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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
Vocal cord nodules physical therapy
Vocal cord nodules are a common and frequent otolaryngological disorder, often found in professions that require excessive voice use, such as teachers, salespeople, and singers. These nodules typically grow symmetrically on the anterior-middle third of the vocal cords, with intermittent hoarseness as the main symptom. A definitive diagnosis can be made using a laryngoscope. Effective treatment for vocal cord nodules includes voice rest, avoiding spicy and irritating foods, as well as cold drinks, and taking care to protect the voice in daily use. Oral medications that invigorate blood circulation and remove blood stasis can be used to improve symptoms. For patients whose nodules do not resolve, surgery is usually required to remove the vocal cord nodules and restore the voice to normal. (Please use medications under the guidance of a physician.)
Nasal polyps and adenoids are what kind of disease?
Nasal polyps and adenoids are two different diseases, and they are common conditions in otolaryngology. Patients with nasal polyps usually experience growths on the surface of the nasal mucosa, which primarily cause symptoms such as nasal congestion, runny nose, headaches, and sinus blockages. On the other hand, adenoid hypertrophy mainly occurs in infants and young children, with a high incidence in the 5-7 year age group. Patients with adenoid hypertrophy often experience symptoms like breath-holding, lack of oxygen, and sleep apnea during the night, which can be definitively diagnosed through sleep monitoring tests. Currently, the main treatment for patients with nasal polyps and adenoid hypertrophy involves surgical removal of the nasal polyp tissue and ablation of the adenoid tissue to restore normal physiological functions of the entire nasopharyngeal cavity.
the fundamental cause of turbinate hypertrophy
Turbinates hypertrophy is a common disease in otolaryngology. It can occur on its own or concurrently with chronic rhinitis, allergic rhinitis, or chronic nasal inflammation caused by sinusitis. In cases of turbinate hypertrophy, if it is simply an enlargement, it can lead to symptoms such as nasal congestion and headaches. Initially, a paranasal sinus CT scan and electronic nasopharyngoscopy can be completed to establish a clear diagnosis. Following that, functional endoscopic surgery can be performed to partially excise or ablate the turbinates, thus fully improving the patient's nasal airway function and restoring a normal nasal physiological environment.
Recurrence rate after total laryngectomy for throat cancer
Laryngeal cancer is a common disease in otolaryngology and a relatively prevalent malignant tumor. Patients who undergo total laryngectomy often have advanced laryngeal tumors, which block the esophagus or pharynx and have tumor tissues too large for partial removal. The likelihood of recurrence after tumor resection varies from patient to patient, depending on the radiotherapy and chemotherapy administered post-operatively, as well as individual physical constitutions, which can alter recurrence rates. Generally, we recommend that patients undergo a laryngoscopic check-up every three to six months and a CT scan of the larynx post-surgery, to enable timely detection and treatment, aiming for early control and intervention in case of potential recurrence.
What should be noted about vertigo due to ear stones?
Benign paroxysmal positional vertigo (BPPV) is a common and frequently occurring disorder in the field of otolaryngology, primarily causing symptoms such as dizziness, a spinning sensation, nausea, and vomiting. When these symptoms of dizziness occur, it is important to timely find a sofa or bed to lie down or sit on to prevent falls and potential injuries. The episodes of BPPV usually last a short duration, often resolving within one to two minutes on their own. If the episodes are prolonged and recurrent, it is advisable to seek medical attention promptly. Initial diagnostic evaluations such as MRI of the head and high-resolution CT of the temporal bone should be conducted to rule out inner ear disorders and intracranial tumors as possible causes of the vertigo. Once diagnosed, a specialist can perform repositioning maneuvers to treat BPPV, helping the patient return to normal.
Are laryngitis and pharyngitis the same?
Laryngitis and pharyngitis are common diseases in otolaryngology, occurring in different parts of the throat. Laryngitis primarily affects the mucous membrane and vocal cords of the larynx, causing congestion and swelling of the surface mucosa. The most typical symptom in patients is hoarseness, and some may experience coughing and phlegm among other related symptoms. Meanwhile, patients with chronic pharyngitis primarily present symptoms like a foreign body sensation in the throat, dryness, soreness, and a burning sensation. When these symptoms appear, an initial diagnostic step can be through a digital nasopharyngoscope to confirm the patient's condition, followed by symptomatic treatment with throat-soothing medications under a physician’s guidance. In daily life, it is also important to protect the voice by avoiding loud talking or shouting, and maintaining a light diet, which helps protect the mucous membranes of the throat from inflammation and prevent the aforementioned symptoms.
Are white vocal cord polyps cancerous?
Vocal cord polyps are mainly caused by overuse of the voice by patients, or by edema of the mucous membrane due to smoking, alcohol, and physical or chemical irritations, which gradually form vocal cord polyps. During an examination with an electronic laryngoscope, if whitening of the vocal cord mucosa or symptoms such as folds or erosion are found, it may indicate an early stage lesion of a tumor, or that a tumor has developed, which is often seen in cases of leukoplakia or squamous carcinoma of the vocal cords. If such conditions are discovered, it is important for the patient to take them seriously and promptly visit a hospital for a pathological biopsy to determine if there has been a pathological change in the vocal cords. If a pathological change is confirmed, it is necessary to promptly remove the pathological tissue through carbon dioxide laser surgery or support laryngoscopy surgery to achieve timely treatment.
Causes of Nasopharyngeal Carcinoma
Nasopharyngeal carcinoma is a common malignant tumor in otolaryngology, ranking first in incidence among otolaryngological diseases. The main causes are often associated with the patient's long-term chronic inflammation in the nasal cavity, smoking, drinking, and other bad habits. For patients with nasal cancer, it is mainly about avoiding exposure to irritating gases and abstaining from smoking and drinking in daily life to prevent the occurrence of nasal cancer. Additionally, we can use electronic nasopharyngoscopy, electronic laryngoscopy, and blood system EB virus tests, among others, to exclude nasopharyngeal carcinoma. If local tumor proliferation is found in the pharyngeal recess or nasopharynx, biopsy forceps can be used to remove the patient's tumor for pathological examination and diagnosis.
Can nasal polyps be cured without surgery?
Patients with nasal polyps usually cannot be completely cured without surgery. The formation of nasal polyps is mainly related to the patient's long-term smoking and drinking, pollution in the living environment, and stimulation from physical and chemical factors, which lead to the proliferation of nasal mucosal epithelium and edema. Patients with nasal polyps will have obvious symptoms such as nasal congestion, runny nose, headaches, and sinusitis. The use of medications to treat nasal polyps can only relieve symptoms such as nasal congestion. For a complete cure, functional endoscopic sinus surgery is required to remove the nasal polyps and open the sinus ostia, restoring the normal physiological environment of the nasal cavity, to achieve the therapeutic goal. (The use of medications should be under the guidance of a doctor.)
Is surgery necessary for enlarged nasal turbinates?
Patients with enlarged turbinates do not necessarily need surgical treatment. The causes of turbinate hypertrophy are mainly related to long-term smoking and drinking, catching colds, as well as allergic rhinitis and chronic rhinitis. Patients experience turbinate growth, which affects nasal ventilation. Some patients may suffer from alternating nasal congestion, and in cases of significant enlargement, such as snoring and air holding during sleep at night, or complete nasal ventilation obstruction, surgical methods such as turbinate ablation or inferior turbinate fracture and outward movement surgery may be necessary to expand the nasal airflow. For general turbinate hypertrophy, patients can use hormone-based nasal sprays to relieve nasal mucosa swelling and thickening. (The use of medication should be under the guidance of a doctor.)