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Xu Qing Tian
Otolaryngology
About me
Specializing in Otorhinolaryngology at Ma'anshan Municipal People's Hospital, with ten years of experience, graduated from Wan Nan Medical College, has been awarded honors such as Outstanding Individual of the Hospital and Best Teaching Supervisor
Proficient in diseases
Acute and chronic sinusitis, acute and chronic rhinitis, acute and chronic pharyngitis, pharyngitis, vocal cord polyps, vocal cord nodules, nasal polyps, pharyngeal tumors, otitis media, tympanic membrane perforation, cholesteatoma, epistaxis, sleep apnea treatment
Voices
Can vocal cord nodules turn into cancer?
Patients with vocal cord nodules usually do not undergo cancerous changes. The main causes of vocal cord nodules are related to improper use of the voice, excessive vocalization, and other factors. The pathological basis for the formation of vocal cord nodules involves edema in the Reinke's layer of the vocal cord mucosa, causing symmetrical hyperplasia of the vocal cords on both sides. The main symptoms in patients are hoarseness and difficulty in producing high-pitched sounds. The primary treatments for patients with vocal cord nodules currently include medication and surgery. Additionally, it is important for patients to protect their voice in daily life, practice voice rest, and reduce unhealthy habits like smoking and alcohol consumption to help prevent the occurrence of vocal cord nodules. (Medication should be used under the guidance of a doctor.)
What should I do if I have otitis media?
Otitis media is a common otolaryngological condition that often occurs in patients who frequently swim or clean their ears excessively, as well as those who accumulate cholesteatomas in the external ear canal, leading to otitis media and tympanic membrane perforation. The main pathogens associated with otitis media are typically Streptococcus pyogenes and Staphylococcus aureus. The treatment involves selecting sensitive antibiotics based on throat swab culture and drug sensitivity tests to provide anti-inflammatory symptomatic treatment. If the inflammation is severe and there is formation of cholesteatoma or granulation tissue along with perforation of the tympanic membrane in the external auditory canal, it may be necessary to perform mastoidectomy and tympanoplasty to thoroughly remove the middle ear lesions and achieve healing. (Medication should be used under the guidance of a doctor.)
How long should one rest their voice for vocal cord polyps?
Vocal cord polyps are a common and frequent disease in otolaryngology. The main symptoms of vocal cord polyps in patients are usually hoarseness and vocal fatigue. Diagnosis can be confirmed through examination methods such as electronic laryngoscopy or indirect laryngoscopy. The primary treatment for vocal cord polyps is surgical removal of the polyp tissue to restore normal vocal function. After the surgery for vocal cord polyps, it is generally recommended that patients refrain from speaking for three to four weeks to promote the repair of the vocal cord mucosa and avoid congestion and swelling of the local mucosa due to excessive voicing or overuse, which can affect the recovery time or degree of recovery and are likely to lead to recurrence in patients.
What should I pay attention to in the diet for adenoid hypertrophy?
Adenoid hypertrophy is a common condition in children, primarily due to excessive growth of adenoid tissue on the posterior wall of the nasopharynx. This condition leads to symptoms such as nasal congestion, snoring during sleep, runny nose, and sinusitis. The main treatment for adenoid hypertrophy is surgical removal. Regarding diet, it is first recommended to reduce the intake of cold beverages and spicy, irritating foods to avoid exacerbating local inflammatory responses. Secondly, it is advised to limit foods containing hormones, as they may stimulate the proliferation and congestion of lymphatic tissue, worsening the degree of adenoid hypertrophy.
Can you eat eggs with enlarged adenoids?
Patients with adenoid hypertrophy can eat eggs. Adenoid hypertrophy is a common and frequent disease in otorhinolaryngology, primarily occurring in infants and young children, especially those aged 5-7 years. Due to the significant proliferation of lymphatic tissue, it can cause an enlargement of the lymphatic tissue on the posterior wall of the nasopharynx, thereby blocking the posterior nasal passages. This leads to symptoms such as snoring, breath-holding, sleep apnea, and hypoxia during nighttime in patients. Therefore, for patients with adenoid hypertrophy, after confirmation through exams such as electronic nasopharyngoscopy and lateral nasopharyngeal radiography, surgery is usually required to remove the enlarged adenoid tissue. In some cases, the removal of the tonsils is also necessary in order to restore ventilation in the nasopharynx and oral cavity, improving symptoms like nighttime snoring and breath-holding in patients.
The difference between otolithiasis and Ménière's disease
The main difference between BPPV (Benign Paroxysmal Positional Vertigo) and Meniere's Disease lies in their symptoms and causes. BPPV primarily manifests as episodes of dizziness due to dislodged otoconia moving into the semicircular canals, leading to vestibular irritation. On the other hand, Meniere's Disease presents a group of symptoms including vertigo, fluctuating hearing loss, and tinnitus, thought to be caused by fluid accumulation in the labyrinth, triggering labyrinthine irritation.
Can vocal cord polyps become cancerous?
Vocal cord polyps are proliferative protrusions located on the surface of the vocal cords, typically occurring on the anterior middle third of both vocal cords. The main causes of this condition are consuming spicy and irritating foods and harmful habits such as smoking and drinking, excessive use of the voice, and occupational factors. Vocal cord polyps are usually characterized by squamous proliferation on the surface mucosa of the vocal cords, and cancerous changes are rare. If the surface of the vocal cords is uneven and the voice is notably hoarse, a biopsy treatment should be conducted to confirm the diagnosis.
Green nasal discharge is what kind of cold?
Nasal discharge that appears blue-green in color is primarily caused by viral infections such as the common cold, with symptoms including obvious nasal congestion, runny nose, headache, and fever. The common causative viruses include influenza virus, parainfluenza virus, and rhinovirus. We can determine the specific causative virus by testing for influenza antibodies in the blood. Based on the patient's test results, antiviral medications, as well as medicines that clear the nasal passages, are used to improve symptoms. In daily life, it is important to maintain hygiene, wash hands frequently, ensure good ventilation, wear masks, and avoid crowded places to prevent infection.
Can nasal polyps be seen with the naked eye?
Nasal polyps can be visible to the naked eye, but this is only in cases of more severe nasal polyp patients. In some severe cases, the polyps grow into and protrude from the nasal cavity, at which point a pale white, lychee-like polyp neoplasm can usually be seen in the nostril. For patients with nasal polyps, blockage of the nasal passages can cause symptoms such as nasal congestion, headaches, and runny nose. At this time, functional endoscopic sinus surgery can be used to remove the polyps from the patient's nasal cavity, thereby restoring normal ventilation function of the nasal passages, improving symptoms of sinus obstruction, and achieving a cure.
Do vocal cord polyps require surgery?
Vocal cord polyps are benign proliferative lesions that occur on the surface mucous membrane of both vocal cords, and are also a type of chronic laryngitis. The main clinical manifestation is a hoarse voice, and it is very rare for it to become malignant. Factors such as improper vocal use due to professional reasons, respiratory infections, and other irritative factors can lead to vocal cord polyps. At this point, vocal cord polyps require surgical treatment; by surgically removing the proliferative polypoid tissue, the patient's voice can be restored and persistent hoarseness can be avoided. Additionally, after surgery, voice rest is necessary to help the healing of the vocal cord mucosal epithelium.