Dr. Xu Jiazhen reply Otolaryngology Question - Page 14

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Laser Treatment for Nasal Polyps: Options and Considerations

Treatment methods for nasal polyps? Hello Doctor: I previously underwent surgery for nasal polyps, but at that time the doctor only removed the polyps from the right side, and the left side still has some blockage. Can I choose to have the polyps removed using laser treatment? (D...


Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your questions. 1. Generally, laser procedures result in less bleeding; however, if the wound is too large, there is still a possibility of bleeding, and hospitalization for observation may be necessary, although the duration is significantly shorter. 2. For...

[Read More] Laser Treatment for Nasal Polyps: Options and Considerations


Understanding Neck Tumors: Diagnosis, Treatment, and Recovery Insights

Neck tumor A couple of months ago, I developed a small bump at the junction of my neck and chin that resembled an acne lesion. Initially, I didn't think much of it, but it later grew to about two centimeters and felt like a soft mass. Two weeks ago, it became red and swollen...


Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, based on the description, it is possible that the cyst is caused by inflammation or blockage of the thyroglossal duct. When addressing the concerns of netizens, this diagnosis will be taken as a premise. 1. The thyroglossal duct is a remnant...

[Read More] Understanding Neck Tumors: Diagnosis, Treatment, and Recovery Insights


Understanding the Link Between Nasal Congestion and Brain Pressure

What is the relationship between nasal congestion and the brain? Hello, Doctor: I have a question I would like to ask you. I have been experiencing chronic nasal congestion, specifically on the left side of my nose, and I often feel a tightness in the left side of my brain. Is th...


Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your questions. 1. Chronic nasal congestion may be a cause or result of sinusitis; if sinusitis has developed, it could be contributing to your discomfort, and there may be a connection between the two. 2. The current techniques for endoscopic removal of exc...

[Read More] Understanding the Link Between Nasal Congestion and Brain Pressure


Understanding Preauricular Sinus Infections: Treatment and Surgery Options

How to manage inflammation of the preauricular canal? Hello, I have a preauricular sinus in my left ear. It has become inflamed for the third time since I was 20 years old. I had surgery to clean the wound when I was a baby, and I also had inflammation during elementary school, w...


Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, surgery does not necessarily require hospitalization; it depends on the severity of the condition. The cost of surgery is covered by health insurance, and you only need to pay for the portions not covered, such as room fees, special medical su...

[Read More] Understanding Preauricular Sinus Infections: Treatment and Surgery Options


Sudden Hearing Loss in One Ear: Causes and Prevention Tips

Sudden loss of hearing in the right ear? Dear Director Hsu, My name is Chen, and I apologize for taking your time to ask a question. My wife suddenly lost hearing in her right ear around mid-September last year without any external force. We visited an ENT clinic, where the doct...


Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, I believe it is highly likely that earwax impaction in the external auditory canal has led to otitis externa. The treatment methods you have experienced are all reasonable and appropriate. To prevent this issue, it is essential to avoid using ...

[Read More] Sudden Hearing Loss in One Ear: Causes and Prevention Tips


Understanding Black Spots on the Tongue: What You Need to Know

Tongue issues? Dear Dr. Hsu, I accidentally discovered two black spots on the upper right side of my tongue, about the size of moles. They are not injured, painful, or swollen. Could this be a sign of any pathological condition? I am feeling quite anxious about it.


Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, the main concern usually revolves around whether it is a malignant tumor. Therefore, it is essential for you to visit our outpatient clinic for an examination. A physical examination is necessary, and if needed, a biopsy should be performed to...

[Read More] Understanding Black Spots on the Tongue: What You Need to Know


Understanding Snoring: Causes, Treatments, and Effective Solutions

Loud shout Hello: In the past year or two, I have suddenly started snoring loudly while sleeping. Sometimes, during light sleep, I can even hear my own snoring. I do not have any nasal issues. Is there a permanent solution for this? I have come across information about snoring th...


Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, this is likely what is commonly referred to as sleep apnea syndrome. However, before preparing for surgery, it is necessary to undergo multiple sleep studies in the pulmonology department to determine whether it is peripheral or central sleep ...

[Read More] Understanding Snoring: Causes, Treatments, and Effective Solutions


Understanding Tonsil Tumors: Risks, Surgery, and Recovery Insights

Inquiry about a tumor on the left side of the tonsil? Dear Dr. Hsu, Recently, my father visited a small clinic due to a cold, where the physician discovered something growing in his throat. He was advised to be referred to a larger hospital for further examination. During the ex...


Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, tonsillar tumors are generally treated with complete excision followed by pathological examination for further management. If malignancy is confirmed, the treatment should be based on the findings of the biopsy report at that time. It is recom...

[Read More] Understanding Tonsil Tumors: Risks, Surgery, and Recovery Insights


Understanding Your Throat Issue: Seeking Quick Diagnosis and Solutions

Could you please provide more details or specify your question? Doctor: Hello, I would like to ask you a question. I have noticed a small, round, somewhat hard lump on the left side of my neck for about two years. Recently, I have had difficulty swallowing food and drinking water...


Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, based on your description, a follow-up appointment is recommended.

[Read More] Understanding Your Throat Issue: Seeking Quick Diagnosis and Solutions


Can I Improve My Speech Clarity with a Tongue-Tie Issue?

My pronunciation is not very standard..? I would like to ask if I feel like I have a bit of a lisp... Is there a way to remedy this? Some sounds, like "z," "c," "s," "zh," "ch," and "sh," come out sounding strange... It ...


Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, I recommend speech therapy.

[Read More] Can I Improve My Speech Clarity with a Tongue-Tie Issue?


Understanding Nasal Issues: Causes of Excess Mucus and When to See a Doctor

I think my nose is broken..? I seem to have very little airflow through my nose, and I've always been breathing through my mouth. However, sometimes my nose suddenly runs continuously, and it drips like water without any stickiness. Additionally, when I sleep, it often runs ...


Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, the mucus comes from the nose. Your condition indicates that there is an issue with your nose, and I recommend seeking treatment at an outpatient clinic.

[Read More] Understanding Nasal Issues: Causes of Excess Mucus and When to See a Doctor


Understanding Inner Ear Imbalance: Causes, Symptoms, and Treatments

Inner ear imbalance Hello Dr. Hsu, on May 20th, I went to Green Island for some water activities and accidentally fell, hitting the right side of my head and body hard against the ground. When I got up, I felt very dizzy for about half an hour. I didn't think much of it at t...


Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, it may be benign paroxysmal positional vertigo (BPPV), also known as canalithiasis. Further diagnosis in an outpatient setting is necessary.

[Read More] Understanding Inner Ear Imbalance: Causes, Symptoms, and Treatments


Understanding the Recurrence Rate of Preauricular Sinus Surgery

The recurrence rate of preauricular sinus? Hello Dr. Hsu, I underwent my first preauricular sinus excision surgery in September of last year and had a second surgery in November. Since the first surgery did not remove the sinus tract located in the cartilage, the surgical site ha...


Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, this situation still cannot rule out the possibility of recurrence. It is recommended to visit the outpatient clinic for further evaluation.

[Read More] Understanding the Recurrence Rate of Preauricular Sinus Surgery


Understanding Dizziness and Tinnitus: Seeking Help in Taipei

Dizziness and tinnitus? Hello Dr. Hsu, I have been experiencing dizziness and tinnitus for two to three years. I have seen quite a few doctors, but none have provided significant help for my condition. A particularly unique phenomenon I experience is that I feel especially dizzy ...


Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, yes, it could be migraine and Meniere's disease, but the actual cause still needs to be evaluated in an outpatient setting. There are such specialists in Taipei, such as Dr. Lien Chiang-feng at Taipei Veterans General Hospital, Dr. Yang Y...

[Read More] Understanding Dizziness and Tinnitus: Seeking Help in Taipei


Understanding Ear Congestion: Causes, Treatments, and When to Worry

I feel like there is something stuck in my ear? I have been feeling like there is something stuck in my ear, and I have a buzzing sound. A doctor gave me ear drops, and I used them for a week at home. The earwax turned into a muddy consistency, and the suction device couldn'...


Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, it may be earwax stuck to the eardrum. I recommend outpatient treatment.

[Read More] Understanding Ear Congestion: Causes, Treatments, and When to Worry


Understanding Left Ear Issues: Symptoms, Diagnosis, and Treatment

Left ear issue? Hello, Doctor. Recently, I've been experiencing some issues with my left ear. Five days ago, I noticed that external sounds would cause a vibrating sensation inside my ear, which felt tingly. However, this sensation would disappear in the evening when it was ...


Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, it may be due to Eustachian tube dysfunction. I recommend an outpatient examination.

[Read More] Understanding Left Ear Issues: Symptoms, Diagnosis, and Treatment


Understanding Soft Lumps Under the Jaw: Common ENT Concerns

Neck Dear Doctor: I have noticed a soft lump on each side of my jaw that moves when touched. This has been present for over five years. Some doctors have said that it is not a concern since it has lasted this long, but what exactly is it? (My mother and aunt also have this issue,...


Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, this is likely a normal condition of the salivary glands. If you have any concerns, it is advisable to consult a clinic.

[Read More] Understanding Soft Lumps Under the Jaw: Common ENT Concerns


Understanding Tinnitus: Causes, Symptoms, and Treatment Options

Tinnitus Hello Dr. Hsu: I have been experiencing tinnitus for many years. I was not aware that it was a symptom of tinnitus because I only heard a faint sound during the late night. However, three months ago, after experiencing dizziness when lying on my side due to vestibular is...


Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, tinnitus is a highly bothersome issue, but there are many potential causes. Please undergo a thorough examination to determine the underlying reason.

[Read More] Understanding Tinnitus: Causes, Symptoms, and Treatment Options


Will Cochlear Balloon Decompression Surgery Cause Total Hearing Loss?

excuse me? Will Dr. Hsu perform cochlear balloon decompression for the treatment of vertigo, and will patients completely lose their hearing after the procedure? Thank you.


Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, it is essential to first determine the indications for cochlear decompression surgery and to assess which part will be resected. If fortunate, there may be a small amount of residual hearing; however, most patients are unable to retain their h...

[Read More] Will Cochlear Balloon Decompression Surgery Cause Total Hearing Loss?


Understanding Autonomic Nervous System Disorders: Symptoms and Treatments

Autonomic nervous system dysfunction Doctor, I have experienced symptoms such as dizziness, cold sweats, vomiting, and diarrhea. After using the restroom, my mental clarity and discomfort gradually improve. I have seen reports that these symptoms resemble autonomic nervous system...


Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, there are many conditions that can cause dizziness. I recommend that you undergo further detailed examinations.

[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Treatments


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