When Is Surgery Necessary for Adenoid Hypertrophy?
Adenoid Hypertrophy Adenoid hypertrophy requires surgical removal in the following situations: 1. Persistent obstructive sleep apnea that does not respond to conservative management. 2. Severe nasal obstruction leading to difficulty breathing, chronic mouth breathing, or facial...
Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question. 1. Causes of middle ear effusion. 2. Obstructed breathing. 3. Suspected malignant lesions.[Read More] When Is Surgery Necessary for Adenoid Hypertrophy?
Effective Long-Term Solutions for Managing Nasal Polyps
How to effectively treat hypertrophic rhinitis (nasal polyps)? Hello Doctor, I have been troubled by nasal polyps since I was 21 years old. I underwent electrocautery surgery at a hospital in Taichung. After 2 to 3 years, they recurred, and I had a polypectomy at Taichung Veteran...
Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, the recurrence of polyps is often related to individual constitution, and postoperative care is also very important. It is advisable to discuss this further with your attending physician to reduce the chances of recurrence.[Read More] Effective Long-Term Solutions for Managing Nasal Polyps
Which ENT Doctor Should I See on June 12 for Nerve Issues?
I'm sorry, but I need specific content to translate. Please I will be available to visit the hospital on June 12th and would like to inquire about issues related to sensory nerves. However, it seems that there are no outpatient services available on Tuesday, June 12th. Since...
Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, both of them are specialists and are qualified to do so.[Read More] Which ENT Doctor Should I See on June 12 for Nerve Issues?
Understanding Tinnitus: Causes and Treatment Options for Persistent Ear Ringing
Tinnitus Six months ago, I had an ear infection that led to tinnitus, and it has not healed since. Recently, my ear has been making several continuous sounds. Could you please tell me the possible causes and how to treat this? Thank you.
Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, it is likely a complication of otitis media. I recommend consulting a specialist for further evaluation.[Read More] Understanding Tinnitus: Causes and Treatment Options for Persistent Ear Ringing
Understanding Sudden Dizziness After Long Flights: Causes and Solutions
Sudden dizziness? Hello Doctor: After a flight of 11 hours today, I felt that my ears were not hearing clearly when I got off the plane. It felt as if there was a layer of glass between me and the sounds; I could hear them, but there was a sense of distance. I also experienced di...
Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, this is an issue related to Eustachian tube dysfunction. Please visit a specialist's clinic as soon as possible.[Read More] Understanding Sudden Dizziness After Long Flights: Causes and Solutions
Understanding White Bumps in the Mouth: Causes and Treatments
White spots Hello, doctor. Recently, I accidentally discovered some white, raised spots on the inside of my cheeks near the corners of my mouth. They are not painful or itchy, and I can feel them as small bumps when I lick them with my tongue. It seems like they've been ther...
Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, the most common cause is a viral infection, while a minority may be early oral lesions. It is recommended to consult an otolaryngologist for a specialized examination.[Read More] Understanding White Bumps in the Mouth: Causes and Treatments
Persistent Sneezing and Runny Nose: Possible Causes and Solutions
Persistent sneezing? My dad previously underwent cancer treatment, and his immune system is quite weak. Now, every morning when he wakes up, he keeps sneezing and has a runny nose. When he takes medication, he feels very drowsy. I'm not sure what to do. Can you give me some ...
Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, you can switch to a long-acting antihistamine, which will help prevent drowsiness.[Read More] Persistent Sneezing and Runny Nose: Possible Causes and Solutions
Unexplained Right Facial Pain: Possible Causes and Next Steps
Intermittent pain on the right side of the face daily? Hello Doctor: My sister has been experiencing pain on the "right" side of her eye, right cheek, and right lower jaw since the afternoon of May 4th, along with a feeling of fullness. She visited a large hospital on M...
Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, X-rays are sufficient to explain sinus issues. Please wait for the X-ray results before discussing them with your attending physician.[Read More] Unexplained Right Facial Pain: Possible Causes and Next Steps
Understanding Allergic Rhinitis: Symptoms, Treatments, and Local Clinics
About Allergic Rhinitis? I have this symptom at home, and there are four of us. This symptom has puzzled me for a long time. I have read articles from others and know that I should consult a clinic. Because of this symptom, I have severe dark circles under my eyes, and going to b...
Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, there are many symptoms caused by allergic constitution that cannot be eliminated all at once. Currently, for the treatment of dark circles, you may consult a medical aesthetic physician.[Read More] Understanding Allergic Rhinitis: Symptoms, Treatments, and Local Clinics
Why Standing Too Long Affects Your Hearing and Balance
Standing for too long can cause difficulty in hearing clearly? Hello Doctor: I seem to have had difficulty standing for long periods of time for as long as I can remember. I would like to ask why every time I stand for too long (about 30 minutes to an hour), I experience a sensat...
Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, the general cause is orthostatic hypotension, but it may also be associated with other vestibular disorders. Please consult an otolaryngologist for further evaluation.[Read More] Why Standing Too Long Affects Your Hearing and Balance
When is the Right Time for Discharge After Tracheostomy?
When should a patient be discharged after a tracheostomy? Hello, Director: My father was recently hospitalized due to respiratory difficulties caused by laryngeal cancer, and he underwent a tracheostomy. The doctors informed us that he is at stage 3-4, with a tumor that is too la...
Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, tracheostomy is a procedure for managing the airway. I sympathize with your father's situation; for inoperable laryngeal cancer, the primary focus is on maintaining respiration. For metastatic cancer, treatment mainly involves radiation t...[Read More] When is the Right Time for Discharge After Tracheostomy?
Unpleasant Odor in Child's Ear: Should You See a Doctor?
Ear odor? Previously, when I cleaned my child's ears, there was some bleeding, and the doctor said it would heal naturally. Recently, I've noticed an unusual odor coming from my child's ears. Is there a connection, and should I take them to see a doctor? Thank you.
Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, the ear typically does not have any unusual odor. If you are experiencing such a situation, please consult an otolaryngologist.[Read More] Unpleasant Odor in Child's Ear: Should You See a Doctor?
Understanding Malignant Tonsil Tumors: Causes, Risks, and Treatment Options
Malignant tumor of the tonsil Hello: A family member has been diagnosed with a malignant tumor of the tonsils and requires surgery for removal and related treatments, but has been informed that the survival rate is only fifty percent. I would like to ask how malignant tumors of t...
Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, the exact causes of cancer remain unknown. Once it occurs, survival rates are related to factors such as the location, size, and type of cancer. It is advisable to discuss your condition directly with your treating physician for a clearer unde...[Read More] Understanding Malignant Tonsil Tumors: Causes, Risks, and Treatment Options
Understanding Torn Earlobe Folds: Causes and Nutritional Deficiencies
Posterior auricular region A tear in the earlobe crease is it a medical condition or a deficiency in some vitamins?
Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, it is generally caused by skin lesions, possibly due to scratching. It is recommended to consult a physician for diagnosis to determine the type of lesion.[Read More] Understanding Torn Earlobe Folds: Causes and Nutritional Deficiencies
Is There Hope for Treatment After Vocal Cord Injury?
Is there still a chance for treatment if the vocal cords are ruptured? Hello, Doctor: My boyfriend lost his voice due to a severe illness last year that damaged his vocal cords. I want to ask him about it, but he hasn’t said much until today. I can tell he must be in a lot of pai...
Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, there is no medical term for "vocal cord rupture." Based on your message alone, it is not possible to determine the issue. Please visit a clinic for evaluation.[Read More] Is There Hope for Treatment After Vocal Cord Injury?
Painful Bumps in the Mouth: Causes and Solutions
There are small bumps in the mouth that are painful? In the areas between the gums on both sides of the mouth and the upper and lower gums, there are small raised bumps that appear when consuming spicy foods. Sometimes there is more than one bump, and occasionally both sides are ...
Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, if it is generally assessed as a small salivary gland cyst, it typically does not require treatment. However, if you would like to learn more, you should visit a specialist for further evaluation.[Read More] Painful Bumps in the Mouth: Causes and Solutions
Managing Meniere's Disease: Treatment Options and Patient Care Strategies
Meniere's disease Hello Dr. Hsu: My father has been diagnosed with Meniere's disease and has undergone two surgeries. The first surgery had a good outcome, but after a few years of recurrence, he had a second surgery, which did not yield good results and has left him wi...
Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, after surgery for Meniere's disease, the prognosis regarding the preservation of hearing depends on the individual case. If there has already been hearing loss, there are generally no specific effective methods to restore it. Please discu...[Read More] Managing Meniere's Disease: Treatment Options and Patient Care Strategies
Surgery vs. Radiation Therapy for Nasopharyngeal Cancer: What to Choose?
Nasopharyngeal carcinoma is typically treated with radiation therapy rather than surgery? My father is 84 years old and has recently been diagnosed with nasopharyngeal carcinoma (NPC) after a hospital examination. The doctor suggested surgical removal via a lateral nasal approach...
Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, it is generally recommended that nasopharyngeal carcinoma (NPC) be treated primarily with radiation therapy.[Read More] Surgery vs. Radiation Therapy for Nasopharyngeal Cancer: What to Choose?
Understanding Ear Discomfort: When to Seek ENT Help
Ear problems? Hello, my left ear feels uncomfortable whenever I hear the sound of cups and plates clashing or when someone speaks a bit loudly in a confined space like an elevator. It feels like tinnitus, and it seems to have worsened recently. Listening to my portable music play...
Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, this is usually a type of muscle reflex aimed at protecting the inner ear. However, some individuals may be more sensitive, which can occasionally lead to discomfort.[Read More] Understanding Ear Discomfort: When to Seek ENT Help
Is It Serious If My Child's Ear Bleeds from Cleaning?
Bleeding from the ear after cleaning it? If a child accidentally gets a cut while digging and it is bleeding, it is important to assess the severity of the wound. If the bleeding is minor and can be controlled with direct pressure, it may heal naturally. However, if the cut is de...
Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, it is recommended not to dig, but to use a tapping method instead. Most injuries can heal naturally.[Read More] Is It Serious If My Child's Ear Bleeds from Cleaning?