Is It Oral Warts? Seeking ENT or Dermatology Advice - Otolaryngology

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Based on your description and the image you provided, it seems that you are concerned about a growth under your tongue that resembles warts, specifically referring to it as "舌下菜花" (which translates to "cauliflower-like growth under the tongue"). This type of growth can indeed be indicative of oral warts, which are often caused by the human papillomavirus (HPV).
Oral warts can appear in various forms, and their appearance can sometimes be mistaken for other conditions, such as fibromas or other benign lesions. Given that you have had this growth for over two years, it is advisable to seek a professional evaluation to determine the exact nature of the lesion.
In terms of which specialist to consult, both dermatology and ENT (ear, nose, and throat) specialists can provide valuable insights. However, since the growth is located in the oral cavity, it would be more appropriate to start with an ENT specialist. They have the expertise to examine oral lesions and can perform any necessary diagnostic procedures, such as a biopsy, if needed.
If the ENT specialist determines that the growth is indeed a wart or another type of lesion that requires treatment, they can either manage it themselves or refer you to a dermatologist for further care. Dermatologists are also well-versed in treating skin-related issues, including warts, and can offer various treatment options such as cryotherapy, laser treatment, or topical medications.

It's important not to ignore such growths, especially since they have persisted for an extended period. While many oral lesions are benign, some can be precursors to more serious conditions, including oral cancers. Early diagnosis and treatment are crucial.

In addition to seeking medical advice, here are some general recommendations for oral health:
1. Maintain Good Oral Hygiene: Regular brushing and flossing can help prevent infections and other oral health issues.


2. Avoid Irritants: If you smoke or use tobacco products, consider quitting, as these can exacerbate oral lesions and increase the risk of oral cancers.

3. Monitor Changes: Keep an eye on the growth for any changes in size, color, or texture, and report these to your healthcare provider.

4. Stay Informed: Understanding the potential causes of oral warts, including HPV, can help you make informed decisions about your health and any necessary vaccinations.

In conclusion, I recommend scheduling an appointment with an ENT specialist to have the growth evaluated. They will be able to provide you with a definitive diagnosis and appropriate treatment options. Don't hesitate to ask questions during your visit, and ensure that all your concerns are addressed. Your health is paramount, and taking proactive steps is the best way to ensure your well-being.