Understanding Oral Mucosa Biopsy Results: Squamous Hyperplasia Explained
Oral mucosa biopsy pathology report inquiry? Hello Dr. Cheng, a few days ago I received the pathology report for my oral biopsy, which states the following: Diagnosis: Oral cavity, buccal mucosa, right, biopsy - squamous hyperplasia with subepithelial stromal fibrosis. Gross ...
Dr. Zheng Jueyi Reply:
Hello, inflamed or injured tissues may also produce subepithelial stromal fibrosis, which is not a precancerous condition known as oral submucous fibrosis.[Read More] Understanding Oral Mucosa Biopsy Results: Squamous Hyperplasia Explained
Understanding Persistent High-Frequency Tinnitus: When to Seek Help
Persistent high-frequency tinnitus issue? Hello, doctor. Thank you for taking the time to answer my question. I am currently a sophomore in high school. Since middle school, whenever I am in a quiet space or block my ears, I hear a continuous and high-pitched sound, which is some...
Dr. Zheng Jueyi Reply:
Hello, if there are no obvious hearing abnormalities or persistent tinnitus, it is mostly considered normal physiological tinnitus. If you are concerned, you can visit the ENT department at the hospital for an examination.[Read More] Understanding Persistent High-Frequency Tinnitus: When to Seek Help
Managing Recurrence of Parotid Cancer: Can Facial Nerve Be Preserved?
Salivary gland cancer recurrence? In the case of recurrent salivary gland cancer, if one side of the face is paralyzed due to tumor compression, is it necessary to completely remove the facial nerve during surgery? Is there a possibility of a surgical approach that preserves the ...
Dr. Zheng Jueyi Reply:
Hello, if a malignant tumor invades a nerve, it may be safer to completely remove the tumor by also resecting the nerve. Preserving the nerve could result in incomplete tumor removal, increasing the risk of recurrence.[Read More] Managing Recurrence of Parotid Cancer: Can Facial Nerve Be Preserved?
Managing Salivary Gland Cancer: Preserving Facial Nerve Function
Recurrent salivary gland cancer with facial paralysis? May I ask the doctor again, have you heard of the approach where they try to preserve the nerves as much as possible during surgery and then use radiation therapy for the remaining issue? If someone truly does not want to sac...
Dr. Zheng Jueyi Reply:
Hello, you can discuss with your physician, but tumor invasion of nerves or radiation therapy may compromise nerve function. Even if the nerves are preserved, it does not guarantee that they will retain their function and may increase the risk of future recurrence. If you are con...[Read More] Managing Salivary Gland Cancer: Preserving Facial Nerve Function
Understanding Salivary Gland Stones: Recovery After Endoscopic Surgery
Salivary gland stones I underwent sialendoscopy and had a stone approximately 0.7 cm removed from my salivary gland. I would like to know how long the swelling in the salivary gland will last, or if I should return for a follow-up if it swells further.
Dr. Zheng Jueyi Reply:
Hello, it usually improves gradually within a week. If discomfort persists or swelling worsens, it is recommended to return to the original surgeon's clinic for further evaluation and treatment.[Read More] Understanding Salivary Gland Stones: Recovery After Endoscopic Surgery
Managing Mucus Sensation in the Throat: Tips for Relief
Pharyngeal mucus sensation Hello, Doctor: I have been experiencing a persistent sensation of mucus in my nasopharynx and throat, which causes discomfort and a feeling of foreign body sensation if I don't swallow saliva for just a few seconds, leading to a gag reflex. I would...
Dr. Zheng Jueyi Reply:
If discomfort persists, you may visit an otolaryngology clinic for examination and receive medication to control the amount of secretions. Alternatively, consider using saline nasal irrigation to reduce the retention of secretions in the nasopharynx or throat.[Read More] Managing Mucus Sensation in the Throat: Tips for Relief
Managing Allergic Rhinitis: Antihistamine Options and Side Effects
Allergic rhinitis Hello Doctor, I have been suffering from allergic rhinitis for the past few months, experiencing frequent runny nose and post-nasal drip, so I have been taking antihistamines. I was previously using second-generation antihistamines, but during my last visit to t...
Dr. Zheng Jueyi Reply:
First-generation antihistamines often have sedative side effects. If you experience persistent drowsiness, you should seek medical evaluation at a hospital or clinic. Consider using second-generation oral antihistamines along with intranasal corticosteroid sprays to manage allerg...[Read More] Managing Allergic Rhinitis: Antihistamine Options and Side Effects
Is Your Nosebleed a Sign of Nasopharyngeal Cancer? Key Symptoms to Watch
I am very scared that it might be nasopharyngeal cancer? In elementary school, I experienced daily nosebleeds, which I attributed to allergies, so I didn't think much of it. However, it has been a long time since that happened, and recently, over the past 2 to 3 weeks, I...
Dr. Li Jiaxuan Reply:
It is recommended to undergo an endoscopic examination at the outpatient clinic. Wishing you good health.[Read More] Is Your Nosebleed a Sign of Nasopharyngeal Cancer? Key Symptoms to Watch
Understanding Your ENT Biopsy Report: Key Insights and Implications
I would like to inquire about the biopsy report? The specimen submitted consists of two tissue fragments, measuring up to 0.8 x 0.3 x 0.2 cm in size, fixed in formalin. Grossly, they are white and elastic. All for section. Microscopically, it shows a picture of epithelial hyperpl...
Dr. Zheng Jueyi Reply:
Hello, epithelial hyperplasia is mostly a benign change. If you are concerned, it is recommended to have regular outpatient follow-ups to monitor any subsequent changes.[Read More] Understanding Your ENT Biopsy Report: Key Insights and Implications
Do You Need an MRI for Unilateral Tinnitus? Understanding the Risks
Is an MRI necessary for unilateral tinnitus? Hello Doctor, I called because I have been experiencing unilateral tinnitus for the past five years (high frequency, lasting 24 hours, non-pulsatile, and I cannot hear the tinnitus in outdoor traffic environments). I often have neck an...
Dr. Ji Zhaoyun Reply:
In Taiwan, there are specific criteria for using health insurance to obtain an MRI to rule out vestibular schwannoma in cases of unilateral hearing loss or tinnitus. If these criteria are not met, the likelihood of having a vestibular schwannoma is generally low. However, if ther...[Read More] Do You Need an MRI for Unilateral Tinnitus? Understanding the Risks
Understanding Nasal Inflammation: Treatments and Medications Explained
Nasal allergy medications Hello, doctor. I have been experiencing long-term inflammation and pain in my left nasal cavity. I don't often have nasal discharge, but when I encounter polluted air, such as from incense burning or cooking oil fumes, I experience a continuous slig...
Dr. Li Jiaxuan Reply:
Medications similar to nasal sprays but with higher concentrations may be difficult for patients to obtain. Wishing you peace and health.[Read More] Understanding Nasal Inflammation: Treatments and Medications Explained
Understanding Throat Heat: Possible Causes and Remedies
Sore throat with a burning sensation? The body temperature is normal, but there is a constant sensation of heat in the throat. Additionally, there are no other symptoms present. What could this issue be? It is quite distressing. I have taken acetaminophen and antipyretics, but th...
Dr. Li Jiaxuan Reply:
It is recommended to consult an otolaryngologist for evaluation of conditions such as pharyngitis, tonsillitis, or upper respiratory infections. Wishing you good health.[Read More] Understanding Throat Heat: Possible Causes and Remedies
Understanding Oral Leukoplakia: Definition and Distinctions
What is the definition of oral leukoplakia? What is the definition of leukoplakia as a precancerous lesion in oral cancer? Do the white spots that appear with common oral ulcers or the white tissue that develops during the healing of oral wounds also count as leukoplakia? Thank y...
Dr. Zheng Jueyi Reply:
Hello, the white spots that appear with common oral ulcers or the white tissue that develops during the healing of oral wounds are not oral leukoplakia. Leukoplakia is a result of long-term irritation and typically persists without disappearing. If there are concerns or a need to...[Read More] Understanding Oral Leukoplakia: Definition and Distinctions
Can Oral Ointments Help Heal Small Oral Biopsy Wounds?
Apply oral ointment to the oral biopsy wound? Hello Dr. Cheng, today I underwent an oral biopsy at the ENT clinic. Since the lesion was small, the physician performed a local anesthesia and directly used forceps to take a small piece of the lesion for examination. The wound is sm...
Dr. Zheng Jueyi Reply:
Hello, you can apply an oral ointment.[Read More] Can Oral Ointments Help Heal Small Oral Biopsy Wounds?
How to Handle Pills Stuck in Your Throat: ENT Insights
Pill stuck in the throat? After seeing the doctor and taking the medication today, I feel like something is stuck in my throat. I checked and it seems like there are two pills lodged in my throat. What should I do?
Dr. Zheng Jueyi Reply:
If there is no improvement, it is recommended to visit an otolaryngologist or a gastroenterologist for evaluation. If there is severe discomfort, it is advised to go to the emergency department for immediate assessment.[Read More] How to Handle Pills Stuck in Your Throat: ENT Insights
Managing Persistent Cough and Post-Nasal Drip: Effective Solutions
Post-nasal drip and cough concerns? I visited a clinic and received medication, but I'm experiencing a situation similar to before. One night, I couldn't stop coughing, and it happened very frequently. Every time I coughed, my whole body would feel hot, making it imposs...
Dr. Zheng Jueyi Reply:
There are many factors that can cause coughing, including post-nasal drip, sinusitis, gastroesophageal reflux, or respiratory sensitivity following an infection. If symptoms persist or if over-the-counter medications are ineffective, it is advisable to consult an otolaryngologist...[Read More] Managing Persistent Cough and Post-Nasal Drip: Effective Solutions
Will Oral Mucosa Biopsy for Leukoplakia Leave Scars?
I would like to inquire about oral mucosal biopsy issues? If a biopsy is performed on oral leukoplakia, will there be a scar left? Will the tissue that was removed grow back? Thank you!
Dr. Zheng Jueyi Reply:
Hello, after a typical incision, the wound usually heals well. If the depth of the excision is not deep, there generally won't be any significant scar tissue left.[Read More] Will Oral Mucosa Biopsy for Leukoplakia Leave Scars?
Can Ibuprofen Cause Tinnitus? What to Do If You Experience It
Tinnitus caused by anti-inflammatory pain relievers? If you experience tinnitus after taking the non-steroidal anti-inflammatory drug (NSAID) containing ibuprofen for three consecutive days, it is advisable to stop taking the medication. Tinnitus may resolve after discontinuing t...
Dr. Zheng Jueyi Reply:
Hello, if it is caused by medication, most patients will gradually recover after discontinuing the drug. However, if there is no improvement after more than a week, or if there is a significant decrease in hearing, it is recommended to visit an otolaryngologist for examination.[Read More] Can Ibuprofen Cause Tinnitus? What to Do If You Experience It
Understanding Ear and Lymph Node Issues: Symptoms and Next Steps
Right ear, lymph nodes On the morning of November 16, I noticed a popping sensation in my right ear while sleeping, which was very uncomfortable and affected my sleep. Swallowing would produce a crackling sound. I went to a small clinic, where I was informed that I had hearing lo...
Dr. Zheng Jueyi Reply:
Hello, there are many factors that can cause lymphadenopathy. It is recommended to wait for the CT scan and return for a follow-up to review the results.[Read More] Understanding Ear and Lymph Node Issues: Symptoms and Next Steps
Coughing After Oral Sex: Understanding Symptoms and Concerns
Coughing uncontrollably after oral sex? Hello doctor, last Saturday evening I performed oral sex on my boyfriend and swallowed his semen. That night, I started to feel a bit of a scratchy throat and had some mild coughing symptoms. The next day, and for the past week, I have been...
Dr. Zheng Jueyi Reply:
Hello, it is currently difficult to determine. If you are concerned, it is advisable to visit an otolaryngologist for an examination.[Read More] Coughing After Oral Sex: Understanding Symptoms and Concerns