Neck, Otolaryngology FAQ - Page 37

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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 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 Persistent Ear Ringing and Nasal Issues: A Comprehensive Guide

Incurable disease? Hello! I often use the computer and maintain a hunched posture. Two to three years ago, I started experiencing persistent tinnitus in my left ear (the sound is louder at night and less noticeable during the day, but I can still hear it if I pay attention). I al...


Dr. Ye Dawei Reply:
Response: A1: An active magnetic resonance angiography and carotid duplex ultrasound examination can be performed. A2: It is recommended to consult the ENT department and the neurology department. Director Yeh Da-Wei of the ENT department at Hsinchu Hospital.

[Read More] Understanding Persistent Ear Ringing and Nasal Issues: A Comprehensive Guide


Chronic Nasal Congestion and Ear Pain: Seeking Relief and Solutions

Nasal congestion and ear pain issues? Hello, Dr. Hu. I have been experiencing nasal congestion for about three to four years. The mucus tends to accumulate very close to my throat, and it is very thick, making it difficult to cough up or blow out. My right nostril is mostly block...


Dr. Hu Kexin Reply:
Hello: In response to your question, it seems that you may need a thorough examination of your otolaryngology, especially your nose. If necessary, a CT scan may even be required.

[Read More] Chronic Nasal Congestion and Ear Pain: Seeking Relief and Solutions


Understanding Branchial Cleft Cysts: Diagnosis and Treatment Options

Branchial cleft cyst Hello, my sister is 31 years old and has recently given birth. She discovered a lump on the side of her neck, and after examination, the doctor diagnosed it as a branchial cleft cyst and recommended surgical removal. Our family would like to seek a second opi...


Dr. Ye Dawei Reply:
Dear Sir/Madam: A1: Not high. A2: No. A3: It is recommended to visit a general surgery outpatient clinic for further examination. Dr. Yeh Da-Wei, Head of the ENT Department, Hsinchu Hospital.

[Read More] Understanding Branchial Cleft Cysts: Diagnosis and Treatment Options


Persistent Nosebleeds: Causes, Concerns, and When to Seek Help

Recent occurrences of nosebleeds? Hello Dr. Cheng, Recently, I have noticed blood in my nasal mucus. Although I have experienced nosebleeds in the past, I have never encountered a situation like this where it does not heal. Each time I blow my nose, there are streaks of blood ra...


Dr. Zheng Jueyi Reply:
Dear Nick, Regarding nasal bleeding, most of the bleeding occurs at the anterior part of the nasal septum, as this area is a convergence point for blood vessels. It can be caused by dry weather, trauma, or hypertension, leading to the rupture of blood vessels. Nasopharyngeal car...

[Read More] Persistent Nosebleeds: Causes, Concerns, and When to Seek Help


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 Facial Tightness and Neck Discomfort: Possible ENT Issues

Tightness and swelling on both sides of the face and neck? Hello Dr. Hsu: I have been experiencing tightness and swelling on both sides of my face and neck for over two months. I have seen many specialists who all said there was no issue. Later, I underwent an endoscopy, and the ...


Dr. Xu Jiazhen Reply:
Tightness in the cheeks and neck usually does not require excessive concern unless there is a noticeable lump or tumor. It is often caused by poor posture or related to the quality of sleep at night, and it is also closely linked to emotional factors. It is recommended that you c...

[Read More] Understanding Facial Tightness and Neck Discomfort: Possible ENT Issues


Understanding Thyroid Cysts: Causes, Symptoms, and Dietary Considerations

Thyroid cyst Hello, Dr. Hsu: A family member (approximately 50 years old, postmenopausal female) underwent a health check and was found to have a thyroid cyst on the left side of the neck (0.275 x 0.662 cm). She was advised to follow up in a year. I would like to ask the doctor...


Dr. Xu Jiazhen Reply:
The thyroid gland and the adjacent parathyroid glands are very important for the human body. Generally, benign cysts are observed, which are a type of fluid-filled growth. Unless they become large enough to affect breathing, they typically do not present symptoms. If there is hoa...

[Read More] Understanding Thyroid Cysts: Causes, Symptoms, and Dietary Considerations


Feeling Dizzy and Heavy-Headed: When to See a Specialist?

Lightheadedness with a sensation of heaviness in the head? Recently, I've been feeling heavy-headed and light-footed, accompanied by dizziness. I feel dizzy even when sitting, and sometimes when lying down, it feels like I'm spinning. My neck always feels tight, and the...


Dr. Ye Dawei Reply:
Symptoms resemble peripheral vertigo syndrome; it is recommended to visit an otolaryngology outpatient clinic for examination.

[Read More] Feeling Dizzy and Heavy-Headed: When to See a Specialist?


Understanding Kimura Disease: Symptoms, Treatment, and Gender Differences

Kimura disease Hello: Five months ago, I had a lump on the right side of my neck. An MRI was performed, and there were no signs of cancer. Five months have passed, and the lump has not disappeared. During my recent follow-up, a blood test showed that one of the markers had increa...


Dr. Xu Jiazhen Reply:
I believe you have done a lot of research to understand your neck mass. Kimura's disease is a common inflammatory response, but it is not specific, meaning that coexisting with the human body does not pose significant issues. However, it is important to note that if the mass...

[Read More] Understanding Kimura Disease: Symptoms, Treatment, and Gender Differences


Understanding Scapulohyoid Syndrome: Surgery, Risks, and Recovery

Regarding scapulohumeral syndrome? Dear Dr. Chen: Which hospital or doctor in Taiwan can perform the surgical procedure for the sectioning of the omohyoid muscle? How difficult is this surgery? Is general anesthesia required? Are there any postoperative complications, such as aff...


Dr. Chen Jianzhi Reply:
Dear Inquirer, The surgical procedure for cutting the omohyoid muscle in cases of scapulohyoid muscle syndrome can be performed at any hospital with a head and neck surgery department. However, this condition is quite rare. Are your symptoms severe enough to warrant surgery? The...

[Read More] Understanding Scapulohyoid Syndrome: Surgery, Risks, and Recovery


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 Eye Misalignment in Children: Seeking Expert Advice

Strabismus Hello Dr. Chen, my daughter is currently one and a half years old. She was diagnosed with left-sided torticollis at nine months old. After undergoing rehabilitation, her head tilt is currently about five degrees. However, when she looks straight at objects, her head in...


Dr. Chen Jianzhi Reply:
Dear Inquirer, Thank you for reading my paper published a few years ago. However, it is important to note that ocular deviation can be classified into pathological and physiological types. The pathological type must be differentiated from several common conditions, such as torti...

[Read More] Understanding Eye Misalignment in Children: Seeking Expert Advice


Understanding Nasopharyngeal Cancer Survival Rates and Recurrence Risks

Nasopharyngeal carcinoma survival rate? Hello Dr. Chen, my uncle has been diagnosed with nasopharyngeal carcinoma and has completed chemotherapy and radiation therapy. He is in stage III, and he still feels a slight hard lump; the doctor said it's normal. Is this true? My un...


Dr. Chen Jianzhi Reply:
Dear Inquirer, Hello. In patients with nasopharyngeal carcinoma, neck lumps may occur after radiation therapy. This is due to the death of tumor cells, which temporarily leaves the space previously occupied by the tumor filled with scar tissue, resulting in a firm and slightly s...

[Read More] Understanding Nasopharyngeal Cancer Survival Rates and Recurrence Risks


Understanding Nasopharyngeal Cancer Symptoms: Key Signs to Watch For

Symptoms of nasopharyngeal cancer? What are the exact symptoms of nasopharyngeal carcinoma? Can it cause post-nasal drip and jaw clenching (because I previously experienced a clicking sound when moving my left temporomandibular joint, but now it hurts when I force it)? What does ...


Dr. Chen Jianzhi Reply:
Dear Inquirer: The five major symptoms of nasopharyngeal carcinoma are (1) neck mass, (2) epistaxis, (3) diplopia, (4) unilateral serous otitis media, and (5) headache. Temporomandibular joint disorder and post-nasal drip are not typical symptoms of nasopharyngeal carcinoma. Te...

[Read More] Understanding Nasopharyngeal Cancer Symptoms: Key Signs to Watch For


Understanding Ear Lobe Swelling and Associated Pain Symptoms

There is a lump on the earlobe that is tilted backward? Doctor, I have a lump behind the earlobe on the left side, about the size of a 1 cm round ball, and it doesn't hurt. What could it be? Additionally, I've been experiencing sharp pains in my neck and temple recently...


Dr. Chen Jianzhi Reply:
Dear Inquirer, Based on your literal question, there are some clarifications needed. Is the lump behind your earlobe fixed or movable? Do you feel any soreness when you press on that lump? As for the bone above the teeth on the left side of your cheek that makes a clicking sound...

[Read More] Understanding Ear Lobe Swelling and Associated Pain Symptoms


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


Understanding Throat Pain and Hard Lumps: A Guide for Expats

Sometimes there is a prickling sensation in the throat when swallowing saliva? About a month and a half ago, I woke up for two consecutive days with a particularly dry sensation in my right throat, and upon touching the right side of my throat, I found a small hard lump. Then, on...


Dr. Ye Dawei Reply:
Subject: Abnormal Sensation in the Throat and Tonsils Dr. Yeh Da-Wei: "Doctor, I feel like there's something stuck in my throat. It's been like this for several months, and I've seen many general practitioners without any improvement. They said you are better...

[Read More] Understanding Throat Pain and Hard Lumps: A Guide for Expats


Understanding Tinnitus: Insights from ENT Specialists in Taiwan

Reply to the doctor's question - Thank you for your assistance? Your question: Since elementary school, I have experienced a crackling sound in my left ear when exposed to loud noises (similar to the sound of a radio without a signal), but I didn't think much of it. Rec...


Dr. Chen Jianzhi Reply:
Dear Inquirer, Tinnitus is indeed a challenging issue to address. Most patients worry about the possibility of an undetected serious underlying condition, and the diagnosis and treatment often test the physician's capabilities. Here, we must honestly and humbly inform you t...

[Read More] Understanding Tinnitus: Insights from ENT Specialists in Taiwan


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