Dr. Xu Jiazhen reply Otolaryngology Question - Page 3

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Head and Neck Tumor Diagnosis and Treatment in ENT

Examination and Treatment of Head and Neck Oral Tumors Examination and Treatment of Head and Neck Oral Tumors


Dr. Xu Jiazhen reply Otolaryngology
Examinations and treatments related to the head, neck, and oral cavity can be performed in the field of otolaryngology. If further clarification is needed, please specify the direction you would like to explore.

[Read More] Head and Neck Tumor Diagnosis and Treatment in ENT


Can Ultrasound Therapy Help Relieve Neck Fibrosis After Surgery?

Can ultrasound rehabilitation be used for cervical fibrosis? My mother underwent surgery to remove cancer cells from her neck, which resulted in fibrosis of the neck muscles. Can ultrasound deep thermal therapy be used to alleviate (relax the muscles)?


Dr. Xu Jiazhen reply Otolaryngology
The effectiveness in this area is not very good. General heat therapy and similar methods provide some relief, but due to the lack of remaining soft tissue after neck lymphadenectomy, the results may not be very noticeable. Therefore, once scar tissue forms, there will be a feeli...

[Read More] Can Ultrasound Therapy Help Relieve Neck Fibrosis After Surgery?


Understanding Unexplained Eardrum Tremors: Causes and Insights

Unexplained tympanic membrane oscillation Not long ago, I experienced a situation where I might have had a cold and blew my nose incorrectly by inhaling too forcefully. I felt a retraction in my right eardrum, which caused a sensation of fullness and impaired hearing. Although th...


Dr. Xu Jiazhen reply Otolaryngology
This issue can be explained in terms of changes in hearing and no changes in hearing. If there are changes in hearing, it is more likely related to eustachian tube obstruction combined with middle ear effusion. Generally, this can be identified using instruments in an otolaryngol...

[Read More] Understanding Unexplained Eardrum Tremors: Causes and Insights


Understanding Tinnitus: Causes, Symptoms, and Treatment Options

Tinnitus persists? Hello doctor, for the past few weeks, I have been hearing a sound like "ee ee ee" in both ears when no one is talking to me. This used to happen only late at night when everyone was asleep, but now it occurs whenever I am alone, even during the daytim...


Dr. Xu Jiazhen reply Otolaryngology
Tinnitus is a common symptom with many potential causes, including sudden sensorineural hearing loss, eustachian tube obstruction, otitis media, and inner ear disorders, among others. The causes vary, but it is often perceived in quieter environments. Some individuals may experie...

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


Managing Persistent Lymph Node Inflammation and Post-Nasal Drip Issues

Lymph nodes and tonsils often become inflamed? If the lymph nodes are frequently inflamed and painful, and there is post-nasal drip causing mucus to accumulate in the lymph nodes, what should I do about this situation? It is very painful for me. I am afraid of taking antibiotics ...


Dr. Xu Jiazhen reply Otolaryngology
If there are recurrent inflammations, it is advisable to address the issue. Whether it requires antibiotic treatment today or even surgical intervention for removal, these are viable solutions. You should discuss this further with your attending physician. Simply avoiding the pro...

[Read More] Managing Persistent Lymph Node Inflammation and Post-Nasal Drip Issues


Chronic Lymphadenitis and Tonsillitis: Seeking Solutions for Persistent Pain

Lymph nodes and tonsils often become inflamed? Hello, doctor! I have been experiencing pain and inflammation in my lymph nodes and tonsils for several consecutive months. I have visited an otolaryngologist multiple times, but each time the diagnosis is different; sometimes it...


Dr. Xu Jiazhen reply Otolaryngology
Repeated episodes of tonsillitis can lead to various complications. Generally, if you experience more than one episode per season (three months), it is recommended to consider surgical removal of the tonsils, as this may be a better option for you.

[Read More] Chronic Lymphadenitis and Tonsillitis: Seeking Solutions for Persistent Pain


Understanding Left Neck Mass: Lymph Node or Tumor Concerns?

Left posterior cervical mass? Hello, I would like to ask about a slightly raised area on the back of my left neck, just a bit behind the left side of my neck, which is about 1 to 2 centimeters in size. It seems to be immovable. I remember discovering it about ten years ago and co...


Dr. Xu Jiazhen reply Otolaryngology
This is usually part of the posterior auricular lymph nodes, which may become more swollen during a mild infection, such as when there are nearby pimples. If the swelling persists for more than a week or continues to enlarge, please seek medical attention promptly.

[Read More] Understanding Left Neck Mass: Lymph Node or Tumor Concerns?


Do In-Ear Headphones Cause More Hearing Damage Than Earbuds?

I would like to inquire about the impact of headphones on hearing? Hello, I would like to ask if using in-ear headphones is more damaging to hearing compared to earbud headphones. This is an image of in-ear headphones: http://www.95music.com/prod_imgs/ATH-CK500M-BW.jpg and this i...


Dr. Xu Jiazhen reply Otolaryngology
Regardless of the type of headphones used, there is a potential for harm. The key is not which type of headphones you use to listen to music, but rather allowing time for your auditory cells to rest. This can be observed in the noise exposure regulations established by the Labor ...

[Read More] Do In-Ear Headphones Cause More Hearing Damage Than Earbuds?


Understanding Neck Lumps Behind the Ear: When to Seek Further Evaluation

Lump behind the ear and neck? Hello, I discovered a hard lump about 0.5 cm in size behind my right ear in early August. I can feel it, but it is not visible to the naked eye. After visiting an otolaryngologist, the doctor said that as long as it hasn't grown, there is no cau...


Dr. Xu Jiazhen reply Otolaryngology
Typically, these small lumps are not necessarily malignant tumors, but caution is still advised as they could be due to a minor infection or a viral issue. It is recommended to monitor the situation closely and maintain communication with your attending physician to ensure comple...

[Read More] Understanding Neck Lumps Behind the Ear: When to Seek Further Evaluation


Understanding Tinnitus: Causes, Concerns, and Treatment Options

Tinnitus issues Hello Dr. Hsu, I have two questions for you. 1. I have been experiencing tinnitus for over a year now, and I don't know how it started. I have visited the clinic, and they said my ears are fine, but I have noticed that my hearing is deteriorating, which mak...


Dr. Xu Jiazhen reply Otolaryngology
Tinnitus accompanied by hearing issues must be approached with caution, as it may be caused by systemic diseases. You mentioned experiencing erectile dysfunction, which improved after medication, leading me to further speculate that it may be related to systemic conditions, such ...

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


Understanding Hearing Issues: Ear Health and Tinnitus Concerns

Hearing issues Doctor, I was told in high school that both of my ears were completely blocked. However, when I clean my ears myself, I don't find anything, but I feel that my hearing is not quite right now. I've often experienced tinnitus in the past, and I can make a p...


Dr. Xu Jiazhen reply Otolaryngology
This is a clinical manifestation of Eustachian tube obstruction. The Eustachian tube is located behind the eardrum, so it is natural that you won't find anything when you clean your ears. The sound you hear is due to the opening of the tube. Pinching your nose and blowing ai...

[Read More] Understanding Hearing Issues: Ear Health and Tinnitus Concerns


Understanding Hoarseness: When Vocal Cords Appear Normal

Normal vocal cords but hoarse voice? Hello Doctor: About three years ago, I noticed a change in my voice. Initially, I had difficulty reaching high notes, and my voice would sometimes disappear, but I could speak normally; it was only when singing that I encountered problems. Gra...


Dr. Xu Jiazhen reply Otolaryngology
There are many reasons for changes in voice. As you mentioned, losing your voice can indeed cause significant distress. In addition to using a laryngoscope for visual examination, there are several other methods available for further analysis. The vocal cords do not simply functi...

[Read More] Understanding Hoarseness: When Vocal Cords Appear Normal


Persistent Ear Congestion: Causes and Solutions After Surgery

Unilateral ear fullness sensation? Hello Doctor, I have been experiencing a feeling of fullness in my right ear for over six months. Three months ago, I went to the hospital for an examination (they used a nasal endoscope and a tube that went into my ear with a screen to magnify ...


Dr. Xu Jiazhen reply Otolaryngology
A feeling of fullness in the middle ear is primarily caused by Eustachian tube dysfunction, which can arise from various factors. One significant cause is hypertrophy of the inferior nasal turbinates. If symptoms persist after surgery, alternative treatment options may be conside...

[Read More] Persistent Ear Congestion: Causes and Solutions After Surgery


Persistent Lip Blister: Causes and Treatment Options Explained

Blister I have a blister inside my lip that has been painless for over a month. After I popped the blister, I applied some Guangdong eye powder, but it reappears after 3 to 4 days. I'm not sure what to do about it.


Dr. Xu Jiazhen reply Otolaryngology
This is a small cyst of the minor salivary glands, which may regenerate after rupture or removal. This is primarily related to obstruction of the salivary gland ducts and individual constitution. It is recommended to consult an otolaryngologist for further evaluation.

[Read More] Persistent Lip Blister: Causes and Treatment Options Explained


Do You Need Antiviral Medication for the Flu? Risks and Alternatives Explained

Could you please provide more specific information or questions regarding influenza? Hello, Doctor: I would like to ask, if someone contracts the flu, is it necessary to take antiviral medication like Tamiflu? What would happen if they do not take it? Are there any side effects f...


Dr. Xu Jiazhen reply Otolaryngology
The confirmed diagnosis of influenza type A and its response to antiviral medications like Tamiflu does not guarantee immediate recovery; rather, it reduces the risk of severe complications such as pneumonia. It may also slightly accelerate your recovery speed. There are some mil...

[Read More] Do You Need Antiviral Medication for the Flu? Risks and Alternatives Explained


Managing Sudden Dizziness: Causes, Prevention, and Treatment Options

Dizziness symptoms Hello Doctor, my mother (63 years old) has been experiencing sudden episodes of vertigo, cold sweats, and vomiting for the past three to four years. She has had these dizzy spells about once a year, mostly at night. Each time, she goes to the emergency room whe...


Dr. Xu Jiazhen reply Otolaryngology
Dizziness is a common issue, but there are many potential causes. In addition to the possible reasons you mentioned, such as blood-related issues, cervical spine compression, and circulatory problems, these are all potential causes. It is recommended to visit an otolaryngologist ...

[Read More] Managing Sudden Dizziness: Causes, Prevention, and Treatment Options


Healing Time and Recovery Insights After Nasal Septoplasty Surgery

Nasal septoplasty Hello, doctor. How long does it take for the wounds to heal after undergoing septoplasty? Why is my nose still somewhat congested two months after the surgery? A few days ago, I had a good cry due to emotional issues, and now my nose feels even more congested. I...


Dr. Xu Jiazhen reply Otolaryngology
Hello! The septoplasty procedure performed due to nasal congestion can generally resolve most issues related to nasal obstruction. However, a small percentage of patients experience nasal congestion due to allergies or chronic irritation, which may not respond as well to this sur...

[Read More] Healing Time and Recovery Insights After Nasal Septoplasty Surgery


Understanding Chronic Sinusitis: Limitations of CT Imaging in Diagnosis

Sinusitis imaging The statement that "non-specific chronic inflammatory cells in chronic rhinosinusitis cannot be easily detected by CT or are difficult to visualize" is correct. This may be due to the characteristics of chronic inflammatory cells, such as their shape, ...


Dr. Xu Jiazhen reply Otolaryngology
Hello! Imaging studies, whether X-rays or computed tomography (CT) scans, cannot determine the true cellular inflammatory status. This requires tissue samples obtained through surgery to be sent to a pathologist for interpretation. What imaging studies provide us is additional in...

[Read More] Understanding Chronic Sinusitis: Limitations of CT Imaging in Diagnosis


Understanding Lateral Pharyngeal Tumors: Risks, Size, and Comparison to Nasopharyngeal Cancer

Lateral pharyngeal tumor Recently, I suddenly felt a lump on the right side of my neck, so I went to the hospital for a check-up. After undergoing a CT scan and endoscopy, the doctor said it was a lateral pharyngeal tumor that requires surgery. I would like to ask if a lateral ph...


Dr. Xu Jiazhen reply Otolaryngology
Hello! Here is my response: Lateral pharyngeal tumors can have many different cell types, most of which are benign, and they are completely different from nasopharyngeal carcinoma as you mentioned. Generally, if the tumor is more superficial, complete removal usually results in n...

[Read More] Understanding Lateral Pharyngeal Tumors: Risks, Size, and Comparison to Nasopharyngeal Cancer


Managing Tinnitus After Major Illness: Seeking Solutions for Hearing Loss

Tinnitus following treatment for a major illness? Dear Director, I have a significant medical history of nasopharyngeal carcinoma, which I was treated for in July 2005. Recently, I started attending a yoga class, and I am unsure if it is related to my diet or the stretching exer...


Dr. Xu Jiazhen reply Otolaryngology
Hello! I must honestly tell you that this is mostly due to the side effects following radiation therapy, primarily affecting the Eustachian tube, which is responsible for balancing middle ear pressure. This often leads to the accumulation of fluid in the middle ear. Clinically, i...

[Read More] Managing Tinnitus After Major Illness: Seeking Solutions for Hearing Loss


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