is endoscopic sinus surgery for the removal of nasal polyps.