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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
What are the symptoms of recurrent nasal polyps?
Nasal polyps are a common disease in otolaryngology. The occurrence of nasal polyps is due to chronic inflammation of the nasal cavity and stimulation by physical and chemical factors, leading to proliferative lesions of the nasal mucosa and the formation of nasal polyps. The most effective treatment for patients with nasal polyps is functional endoscopic sinus surgery. After surgery, it is important to change dressings in a timely manner and perform regular follow-ups to prevent recurrence of the nasal polyps. Patients with recurrent nasal polyps usually exhibit significant symptoms such as nasal congestion, purulent nasal discharge, headaches, and nasal obstruction. Recurrence can be confirmed through follow-up examinations such as a CT scan of the paranasal sinuses or electronic frontier inspection.
Postoperative Precautions for Vocal Cord Polyps
Vocal cord polyps are a common and frequent condition in otolaryngology, and the following precautions should be noted after surgery for vocal cord polyps: First, do not consume spicy, irritating food and cold drinks to avoid postoperative bleeding or poor recovery of the voice. Second, it is important to maintain silence, preferably for 2-4 weeks, to help the rapid recovery of the vocal cord mucous membrane. Third, in daily life, it is necessary to reduce vocal strain, avoid shouting, to prevent acute congestion and inflammation of the vocal cord mucous membrane, and prevent postoperative recurrence.
Is suppurative tonsillitis severe?
Purulent tonsillitis is a common disease in otolaryngology and also an emergency condition. It usually develops rapidly, with symptoms such as fever, sore throat, and breathing difficulties appearing within 1 to 2 days. Locally, the tonsils may discharge pus or fluid, and the infection may even spread to the peritonsillar space or lead to a peritonsillar abscess. Therefore, patients with purulent tonsillitis should seek medical treatment at a hospital promptly. Treatment usually requires intravenous infusion and symptomatic care, with penicillin being the first choice of medication, followed by cephalosporins. The treatment of purulent tonsillitis requires adequate use of antibiotics and steroids for symptomatic treatment, to quickly control the condition and alleviate symptoms. (Please use medication under the guidance of a doctor.)
Can a deviated septum be corrected with rhinoplasty?
Patients with a deviated septum undergoing rhinoplasty may be impacted, leading to the failure of the surgery. Excessive deviation of the nasal septum can cause narrowing of the anterior nostrils, making it difficult for the endoscope to enter the nasal cavity and increasing the difficulty of the surgery for the patient. Therefore, if a patient is found to have a noticeable septal deviation before rhinoplasty, it is usually necessary to first perform a submucosal septal correction surgery to correct it, and then proceed with the rhinoplasty after recovery. Moreover, in the operating room, we should operate carefully to avoid damaging the bony part of the nasal dorsum to prevent the collapse of the nasal bridge.
Nasal congestion cold is which type of cold?
Nasal congestion when catching a cold is a common symptom in daily life, mainly caused by viral infections due to exposure to cold. Common viruses include Coxsackievirus, influenza virus, and parainfluenza virus, all of which can lead to a cold. In addition to nasal congestion, patients with a cold usually also experience clear watery nasal discharge, sneezing, headache, fever, and fatigue among other clinical manifestations. When these symptoms occur, we can first complete a routine blood test and C-reactive protein test. A significant increase in the percentage of lymphocytes may be seen in patients with viral infections. Under the guidance of a physician, antiviral medications and symptomatic treatment drugs that clear the orifices can be used. The patient's symptoms can generally improve gradually within 5-7 days.
How to check and confirm otolithiasis
The examination for otolithiasis is usually based on the patient's chief complaint symptoms, as well as by performing positional changes to diagnose. The onset of otolithiasis is caused by the detachment of the otoliths from the utricular macula, falling into the horizontal or superior semicircular canals, thereby triggering vestibular stimulation symptoms. Patients may experience vertigo, nausea, vomiting, and cold sweats among other related symptoms. Patients with otolithiasis usually have a short duration of illness, with the vertigo disappearing within 30 seconds to two minutes. After diagnosing otolithiasis, manual repositioning is typically required to move the otoliths from the semicircular canals back to the normal utricular macula position, thereby improving the patient's symptoms such as vertigo.
Should people with allergic rhinitis avoid certain foods?
Patients with allergic rhinitis need to avoid certain foods. Allergic rhinitis is a common otolaryngological disease, mainly caused by the patient's exposure to allergens in food or air, leading to acute edema and congestion of the nasal mucosa. Allergens can be varied, including dust mites and pollen in the air, as well as foods like seafood, fish, and shrimp. Therefore, if allergic rhinitis is caused by food allergens, especially fish and seafood, patients should be cautious and avoid consuming these foods in daily life. Additionally, patients should also reduce the intake of spicy and irritating foods, as these may also exacerbate and cause recurrent allergic rhinitis.
Nasal polyps have become necrotic.
Nasal polyps developing erosion is a common clinical manifestation in daily life, mainly due to the rupture and ulceration of the polyp surface caused by blowing or picking the nose after the growth of nasal polyps. Patients usually experience symptoms such as localized bleeding, nasal congestion, and a runny nose. For patients with nasal polyps, it is essential first to complete related examinations such as paranasal sinus CT and electronic nasopharyngoscopy to confirm the diagnosis. At the same time, it is crucial to visit the hospital timely, and surgical removal of the polyp tissue can be performed to improve the patient's nasal ventilation and restore normal breathing.
Can patients with nasopharyngeal carcinoma drink tea?
Patients with nasopharyngeal carcinoma can drink tea in their daily lives. Nasopharyngeal carcinoma is one of the most common malignant tumors in the field of otorhinolaryngology. Its early clinical manifestations mainly include nasopharyngeal bleeding, nasal congestion, and poor nasal ventilation as the main symptoms. When these symptoms appear, they should be taken seriously, and timely comprehensive examinations such as electronic nasopharyngoscopy and paranasal sinus CT scans should be conducted. When a nasopharyngeal tumor is detected, a timely pathological biopsy should be undertaken to determine the nature of the patient's condition, aiming for early detection and early treatment. Additionally, enhancing nutrition and strengthening physical exercise can help improve one's resistance and reduce the occurrence of diseases.
Is sinusitis a serious illness?
Sinusitis is a common and frequently occurring disease in otolaryngology. Patients with sinusitis mainly suffer from blockages at the sinus openings due to polyps, tumors, and mucosal edema, which leads to pus and fluid accumulation within the sinuses. The primary symptoms in patients include nasal congestion, runny nose, headaches, and fever. For patients with sinusitis, the first step should be to use a paranasal sinus CT scan to make a definitive diagnosis of the disease and identify the affected sinus locations. Treatment can then involve the use of decongestants and corticosteroid medications to address symptoms. For sinusitis caused by foreign bodies or nasal polyps and tumors, surgical opening of the sinus openings can be performed to restore normal sinus drainage and cure the disease. (Specific medications should be used under the guidance of a doctor.)