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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 sinusitis heal on its own?
Sinusitis may recover on its own. This primarily depends on the extent of the specific inflammatory responses, as well as clinical symptoms and the patient's own immunity. If the sinusitis is very mild, the clinical symptoms are not severe, and the patient's immunity is relatively strong, recovery is indeed possible. Additionally, with acute sinusitis, some patients naturally tend to recover on their own. However, in cases of chronic sinusitis or severe inflammatory responses in acute sinusitis, where symptoms like nasal congestion, purulent nasal discharge, headaches, and dizziness are more pronounced, it is generally advisable to consider timely medical treatment. It may also be beneficial to incorporate saline nasal washes and schedule regular follow-up examinations to observe effects.
How to radically cure nasal polyps?
The treatment of nasal polyps currently mainly considers two methods. The first is conservative treatment and the second is surgical removal. If there are few polyps and the symptoms are not particularly obvious, conservative treatment can generally be considered. This usually involves nasal sprays and oral medications, along with regular check-ups to observe any changes in the nasal polyps. If the control effect of the medication on the nasal polyps is not good, or if there are originally many polyps with obvious symptoms, such as nasal congestion, runny nose, headache, dizziness, and reduced sense of smell, drug treatment may be insufficient, and endoscopic nasal surgery may need to be considered. Nasal endoscopic surgery can completely remove the nasal polyps, but regular check-ups are also necessary. Whether it is drug treatment or surgical treatment, there is a possibility of recurrence, and a complete cure cannot be guaranteed, therefore, long-term and regular check-ups are essential.
The causes of nasal polyps formation
Nasal polyps are a relatively common ENT (Ear, Nose, and Throat) disorder, with various causes. Common causes include genetic factors and may also be due to chronic allergic rhinitis or sinusitis. Some patients develop nasal polyps because of frequent exposure to dust or other chemical substances. There are significant individual differences in the specific causes of the disease. After the onset of the disease, it is necessary to visit an ENT specialist. Procedures like a nasal endoscopy or a sinus CT scan can be performed to assess the severity of the condition, which will assist in determining targeted treatments. During the treatment process, regular check-ups are needed to observe the recovery progress of the condition.
How to diagnose throat cancer
Laryngeal cancer examinations are mainly divided into two categories. The first category is laryngoscopy, and the second is imaging studies. Laryngoscopy is further subdivided into fiberoptic laryngoscopy, electronic laryngoscopy, and indirect laryngoscopy. Indirect laryngoscopy is relatively rudimentary and generally doesn't play a significant role in diagnosing laryngeal cancer. Therefore, fiberoptic or electronic laryngoscopy is typically preferred as these methods can directly determine the presence of neoplasms in the throat. If a neoplasm is detected, further pathological biopsy testing can be considered. The other method is imaging studies, primarily involving CT scans or MRI of the throat. These are helpful in determining the size, extent, and preliminary nature of the throat neoplasms. Combined with the above methods, a definitive diagnosis can generally be established.
Which department should I go to for acute pharyngitis?
For acute pharyngitis, it is advisable to visit the otolaryngology department, as acute pharyngitis is primarily caused by an acute bacterial infection, mainly leading to throat pain. In severe cases, it can cause edema of the pharyngeal mucosa, affecting swallowing or breathing, and is one of the more common throat diseases. Regarding treatment, an indirect laryngoscopy should first be performed to assess the degree of inflammation in the pharyngeal mucosa, especially to determine if there are any obstructions in the throat. Additionally, routine blood tests and inflammatory protein tests should be conducted to help determine the type and extent of the inflammatory response. In terms of medication, treatment is generally dominated by antibiotics, preferably administered orally, and supplemented by nebulization and traditional Chinese medicine. Typically, the treatment period is about one week, but there are individual differences, so it is necessary to return to the otolaryngology department for follow-up to dynamically observe the recovery. (Medications should be used under the guidance of a physician.)
Can pharyngitis not be cured?
There are many treatment methods for pharyngitis, but it is still difficult to cure completely and may recur frequently. After the onset, it is recommended to visit an otolaryngology clinic where you can have routine blood tests and laryngoscopic examinations, which help to preliminarily determine the severity of the condition. Generally, oral medication can be considered, along with nebulization therapy. During treatment, regular follow-up is necessary to monitor the effects. Most patients will gradually improve with timely medication. In terms of diet, it should be light; avoid spicy and irritative foods, smoking, and drinking alcohol. (Specific medications should be taken under the guidance of a physician.)
How to normally regulate chronic rhinitis?
Chronic rhinitis is a relatively common otolaryngologic disease that requires attention in daily life. First, in terms of diet, it should be light, avoiding spicy and irritating foods and allergenic foods, which may affect the condition of rhinitis. Second, consider using saline or physiological seawater to rinse the nasal cavity, generally recommended to wash two to three times daily. This helps improve nasal ventilation and reduce the retention of nasal secretions. Third, it is necessary to regularly visit the otolaryngology outpatient department to check the changes in the condition and clarify the treatment effects. (Medication use should be conducted under the guidance of a professional doctor.)
What medicine is good for a deviated nasal septum?
Nasal septum deviation is a relatively common ENT disorder, and typically it does not require medication for treatment. This is because the deviation of the nasal septum is primarily due to either bony or cartilaginous bends, which are difficult to effectively treat with medications. Medications cannot correct a deviated septum. If the nasal septum deviation is severe and accompanied by related clinical symptoms, surgery may be considered for correction. A common procedure is the endoscopic nasal septum deviation correction surgery, which is minimally invasive and generally has good outcomes. If the deviation is minor and does not present any clinical signs, observation may be sufficient without the need for specific treatment.
What should I do if nasal polyps are bleeding?
Nasal polyps accompanied by nasal bleeding can be caused by various reasons. It could possibly be hemorrhagic nasal polyps, or there might be dryness and erosion bleeding of the nasal mucosa, or bleeding due to rupture of small blood vessels, or inflammation-induced bleeding. Therefore, in such cases, it is necessary to promptly visit an otolaryngology department. Consider conducting a nasal endoscopy, routine blood tests, and coagulation function tests, which can help determine the severity of the nasal polyps and the cause of the nasal bleeding. If the extent of nasal bleeding is severe and the nasal polyps are widespread, surgical removal might be considered necessary. After surgery, regular follow-up checks are essential to monitor the recovery process.
Do vocal cord polyps require surgery?
Vocal cord polyps generally do not require surgery. If the polyps are relatively small or if the symptoms of hoarseness are not obvious, surgery is usually not necessary, and medication can be considered. The treatment is primarily through oral medications, combined with nebulization therapy. If possible, professional voice training can also be considered. Most patients can gradually recover through conservative treatment. However, if the polyps are large and cause noticeable hoarseness, surgery might be needed. Post-surgery, regular follow-ups are necessary, but such surgeries are usually minimally invasive, performed under a laryngoscope, and do not involve significant external injuries.