Dr. Ji Zhaoyun reply Otolaryngology Question - Page 20

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Understanding Laryngeal Edema: Treatment Options Beyond Tracheostomy

Laryngeal edema I would like to ask about my family member who had intubation and later extubation, but developed laryngeal edema afterward. Steroid treatment for a while did not improve the condition, and since there is only a small opening left, we had to reinsert the tube. Is ...


Dr. Ji Zhaoyun reply Otolaryngology
Hello, based on your description: In cases of bilateral vocal cord paralysis combined with laryngeal edema, the safest management approach is typically a tracheostomy followed by endoscopic laser cordotomy. The suitable candidates for this procedure generally need to have clear c...

[Read More] Understanding Laryngeal Edema: Treatment Options Beyond Tracheostomy


Understanding Ear Pain and Throat Issues: When to See an ENT Specialist

Ear pain with heat and itching, feeling moist, and sometimes making sounds when turning the head? Hello doctor, I started experiencing some ear pain and a sore throat around January 23rd. At that time, I was wearing headphones frequently for class, and since the discomfort subsid...


Dr. Ji Zhaoyun reply Otolaryngology
Hello, regarding your issue, it could possibly be external otitis, tonsillitis, temporomandibular joint disorder, Eustachian tube dysfunction, or sensorineural hearing loss, among others. If symptoms persist, it is advisable to consult an otolaryngologist. Wishing you peace and g...

[Read More] Understanding Ear Pain and Throat Issues: When to See an ENT Specialist


Understanding Tinnitus, Ear Pressure, Nasal Congestion, and Neck Pain Symptoms

Symptoms such as tinnitus, a feeling of ear fullness, nasal congestion, and shoulder and neck pain? Hello Doctor, about a week ago, my left ear became uncomfortable due to my phone's microphone accidentally switching to speaker mode at maximum volume. Currently, the tinnitus...


Dr. Ji Zhaoyun reply Otolaryngology
Hello, the issues you mentioned could be due to: 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during flying, climbing, or diving, but also when forcefully blowing your nose or bending over. 2) Sudden sensorineural hearing loss. 3) Otitis me...

[Read More] Understanding Tinnitus, Ear Pressure, Nasal Congestion, and Neck Pain Symptoms


Understanding Hard Lumps from Eye Socket to Nose: When to Seek Help

A hard lump from the orbit to the bridge of the nose? Recently, I suddenly noticed that the area from the eye socket to the bridge of my nose on the right side of my face has a noticeable pulsating blood vessel. A part of my right face feels distinctly more prominent than the lef...


Dr. Ji Zhaoyun reply Otolaryngology
Hello, based on your description, it is difficult to accurately assess the condition solely from the text, as there are many possibilities such as hemangioma, subcutaneous masses, sinusitis, etc. It is also possible that there is simply a difference between the two sides. If the ...

[Read More] Understanding Hard Lumps from Eye Socket to Nose: When to Seek Help


Concerns About a Lump on the Jaw: When to See an ENT Specialist?

There is a foreign object in the left mandibular angle? Hello, several years ago I noticed a lump on the angle of my left jaw. It has never been painful when pressed, but occasionally it seems to get larger, and at times it appears to shrink. Although it doesn't hurt and doe...


Dr. Ji Zhaoyun reply Otolaryngology
Hello, there are many possibilities based on your description, including salivary gland tumors, hemangiomas, subcutaneous masses, inflammation, salivary gland stones, and lymphadenopathy, among others. It is advisable to see a physician if the symptoms persist.

[Read More] Concerns About a Lump on the Jaw: When to See an ENT Specialist?


Understanding the Risks of Fish Bone Ingestion and Esophageal Symptoms

Accidental ingestion of a fishbone? After eating chicken leg and fish on December 12, I felt a sensation of something stuck in my throat. I'm unsure if it's gastroesophageal reflux or if a bone or thorn is lodged in my throat. I would like to ask the doctor what symptom...


Dr. Ji Zhaoyun reply Otolaryngology
Hello, it is generally recommended to visit an otolaryngologist at least once if you have been pierced by a fishbone. If the fishbone has penetrated the esophagus, symptoms such as swallowing pain, difficulty swallowing, chest pain, back pain, and fever may occur, but these sympt...

[Read More] Understanding the Risks of Fish Bone Ingestion and Esophageal Symptoms


Understanding Ear and Jaw Pain After Oral Air Inflation: Possible Causes

Swelling in the oral cavity with pain below the left jaw and ear? Hello, Doctor. About a week ago, I noticed that after inflating my mouth, I experienced a tingling and aching sensation near the bone under my left jaw, just below my ear. When I pressed on that area after inflatin...


Dr. Ji Zhaoyun reply Otolaryngology
Hello, based on your description, if a biopsy has indeed been scheduled, it is advisable to wait for the biopsy report. There should be several tissue analysis results that you can discuss with your attending physician during your follow-up appointment. Wishing you peace and good...

[Read More] Understanding Ear and Jaw Pain After Oral Air Inflation: Possible Causes


Managing Suppurative Preauricular Sinus in Children Before Surgery

The preauricular sinus has become infected? Hello, my child is scheduled for surgery to remove something on November 20, but has developed an abscess that is nearly one centimeter in size on November 13. Should we drain it first, or can the surgery address it at the same time?


Dr. Ji Zhaoyun reply Otolaryngology
Hello, based on your description, it may be advisable to initially use antibiotics and other medications to wait for the infection to subside before proceeding with surgery. However, if the infection is too severe, it may be necessary to first perform an incision and drainage to ...

[Read More] Managing Suppurative Preauricular Sinus in Children Before Surgery


Is It Normal to Feel Pain After Submandibular Cyst Removal?

Submandibular cyst Hello doctor, I underwent the removal of a benign cyst from my mandible at the end of July. Is it normal for the wound to occasionally feel a bit sharp or painful?


Dr. Ji Zhaoyun reply Otolaryngology
Hello, if there is no obvious redness, swelling, heat, or pain, it should generally be fine. However, if you have any doubts, it is still advisable to consult the surgeon who performed the operation. Wishing you safety and good health.

[Read More] Is It Normal to Feel Pain After Submandibular Cyst Removal?


Which Specialist to See for Persistent Speech Clarity Issues?

Which department should I consult? Hello doctor, I have a question. If someone has had unclear speech since childhood, but their hearing is normal and their tongue can move properly, should they see a specialist? Is it sufficient to visit a clinic, or should they go to a larger h...


Dr. Ji Zhaoyun reply Otolaryngology
Hello, it is recommended to first consult with a neurologist and an otolaryngologist. If further rehabilitation is needed, you will be referred to a rehabilitation specialist. Wishing you peace and good health.

[Read More] Which Specialist to See for Persistent Speech Clarity Issues?


Understanding Blood-tinged Mucus Flowing from Nasopharynx to Throat

Blood-tinged mucus draining from the nasopharynx into the throat? In October and November, I experienced blood streaks flowing down from my nasopharynx. I visited two ENT clinics, and both doctors performed nasal endoscopy. They noted that the microvessels inside my nasal cavity ...


Dr. Ji Zhaoyun reply Otolaryngology
There are many causes of nosebleeds, with the most common being thin nasal mucosa resulting from forceful nose blowing. However, other potential causes include nasopharyngeal or nasal cavity tumors (such as nasopharyngeal carcinoma), sinusitis, fungal infections, allergic rhiniti...

[Read More] Understanding Blood-tinged Mucus Flowing from Nasopharynx to Throat


Choking on Frozen Tofu: Understanding Throat Discomfort and Diagnosis

Choking on frozen tofu? Today, I accidentally choked on some frozen tofu while trying to swallow it after biting it into pieces. I felt like something was stuck in my nose area, close to my throat. I thought it would feel better after waking up, but it didn't, so I went to a...


Dr. Ji Zhaoyun reply Otolaryngology
Hello, it is indeed rare for generally young and healthy males to experience food such as frozen tofu getting stuck in the nasopharynx or throat; this situation is more commonly seen in elderly individuals with altered consciousness. However, if symptoms persist and there are con...

[Read More] Choking on Frozen Tofu: Understanding Throat Discomfort and Diagnosis


Understanding Vestibular Migraine: Symptoms, Diagnosis, and Treatment Options

Dizziness consultation Hello Doctor, 1. I have been troubled by a feeling of dizziness (lightheadedness) for over ten years. Recently, after undergoing all the ENT examinations at National Taiwan University Hospital, the doctor diagnosed me with vestibular migraine. I feel grogg...


Dr. Ji Zhaoyun reply Otolaryngology
Hello, dizziness has many possible causes: 1) If there is hypoplasia of the right vertebral artery combined with insufficient perfusion, it may lead to poor blood circulation in the head and neck. 2) If accompanied by ear fullness, ear pressure, or hearing loss, it may suggest su...

[Read More] Understanding Vestibular Migraine: Symptoms, Diagnosis, and Treatment Options


Understanding Coughing and Wheezing: ENT Insights for Better Sleep

Coughing and abnormal breathing sounds? Hello, I recently started experiencing a scratchy throat and coughing, with occasional wheezing sounds when I breathe. The symptoms worsen when I lie down, and the cough returns within a few seconds, although my breathing feels smooth; it’s...


Dr. Ji Zhaoyun reply Otolaryngology
Hello, nasal allergies, asthma, and atopic dermatitis are indeed commonly seen together in many individuals. However, due to the limited information provided, there are many related diagnoses to consider, such as bronchitis, chronic pharyngitis, and sleep apnea, among others. It ...

[Read More] Understanding Coughing and Wheezing: ENT Insights for Better Sleep


Persistent Throat Irritation: Causes and Solutions for Mucus Issues

There is phlegm in the throat that feels itchy? In recent months, I have frequently felt like there is phlegm in my throat, which is itchy and makes me want to cough. The color of the phlegm is clear and stringy. Sometimes I cough to the point of feeling a bit nauseous. At times ...


Dr. Ji Zhaoyun reply Otolaryngology
Hello, the situation you described may be indicative of chronic pharyngitis. It is recommended to undergo laryngoscopy to rule out any masses, as well as to consider pharmacological treatment. If there is blood-streaked sputum, further examination of the chest and gastrointestina...

[Read More] Persistent Throat Irritation: Causes and Solutions for Mucus Issues


Understanding Blood in Nasal Mucus: Is It a Sign of Nasopharyngeal Cancer?

There is a small amount of blood in the nasal mucus? About 2 to 3 months ago, I noticed blood when blowing my nose. I first consulted a doctor who said it was nothing serious. However, after a month, I returned to the doctor, and he mentioned that there seems to be something in m...


Dr. Ji Zhaoyun reply Otolaryngology
Hello, if you have already undergone a biopsy and are waiting for the report, please be patient. The pathology report is currently the most accurate method for diagnosing the types of nasal lesions. Wishing you peace and good health.

[Read More] Understanding Blood in Nasal Mucus: Is It a Sign of Nasopharyngeal Cancer?


Understanding Outer Ear Pain: Causes and Remedies for Discomfort

Pain in the outer ear? Hello, doctor. I would like to ask you a question. I have been experiencing mild pain on the outer part of both ears, specifically on the upper outer area and near the inner side close to the head. The pain is not severe enough to require medication, but it...


Dr. Ji Zhaoyun reply Otolaryngology
Hello, the issues you mentioned could potentially be due to the following conditions: 1) Otitis externa 2) Migraine 3) Trigeminal neuralgia 4) Otitis media: a) Acute otitis media: often occurs alongside upper respiratory infections (colds), sinusitis, etc., and in severe cases, t...

[Read More] Understanding Outer Ear Pain: Causes and Remedies for Discomfort


Unexplained Throat Taste: Saliva Swallowing with Mucus and Medicine Flavor

When swallowing saliva, there is an unusual taste in the throat, resembling the taste of phlegm and somewhat like medication? When swallowing saliva, there is an unusual taste in the throat that resembles phlegm or has a medicinal flavor. However, there are no symptoms of a cold,...


Dr. Ji Zhaoyun reply Otolaryngology
Hello, based on your description, it could be gastroesophageal reflux, post-nasal drip, tonsil stones, periodontal disease, bronchopulmonary issues, or other causes. If the condition is still progressing, it is advisable to consult an otolaryngologist for an initial examination. ...

[Read More] Unexplained Throat Taste: Saliva Swallowing with Mucus and Medicine Flavor


Understanding Small Hard Lumps on the Neck: When to Seek Medical Advice

There is a small hard lump on the side of the neck? Recently, I found a small round hard lump about 0.3 centimeters in diameter on the left side of my neck. The edges are well-defined, and there is no pain at all. The skin appears smooth unless pressed specifically. I would like ...


Dr. Ji Zhaoyun reply Otolaryngology
Hello, according to your description, there are many possible causes for a neck mass, such as lymphadenopathy, lipomas, sebaceous cysts, malignant tumors, congenital tumors, and others. It is advisable to consult an otolaryngologist if symptoms persist, and medication may be reco...

[Read More] Understanding Small Hard Lumps on the Neck: When to Seek Medical Advice


Understanding Hearing Loss: Tinnitus and Treatment Options for Seniors

Auditory degeneration Hello Dr. Chi, I often hear a ringing sound in my ears that resembles "shaking" when I turn my head. Is this a sign of hearing deterioration? Can this be improved? I have heard that eardrum injections can be used. Is it possible for an 83-year-old ...


Dr. Ji Zhaoyun reply Otolaryngology
Hello, the issues you mentioned could be due to: 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during flying, climbing, or diving, but also when forcefully blowing your nose or bending over. 2) Sudden sensorineural hearing loss. 3) Otitis me...

[Read More] Understanding Hearing Loss: Tinnitus and Treatment Options for Seniors


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