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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
Is the recurrence rate of vocal cord polyps high?
Vocal cord polyps are a common and frequently occurring condition in otolaryngology. Usually, if patients strictly protect their voice after undergoing vocal cord polyp surgery, the recurrence rate is generally low. However, patients in professions such as teaching, sales, and singing, who often strain their voices, may experience recurrence of vocal cord polyps. The formation of vocal cord polyps is due to the rupture of capillaries and edema in the vocal cord mucosa, leading to neoplasm proliferation. An electronic laryngoscopy can be used to clearly diagnose the disease. Patients with vocal cord polyps should be advised to strictly rest their voice and avoid excessive vocal strain. Surgical removal of the vocal cord polyps is necessary to cure the condition.
Does allergic rhinitis cause coughing?
Allergic rhinitis can cause symptoms of coughing, as the allergens that patients come into contact with lead to hypersensitivity in the upper airways, triggering bronchospasm. Thus, patients experience irritative coughing and related phenomena. For coughs caused by allergic rhinitis, the primary treatment involves the use of anti-allergy medications. In daily life, it is first necessary to avoid contact with allergens, and allergen testing can be conducted to identify the specific allergens affecting the patient. Additionally, during episodes of allergic rhinitis, patients should use antihistamines, leukotriene inhibitors, and steroid nasal sprays to control the episodes of allergic rhinitis and reduce the symptoms of coughing. (The use of medications should be under the guidance of a doctor.)
Symptoms of recurrent vocal cord polyps
Vocal cord polyps are a common and frequently occurring illness, primarily characterized by symptoms such as hoarseness and throat discomfort. After surgical removal of vocal cord polyps through suspension laryngoscopy, the patient's voice may still be hoarse in the short term. This hoarseness is mainly due to postoperative mucosal edema, and the general recovery period requires three to four weeks. Patients need to rest their voice and reduce vocal usage. Dietary precautions include avoiding spicy and irritating foods and reducing the incidence of colds and coughs. If a patient experiences a recurrence of vocal cord polyps, the main symptom is hoarseness. This can be confirmed through an examination with an electronic laryngoscope to determine whether the vocal cord polyps have recurred. There is still a certain probability of recurrence, which mainly depends on how the patient protects their voice in daily life.
Does chronic pharyngitis cause tightness in the chest?
Chronic pharyngitis is a common and frequently occurring disease in otolaryngology. Patients with chronic pharyngitis usually experience tightness in the throat, a foreign body sensation in the throat, discomfort in the pharyngeal area, and difficulty swallowing. The main causes are related to the patient's smoking, drinking, exposure to cold, and chronic inflammation in the throat leading to lymphoid follicle hyperplasia. When the above symptoms occur, one should first visit a hospital in a timely manner, complete examinations including electronic nasopharyngoscopy, routine blood tests, biochemical tests, and C-reactive protein tests to make a clear diagnosis. Furthermore, under the guidance of a senior physician, oral medications for soothing the throat should be used. Additionally, it is advisable to protect your voice, avoid shouting, and maintain a light diet to help prevent the occurrence of chronic pharyngitis.
Symptoms of Otitis Media Recovery
Otitis media is a common and frequently occurring disease in otolaryngology, which is divided into various types such as acute otitis media, chronic otitis media, and cholesteatoma otitis media. Acute otitis media is often seen in cases of colds or coughs. Patients primarily present with pain and pus discharge from the middle ear. Treatment under the guidance of a physician may include the use of antibiotics and corticosteroids. Additionally, during a cold, it is advisable to avoid forceful nose blowing to prevent retrograde infection to the middle ear. For patients with chronic cholesteatoma otitis media, treatment usually requires radical mastoidectomy to remove the lesion and granulation tissue in the middle ear, thereby restoring the normal physiological environment of the middle ear. Repairing the perforated eardrum can also achieve a cure.
Can I eat eggs with laryngitis?
Patients with laryngitis can eat eggs. Laryngitis is a common and frequent disease in otolaryngology, and it is divided into acute laryngitis and chronic laryngitis. The main causes of chronic laryngitis are long-term smoking, drinking, and physical and chemical stimulations, leading to chronic inflammation and congestion of the laryngeal mucosa. Patients will experience obvious foreign body sensation in the throat, hoarseness, and irritative cough among other symptoms. Acute laryngitis can be secondary to chronic laryngitis. When symptoms such as catching a cold or colds occur, patients will usually develop acute laryngitis, characterized by hoarseness and difficulty breathing. We should follow the physician’s guidance, promptly use an adequate amount of antibiotics and steroids for symptomatic treatment, and eliminate inflammation and edema of the throat mucosa to avoid laryngeal obstruction.
Are pharyngeal cancer and laryngeal cancer the same?
Pharyngeal cancer and laryngeal cancer are the same; the onset of pharyngeal cancer in patients is due to the stimulation of long-term smoking, alcohol consumption, and the intake of overly hot foods, causing malignant proliferation of the squamous epithelium in the pharyngeal mucosa, leading to tumor development. For patients with pharyngeal cancer, the first step should be to complete routine blood tests, coagulation function tests, electronic nasopharyngoscopy, and other relevant examinations, and use a biopsy of a pathological slice for diagnosis. The main treatment method for patients with laryngeal cancer is surgical removal, and postoperative radiotherapy can be appropriately carried out to prevent tumor recurrence.
symptoms of malignant nasal polyps
The symptoms caused by the malignant transformation of nasal polyps mainly involve significant destruction and invasion of the surrounding bone, leading to the destruction of the skull base and orbital tissues. Patients may experience eye pain, decreased vision, headaches, and bleeding. For patients with malignant transformation of nasal polyps, diagnosis is primarily made through an electronic nasopharyngoscopy biopsy, taking a portion of the pathological tissue for confirmation. Typically, after confirming malignancy, functional endoscopic sinus surgery should be performed promptly to remove the malignant nasal polyp tissue and extend the resection to the invaded bone. This is usually complemented by radiation therapy or chemotherapy to prevent recurrence of the malignant nasal polyps.
Is a cold with green nasal discharge serious?
Having a cold accompanied by green purulent nasal discharge is a common and frequent symptom in otolaryngology. The cause of these symptoms is primarily fungal sinusitis caused by a fungal infection in the patient. When these symptoms occur, it is important to first complete a paranasal sinus CT, electronic nasopharyngoscope, complete blood count, and nasal secretion culture to identify the pathogen causing the patient's illness and make a clear diagnosis. Additionally, timely use of antiviral drugs and medications that clear the throat and open the nasal passages should be administered for symptomatic treatment. For patients with sinus ostium blockage and fungal sinusitis, functional endoscopic sinus surgery is also needed to open the sinus ostium, restore normal drainage between the sinus and the nasal cavity, and thus achieve a cure for the patient's condition.
The difference between laryngeal cancer and pharyngeal cancer
The main difference between laryngeal cancer and pharyngeal cancer lies in the different parts they affect. Laryngeal cancer occurs below the level of the epiglottis, while pharyngeal cancer generally occurs above this level, including tumors in the pharynx, tonsils, and base of the tongue, whereas laryngeal cancer primarily involves the vocal cords and the lower pharynx. For the diagnosis and treatment of pharyngeal and laryngeal cancers, we can use nasoendoscopy, paranasal sinus CT scan, and CT scan of the larynx among other examinations to make a clear diagnosis, and a pathological biopsy for final confirmation. Once diagnosed, it is usually necessary to surgically remove the tumor promptly to achieve a cure.