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:
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?
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:
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:
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:
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?
Understanding Persistent Lymphadenopathy: Key Questions and Concerns
Lymphadenopathy Dr. Cheng: I apologize for bothering you again. I remember asking you last month about my left neck lymphadenopathy, which has been painless and has persisted for nearly three months without any signs of reduction. At the beginning of August, I underwent an ultras...
Dr. Zheng Jueyi Reply:
Dear Beforly: If you have already undergone an ultrasound examination and fine needle aspiration, and all tests indicate normal lymphatic tissue, it is indeed reasonable to observe without immediate surgical pathology examination. Fine needle aspiration can provide some reference...[Read More] Understanding Persistent Lymphadenopathy: Key Questions and Concerns
Understanding Painless Lymphadenopathy: Causes and Concerns
Painless lymphadenopathy? Dear Dr. Cheng, I recently consulted with you and visited an ENT specialist at a medical center. I have some unresolved questions I would like to ask you. Currently, my symptoms include lymphadenopathy measuring 1 x 0.5 cm (as noted by the physician dur...
Dr. Zheng Jueyi Reply:
Dear Beforly: Based on your description, the lymph node enlargement measuring 1 x 0.5 cm and being mobile is most likely a benign change. Antibiotics or anti-inflammatory medications are effective during acute infections; however, if there is no infection present, antibiotics may...[Read More] Understanding Painless Lymphadenopathy: Causes and Concerns
Understanding Lymph Node Enlargement: Inflammation or Tumor Concerns?
Lymphadenopathy (inflammation? tumor) Hello, I recently discovered a swollen lymph node in the lower left side of my neck. It is painless to the touch, round and flat in shape, and the doctor estimated it to be about 0.3 cm, although I feel it might be around 0.8 cm (based on sur...
Dr. Zheng Jueyi Reply:
Hello: Based on your description, if what you felt is a lymph node, a normal, non-inflamed lymph node typically does not cause pain and generally does not lead to any discomfort. It is often discovered accidentally, and its size may not change significantly. If it remains the sam...[Read More] Understanding Lymph Node Enlargement: Inflammation or Tumor Concerns?
Understanding EB Virus and Adenoid Enlargement: Key Insights for Patients
EB virus and adenoid hypertrophy issues? Dear Doctor, Two years ago, I visited a teaching hospital due to tinnitus, and the attending physician ordered a blood test for Epstein-Barr virus (EBV), which returned positive, but I had no other symptoms. Recently, in the past week or ...
Dr. Zheng Jueyi Reply:
Dear Mr. Chang, Since the majority of the population has been infected with the Epstein-Barr virus (EBV), a positive EBV IgA test is only for reference or for monitoring after nasopharyngeal cancer radiotherapy. The definitive diagnosis still relies primarily on nasopharyngeal t...[Read More] Understanding EB Virus and Adenoid Enlargement: Key Insights for Patients
Understanding Swollen Lymph Nodes: Causes and Symptoms Explained
Lymphadenopathy? Hello, Dr. Yeh. Symptoms: In the past few weeks, I have experienced pain in the area near my throat on the right side of my jaw whenever I swallow after eating. The pain feels like it is radiating to my ear as well. About two weeks ago, I visited an ENT specialis...
Dr. Ye Dawei Reply:
Dear Sir/Madam: It is recommended to visit the Otolaryngology outpatient clinic for further examination, and if necessary, to undergo an endoscopic examination. Dr. Yeh Da-Wei, Head of Otolaryngology, Hsinchu Hospital.[Read More] Understanding Swollen Lymph Nodes: Causes and Symptoms Explained
Understanding Lymph Node Pain: Is It a Cold or Something More?
Lymph nodes may be painful? Two days ago, I felt pain when pressing on the area where my right jaw connects to my neck (which I believe is the lymph node). There is no swelling or hard lump visible. This morning, I woke up with a slightly dry throat and a cough. Could this be cau...
Dr. Hu Kexin Reply:
Hello: In response to your question, there are various types of tissues at the junction of the jaw and neck. If you are experiencing tenderness and a dry cough, it is important to consult a physician for a thorough examination to determine whether it is caused by a cold.[Read More] Understanding Lymph Node Pain: Is It a Cold or Something More?
Understanding Inner Ear Lymphatic Leakage: Causes, Diagnosis, and Treatment Options
Inner ear lymphatic fluid leakage? Hello, Dr. Yeh. During the previous surgery, it was discovered that there was a leak of lymphatic fluid in the inner ear, which caused dizziness. A membrane has been used to seal it, and the doctor mentioned that if the symptoms do not improve, ...
Dr. Ye Dawei Reply:
Dear Sir/Madam: A1: This can be used as a reference before surgery, but some cases still require surgery for proper evaluation. A2: Less common. A3: None. Dr. Yeh Da-Wei, Director of the Department of Otolaryngology, Hsinchu Hospital.[Read More] Understanding Inner Ear Lymphatic Leakage: Causes, Diagnosis, and Treatment Options
Understanding Lymph Nodes: When to Worry and When It's Normal
Lymph node issues? Hello: I have lymph nodes in my neck that are symmetrical. I visited an ENT clinic for examination, and the doctor said they are movable and smaller than one centimeter, which is considered normal lymph nodes. Additionally, the endoscopic examination of the nas...
Dr. Zheng Jueyi Reply:
Dear Mr. Zhang, Based on your description, including bilateral lymph nodes that are smaller than one centimeter and mobile upon palpation, these are characteristics of benign and normal lymph nodes. A thorough nasopharyngoscopy has ruled out the possibility of head and neck tumo...[Read More] Understanding Lymph Nodes: When to Worry and When It's Normal
Understanding Meniere's Disease: Symptoms, Diagnosis, and Treatment Options
Meniere's disease? What is Meniere's disease? Is dizziness and anemia related to it? How can it be diagnosed and treated? Can supplementing with vitamin B1 improve the condition? Thank you!
Dr. Ye Dawei Reply:
Subject: Q1: What is Meniere's disease? A1: In simple terms, if a patient experiences vertigo, tinnitus, and hearing impairment, a physician will consider this condition. The renowned Japanese physician Ichiro Chiba even described it as "7 points disease" due to th...[Read More] Understanding Meniere's Disease: Symptoms, Diagnosis, and Treatment Options
Understanding Changes in Lumps Behind the Ear: Causes and Concerns
Changes in the hard lump behind the ear? The changes in the hard lump behind the ear are as follows: it is one during the day and becomes two at night. Thank you.
Dr. Xu Jiazhen Reply:
The hard lump behind the ear should be evaluated based on its location for further management. From the description, it is likely caused by inflammation of the lymph nodes in the ear area, which typically does not require special treatment. However, a small portion of the swellin...[Read More] Understanding Changes in Lumps Behind the Ear: Causes and Concerns
Understanding Throat Inflammation: Symptoms and Medical Insights
Please provide the content you would like me to translate into English? Hello, Doctor: Initially, I felt a sensation of something stuck in my throat, which later developed into slight pain when swallowing saliva. I went for a consultation and explained my condition to the physici...
Dr. Xu Jiazhen Reply:
If the symptoms gradually improve, it should not be a concern. Additionally, the lymph nodes in the neck should be monitored. Clinically, while the initial severity is assessed based on size, changes in size over time are a more important indicator.[Read More] Understanding Throat Inflammation: Symptoms and Medical Insights
Understanding Throat Pain and Enlarged Tonsils: Key Insights for Relief
Throat and tonsils [Currently having a cold] This morning, I visited a general clinic for symptoms: sore throat, itchy throat, post-nasal drip, cough, and phlegm. The diagnosis was bacterial infection with a red and swollen throat. In the evening: Q1: When I push on my tongue, it...
Dr. Ye Dawei Reply:
Dear Sir/Madam: A1: Based on the article, it appears to be tonsillitis. A2: It is not a throat ulcer; it is inflammation of the lymph nodes in the pharynx. Please visit the otolaryngology outpatient department for further diagnosis and treatment. Dr. Shih Shui-Mu, Attending Physi...[Read More] Understanding Throat Pain and Enlarged Tonsils: Key Insights for Relief
Understanding Painful Lumps Behind the Ear: When to Seek Medical Help
Hard lump behind the ear? Hello Doctor: Recently, while taking a shower, I discovered a hard lump about the size of a coin behind my right ear and on my neck. It is somewhat painful when pressed and feels a bit sore and soft. I also feel a bit of heaviness in my head. The lump se...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, based on your description, it seems like there may be localized muscle contractions forming a muscle knot. I recommend that you visit a nearby otolaryngology clinic for evaluation. Sincerely, Chen Jian-Zhi, Lecturer at Fu Jen Catholic University.[Read More] Understanding Painful Lumps Behind the Ear: When to Seek Medical Help
Accuracy of MRI in Detecting Lymph Node Metastasis in Tongue Cancer
What is the accuracy of MRI for lymphatic metastasis in tongue cancer? Hello, doctor! My father is scheduled for surgery at the end of the month due to stage I tongue cancer. The doctor has performed ultrasound, bone scans, X-rays, and MRI, and they all indicate it is stage I. Ho...
Dr. Chen Jianzhi Reply:
Dear Inquirer, Cancer staging can be categorized into several types: clinical staging, imaging staging, surgical pathological staging, and others. MRI and PET scans fall under imaging staging. However, surgical pathological staging is the most accurate. Therefore, if the clinica...[Read More] Accuracy of MRI in Detecting Lymph Node Metastasis in Tongue Cancer
Understanding Ear Cysts and Lymph Node Swelling: Expert Insights
Please provide the content you would like me to translate into English? Hello Dr. Chen: The sebaceous cyst on my ear has reduced a little, but it is still present. When I saw the doctor today, he mentioned that I need to continue taking antibiotics and applying ointment. He belie...
Dr. Chen Jianzhi Reply:
Dear Inquirer, The fundamental treatment for sebaceous cysts is surgical excision. If the cyst is not large, conservative treatment with medication is generally recommended, and immediate surgery may not be necessary. If acne leads to localized small abscess formation, it can po...[Read More] Understanding Ear Cysts and Lymph Node Swelling: Expert Insights
Understanding Eustachian Tube Dysfunction: Symptoms and Treatment Options
Eustachian tube dysfunction Hello, over two years ago, I started experiencing a sensation of ear fullness in both ears, as if I could hear my own breathing and speaking. Gradually, this began to affect my daily life, and I occasionally felt dizzy. I consulted an otolaryngologist ...
Dr. Xu Jiazhen Reply:
Eustachian tube issues can indeed be very distressing for patients; they are not visible or tangible, yet they can significantly diminish quality of life. Generally, for Eustachian tube problems, the initial step should be to rule out other issues, which I believe previous specia...[Read More] Understanding Eustachian Tube Dysfunction: Symptoms and Treatment Options