Understanding Branchial Cleft Cysts: Surgery Risks and Treatment Options
Please inquire about branchial cleft cysts..? Hello Doctor: I am thirty years old and have experienced inflammation and swelling in the left side of my neck three times, resulting in abscess formation that required drainage. The first occurrence was when I was seven years old, an...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, based on your literal question, it is necessary to wait for the inflammation and swelling to subside and for the results of the CT scan to determine the condition and whether the surgery may affect the facial nerve. The physicians at Cathay General Hospital ...[Read More] Understanding Branchial Cleft Cysts: Surgery Risks and Treatment Options
Understanding Branchial Cleft Cysts: Surgery Risks and Treatment Options
Branchial cleft cyst assistance? Hello Doctor: I am thirty years old and have experienced inflammation and swelling in the left side of my neck three times, leading to abscess formation and drainage. The first occurrence was when I was seven years old, and the last two occurred w...
Dr. Ye Dawei Reply:
Dear Sir/Madam: Q1: Are there any complications associated with this surgery? A1: Some patients may experience recurrence. Q2: For example, could there be damage to the facial nerve or other adverse effects? A2: There will be no damage to the facial nerve. Q3: Would y...[Read More] Understanding Branchial Cleft Cysts: Surgery Risks and Treatment Options
Understanding Parotid Cysts: Symptoms, Treatment, and Surgical Options
What is a parotid gland tumor? What are the symptoms? Is surgery necessary to remove it? My son has developed a lump behind his ear that resembles a lymph node. He underwent a CT scan and other examinations, and the results indicate it is an epidermoid cyst. Could you please expl...
Dr. Chen Jianzhi Reply:
Dear Inquirer, According to your inquiry, the standard treatment for a postauricular epidermoid cyst is surgical excision. The surgical techniques may vary among physicians, but it is crucial to avoid damaging the facial nerve. I would like to recommend a few specialists in this...[Read More] Understanding Parotid Cysts: Symptoms, Treatment, and Surgical Options
Persistent Swollen Lymph Nodes: When to See an ENT or Infectious Disease Specialist?
Persistent lymphadenopathy Hello, I am a veterinarian. About two months ago, I was bitten on the finger by a cat, resulting in a small wound. A month later, I noticed two swollen lymph nodes on the left side of my neck (not sure if there is a correlation). A few days later, I vis...
Dr. Ye Dawei Reply:
Dear Sir/Madam: Both departments are available for appointment. Dr. Yeh Da-Wei, Director of the Department of Otolaryngology at Hsinchu Hospital.[Read More] Persistent Swollen Lymph Nodes: When to See an ENT or Infectious Disease Specialist?
Hard Lump at the Base of the Skull: What Could It Be?
There is a hard lump at the back of the neck...?? My husband has found a hard lump in the groove where his neck connects to the back of his head. When I lightly press it, he says it feels okay, but pressing harder causes some pain. He hasn't gone to get it checked, and I...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, based on your literal question, it seems you are still unsure about what it is. Could you please provide more detailed descriptions regarding its size, time of discovery, color, and exact location? Sincerely, Dr. Chen Jian-Zhi, Physician at Taoyuan Hospital,...[Read More] Hard Lump at the Base of the Skull: What Could It Be?
Understanding Lymph Node Swelling After Viral Throat Infection
Please ask again! Hello Dr. Chen: I visited an ENT clinic, and the doctor examined my throat and mentioned a slight viral infection. I have had this lymph node (for about two years), but it became more swollen after an oral ulcer. I would like to know if the lymphadenopathy cause...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, based on your description, if the lymph nodes in the neck have been enlarged for more than one month without resolution, further evaluation is necessary, including invasive procedures such as biopsy or aspiration. Sincerely, Dr. Chien-Chih Chen, Physician at...[Read More] Understanding Lymph Node Swelling After Viral Throat Infection
Understanding Lymph Node Biopsies: Risks, Accuracy, and What to Expect
Please provide the content you would like Thank you for your response. You suggested that I could undergo fine needle aspiration biopsy or surgical biopsy. I have consulted with my regular ENT specialist and also visited an academic hospital's ENT department. However, the do...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, the sensation of fine needle aspiration is similar to that of having blood drawn, and the experience varies from person to person. Our hospital performs this type of examination, and to determine whether a mass is benign or malignant, a portion of the tissue...[Read More] Understanding Lymph Node Biopsies: Risks, Accuracy, and What to Expect
Understanding Lymph Nodes: When to Consult an ENT Specialist
Please ask your question? 1. There are two lymph nodes located just below the chin in the neck (approximately for two to three years, each about one centimeter or less). Additionally, there is one lymph node on the lower left and one on the lower right side of the neck (also abou...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, based on your literal question, I recommend that you undergo a fine needle aspiration biopsy or a surgical biopsy at a hospital to resolve your concerns, as viral infection is just one of many causes of cervical lymphadenopathy. Sincerely, Dr. Chien-Chih Che...[Read More] Understanding Lymph Nodes: When to Consult an ENT Specialist
Understanding Lymphadenopathy: Key Questions and Concerns in ENT Care
Lymphadenopathy Hello Dr. Chen, I have had swollen lymph nodes at the junction of my right ear and neck, as well as in the middle of my left neck, for two months (without fever). The swelling on the right side has decreased a bit, but it has remained stable since then. I have see...
Dr. Chen Jianzhi Reply:
Dear Inquirer, Based on your literal question, here is the response. Nasopharyngoscopy cannot completely rule out the possibility of nasopharyngeal cancer. Ultrasound-guided fine needle aspiration is one of the examinations for neck masses and is quite safe. The inflammatory mar...[Read More] Understanding Lymphadenopathy: Key Questions and Concerns in ENT Care
Understanding Lumps in the Neck: When to Seek Medical Advice
There is a small hard lump on the left side of the neck? Hello, Director Yeh. About three years ago, I noticed a lymph node on both sides of my neck, approximately 1 cm in size, which fluctuated in size. At that time, I was under a lot of work stress and also experienced tinnitus...
Dr. Ye Dawei Reply:
Dear Sir/Madam: 1. Theoretically, cancer is less likely to fluctuate significantly in size. 2. It is advisable to have an outpatient consultation. Dr. Yeh Da-Wei, Director of the Department of Otolaryngology, Hsinchu Hospital.[Read More] Understanding Lumps in the Neck: When to Seek Medical Advice
Understanding Lymphadenopathy: Symptoms, Diagnosis, and When to Seek Help
Lymphadenopathy Previously, I felt a dull sensation in my right ear, and my neck felt stiff. I visited a doctor who diagnosed me with otitis media. However, after taking medication, there was no improvement. Additionally, a small lump appeared deep in my neck behind my ear. After...
Dr. Ye Dawei Reply:
Dear Sir/Madam: 1. Ultrasound-guided fine needle aspiration biopsy can be performed to rule out malignancy. 2. If no cause is found in the otolaryngology field, a comprehensive examination should be conducted. Dr. Yeh Da-Wei, Head of Otolaryngology, Hsinchu Hospital.[Read More] Understanding Lymphadenopathy: Symptoms, Diagnosis, and When to Seek Help
Understanding Persistent Lymph Nodes: When to Seek Further Medical Help
Three lymph nodes About six months ago, I noticed a lymph node under my jaw that was less than one centimeter in size. I have seen many doctors, including Dr. Yeh, who said that medication would help it shrink, that it was movable, and that pressing on it would cause some pain. H...
Dr. Ye Dawei Reply:
Dear Sir/Madam: 1. Both options are acceptable. 2. It sounds like lymphadenitis; maintaining good immune function can help reduce the likelihood of flare-ups. Dr. Yeh Da-Wei, Head of the ENT Department, Hsinchu Hospital.[Read More] Understanding Persistent Lymph Nodes: When to Seek Further Medical Help
Understanding Neck Tonsil Pain and Dizziness: When to See an ENT Specialist
The tonsils in the neck often experience pain? I underwent a neurological examination at the hospital from August to September of last year due to dizziness on the right side of my head, which lasts about 10 seconds when I get up. After the examination, the doctor advised me to s...
Dr. Chen Jianzhi Reply:
Dear Xiao Pan, Based on your literal description, the condition seems a bit unusual. Without a physical examination, it is difficult to address your concerns. I recommend that you return to Mackay Memorial Hospital in Taipei for further evaluation. Sincerely, Dr. Chen Jian-Zh...[Read More] Understanding Neck Tonsil Pain and Dizziness: When to See an ENT Specialist
Understanding Lumps on the Back of the Neck: Causes and Concerns
There is a hard lump at the back of the neck? A few days ago, I accidentally discovered a hard lump about 2 cm in size at the back of my neck. It hurts when pressed. I consulted a family doctor, had blood tests done, and no abnormalities were found in my blood. After taking antib...
Dr. Hu Kexin Reply:
Hello: There are many reasons for the development of painful hard lumps in the neck. Your description is still somewhat vague; inflammation, tumors, or other causes are all possible. If your symptoms persist, it is advisable to seek consultation with a specialist for appropriate ...[Read More] Understanding Lumps on the Back of the Neck: Causes and Concerns
Understanding One-Sided Nasal Congestion: Is It Nasopharyngeal Cancer?
Nasal issues Hello, doctor. I would like to ask if my persistent unilateral nasal congestion is related to nasopharyngeal cancer. Recently, I came across some information about nasopharyngeal cancer and noticed that one side of my face is more swollen, and I have been experiencin...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Based on your literal question, the only clinical method for diagnosing nasopharyngeal carcinoma is to have an expert examine the nasopharynx to check for the presence of a tumor. Therefore, I recommend that you visit a nearby otolaryngology clinic for a physical e...[Read More] Understanding One-Sided Nasal Congestion: Is It Nasopharyngeal Cancer?
Understanding Ear Discomfort: When to See an ENT Specialist
Ear problems I have been feeling discomfort in my right ear for a year. I have seen doctors who said there are no tumors, ear pressure is normal, and hearing tests also show normal results. The sensation is similar to tinnitus; there is no pain or itching, just a feeling of fulln...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, based on your literal question, it may be related to temporalis muscle spasms causing discomfort in the ear. It is recommended that you first consult with an oral and maxillofacial surgeon. Sincerely, Dr. Chien-Chih Chen, ENT specialist at Taoyuan Hospital, ...[Read More] Understanding Ear Discomfort: When to See an ENT Specialist
Understanding Lymph Node Issues: When to See an ENT Specialist
Reply to inquiry? Hello Dr. Chen: You mentioned that a biopsy can be chosen. Do all hospitals have this procedure available? I have a lump that is not very noticeable and can only be felt when pressed. If there are similar lumps in the neck, could this possibly be related to lymp...
Dr. Chen Jianzhi Reply:
Dear Mr. Chang, Hello. Based on your literal inquiry, a puncture is a relatively simple procedure that is generally available in most hospitals. I agree with your last thought; you can visit a nearby otolaryngology clinic for a physician to perform a physical examination. Consul...[Read More] Understanding Lymph Node Issues: When to See an ENT Specialist
Understanding Lymph Nodes: When to See an ENT Specialist
Lymph nodes Hello! I have noticed a small area on the right side of my neck, close to my shoulder, where I can feel what seems to be a lymph node, but I have to press quite hard to detect it. I'm not sure if it's actually a lymph node, and it doesn't feel large at ...
Dr. Chen Jianzhi Reply:
Dear Mr. Chang, Hello. Based on your literal inquiry, it seems necessary for an expert to examine you in order to confirm the condition you described. It is advisable to prioritize a consultation with an otolaryngologist. A biopsy does not necessarily require surgery; it can be ...[Read More] Understanding Lymph Nodes: When to See an ENT Specialist
Understanding Persistent Tinnitus: Causes and Solutions for Better Sleep
Continuous tinnitus..? I have been experiencing continuous tinnitus, described as the sound of insects and birds, for the past two months. Could this be related to aging and degeneration? It has been a constant source of distress for me, often preventing me from sleeping. Could y...
Dr. Ye Dawei Reply:
Dear Sir/Madam, Please visit the outpatient clinic for examination. **Inner Ear Tinnitus** As the name suggests, inner ear tinnitus is caused by lesions in the inner ear. The most well-known conditions associated with this are Meniere's disease and the increasingly comm...[Read More] Understanding Persistent Tinnitus: Causes and Solutions for Better Sleep
Understanding Nasal Congestion and Neck Swelling: Key Concerns
Nasal turbinate hypertrophy & mild neck swelling Hello Doctor, I have chronic rhinitis caused by allergies, with long-term nasal congestion (usually affecting only one nostril recently), occasional sneezing in the morning, and a feeling of slight numbness or pressure in my he...
Dr. Hu Kexin Reply:
Hello, there is currently no evidence linking chronic allergic rhinitis with nasopharyngeal carcinoma. If you have swelling in the neck, it is recommended that you consult an otolaryngologist for a thorough examination. Hu Ke-xin.[Read More] Understanding Nasal Congestion and Neck Swelling: Key Concerns