Managing Thyroglossal Duct Cyst in Young Children: To Operate or Not?
Thyroglossal duct cyst in children Hello Doctor: In January of this year, we noticed a protrusion in our child's throat. In February, after an examination, the doctor diagnosed it as a thyroglossal duct cyst, approximately one centimeter in size. After the examination, the d...
Dr. Li Jiaxuan Reply:
Thyroglossal duct cyst surgery is performed under general anesthesia. Thyroglossal duct cysts are mostly benign, and it is recommended to proceed with surgery for children weighing over 15 kilograms when there is no immediate danger (as the anesthesia risk is lower). However, if ...[Read More] Managing Thyroglossal Duct Cyst in Young Children: To Operate or Not?
Understanding Sudden Hearing Loss: Steroid Injections and Recovery Time
My father, 74 years old, had a stroke in his ear and received a steroid injection in his ear. There has been no improvement? Hello, doctor. My father suddenly felt that his left ear was experiencing strange hearing, with a bubbling sound. He went to see a doctor that same day, an...
Dr. Li Jiaxuan Reply:
It is recommended to return for a follow-up consultation immediately. If corticosteroids are effective for hearing treatment, benefits should appear within three days. If there is no improvement, alternative methods may need to be considered. Wishing you well.[Read More] Understanding Sudden Hearing Loss: Steroid Injections and Recovery Time
Understanding Olfactory Issues: When Allergies Affect Your Sense of Smell
Olfactory disorders If you have a history of allergies and have recently noticed that you can hardly smell anything from your left nostril and only a little from your right, it is advisable to undergo a thorough evaluation. You should consider the following steps for related exam...
Dr. Li Jiaxuan Reply:
It is recommended to undergo a physical examination or endoscopy at a medical facility. Please note that one of the symptoms of COVID-19 is olfactory dysfunction. If there is a history of travel or contact, it is advisable to go to the emergency department. Wishing you good healt...[Read More] Understanding Olfactory Issues: When Allergies Affect Your Sense of Smell
Understanding Facial Bone Asymmetry in Children: Allergies or Fibrous Dysplasia?
One side of the facial cheekbone is elevated? Hello, doctor. My child has a history of allergies and frequently experiences mumps. About a month ago, after drinking milk, I noticed swelling in the left eye. We were referred to Chang Gung Memorial Hospital's ophthalmology dep...
Dr. Li Jiaxuan Reply:
If a 10-year-old child is experiencing symptoms, sinusitis or cellulitis should be considered, as well as the possibility of trauma. However, if the physician determines it to be a fibrous dysplasia, it may be due to the hardness of the affected area. It is recommended to have an...[Read More] Understanding Facial Bone Asymmetry in Children: Allergies or Fibrous Dysplasia?
Morning Blood in Saliva: Causes and Solutions for ENT Issues
Waking up with bleeding? Waking up with saliva often containing red blood and yellow fluid, and noticing blood streaks on the pillow in the morning, even after dental cleaning, raises concerns. If it is periodontal disease, what improvements can be made? Family members suggest th...
Dr. Li Jiaxuan Reply:
It is recommended to visit an otolaryngology clinic to check for sinusitis before proceeding with the next steps (periodontal or sinusitis) treatment. Wishing you good health.[Read More] Morning Blood in Saliva: Causes and Solutions for ENT Issues
Sinusitis and Tinnitus: Understanding the Connection and Symptoms
Sinusitis and tinnitus Hello, doctor! I have been suffering from sinusitis for over five years. Recently, I have been experiencing tinnitus, and after undergoing an MRI, it was found that there is a significant amount of fluid in my sinuses. I would like to ask if this condition ...
Dr. Ji Zhaoyun Reply:
Hello! The issues you mentioned could be due to several reasons: 1) Poor Eustachian tube function, which is quite common and can occur not only during flights but also while hiking or diving. Forcefully blowing your nose or bending over can also contribute to this issue. 2) Su...[Read More] Sinusitis and Tinnitus: Understanding the Connection and Symptoms
Understanding Nosebleeds: Causes, Treatments, and Expert Advice
Nosebleeds are common! Hello Dr. Zheng, 1. The last time I experienced a nosebleed was in January 2014, which took nearly two days to completely stop! It was like a malfunctioning faucet. At that time, I went to the emergency room and was referred to an ENT specialist. After exa...
Dr. Zheng Jueyi Reply:
Hello: The common causes of frequent nosebleeds are primarily related to the rupture of microvessels in the nasal septum. If bleeding occurs frequently, it is advisable to seek local treatment from an otolaryngologist at a hospital or clinic. If there is still no improvement, ele...[Read More] Understanding Nosebleeds: Causes, Treatments, and Expert Advice
Dealing with Tonsil Stones During Pregnancy: Safe Removal Tips
Tonsil stones Hello Doctor: I have a sensation of something stuck in my throat, and upon looking in the mirror, I discovered a tonsil stone that is visibly lodged there. I can confirm it is a tonsil stone. I have experienced similar situations in the past, but this particular one...
Dr. Zheng Jueyi Reply:
Hello, if you do not have any special discomfort, you can rinse your mouth more often to see if it will come off on its own. If it cannot be removed by itself, it is recommended to visit an ear, nose, and throat (ENT) clinic for a physician to handle it. Wishing you safety and he...[Read More] Dealing with Tonsil Stones During Pregnancy: Safe Removal Tips
Understanding Nasal Endoscopy: What Are Evolutionary Remnants in Your Nose?
Hello, doctor. Regarding nasal endoscopy? Hello Doctor, recently I noticed blood in my nasal mucus and visited an otolaryngologist. Upon the doctor's recommendation, I underwent a nasal endoscopy. The doctor mentioned that he observed a small mass in my nasal cavity, but he ...
Dr. Zheng Jueyi Reply:
Hello: Based on the description, it is not possible to determine the exact issue and can only speculate that it may be adenoid tissue. Since the physician indicated that the endoscopic results are normal, you may observe the situation for now. If you have concerns, you can return...[Read More] Understanding Nasal Endoscopy: What Are Evolutionary Remnants in Your Nose?
Managing Allergic Rhinitis: Exercise, Medications, and Effective Solutions
Nasal allergy Hello, I have been troubled by perennial allergic rhinitis for a long time. A year and a half ago, I underwent surgery for a deviated septum at Far Eastern Memorial Hospital. I feel that my breathing has become smoother, but my morning nasal allergies have not impro...
Dr. Zheng Jueyi Reply:
Hello, allergic rhinitis is related to one's constitution, and exercise can improve some symptoms. If you are currently mainly doing anaerobic exercise, you may consider increasing aerobic exercise to enhance cardiovascular and pulmonary function. However, increasing the amo...[Read More] Managing Allergic Rhinitis: Exercise, Medications, and Effective Solutions
Essential Guide to Nasal Irrigation: Solutions and Safety Tips
Nasal irrigators and saline solutions issues? I recently started nasal irrigation and would like to ask some questions regarding it. 1. Nasal saline solution preparation: Can I use "boiled tap water" mixed with "iodine-free salt" to prepare the saline soluti...
Dr. Zheng Jueyi Reply:
Hello, 1. Nasal saline solution preparation: The primary goal is to use clean water to rinse the nose, so you can prepare the saline solution using "boiled tap water" along with "non-iodized salt." 2. Cleaning the nasal irrigation device: After using the n...[Read More] Essential Guide to Nasal Irrigation: Solutions and Safety Tips
Understanding Popping Sounds in the Left Ear: Causes and Solutions
Hearing a popping sound in the left ear? About a month ago, I noticed a popping sound in my left ear. Whenever I speak or am in a noisy environment, my ear makes a popping sound, but it stops when it's quiet. I went to a clinic, and the doctor said there was inflammation and...
Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned could be due to: 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during activities like flying, climbing, or diving, but also when forcefully blowing your nose or bending over. 2) Sudden sensorineural hearing lo...[Read More] Understanding Popping Sounds in the Left Ear: Causes and Solutions
Sudden Right Ear Tinnitus: When to Seek Medical Attention?
Sudden tinnitus in the right ear? Hello, doctor. Currently, I am abroad and unable to visit the hospital for a consultation. Since the 27th, I have suddenly experienced tinnitus in my right ear, as if there is a thin membrane covering it. When I hold my breath and apply pressure ...
Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned could be due to: 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during flying, climbing, or diving, but also when forcefully blowing your nose or bending over. 2) Sudden sensorineural hearing loss. 3) Otitis me...[Read More] Sudden Right Ear Tinnitus: When to Seek Medical Attention?
Post-Surgery Coughing: Understanding Recovery After ENT Procedures
Postoperative cough Since I have had severe nasal allergies since childhood, I went to an otolaryngologist for an examination. After the evaluation, the doctor diagnosed me with sleep apnea. On May 27, I underwent surgery for a deviated septum, uvulopalatopharyngoplasty, and nasa...
Dr. Ji Zhaoyun Reply:
Hello, for any postoperative issues, please consult your surgeon. Wishing you a speedy recovery.[Read More] Post-Surgery Coughing: Understanding Recovery After ENT Procedures
Understanding Tonsillitis: Symptoms, Treatment, and Complications
Tonsillitis, ulceration, foul odor? Hello Dr. Cheng, a couple of days ago I woke up with sudden sharp pain in my left throat. After an examination by a clinic physician, I was diagnosed with severe swelling and redness of the tonsils, with a temperature of 38 degrees Celsius. I h...
Dr. Zheng Jueyi Reply:
Hello: In general, a small amount of pus swallowed will be broken down by stomach acid and typically will not cause infections in other areas. Wishing you peace and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Minist...[Read More] Understanding Tonsillitis: Symptoms, Treatment, and Complications
Sinusitis and Nasopharyngeal Cancer: Understanding Symptoms and Risks
Sinusitis and Nasopharyngeal Carcinoma Hello Dr. Chi, I have been experiencing a persistent cough since early April. Initially, the clinic diagnosed it as a cold, but after taking medication, there was no improvement until May. In May, I had a chest X-ray, which showed no abnorma...
Dr. Ji Zhaoyun Reply:
Hello, compared to a CT scan, performing a nasopharyngoscopy can be considered as it has a higher accuracy rate for diagnosing nasopharyngeal masses and can be executed immediately. Wishing you peace and health.[Read More] Sinusitis and Nasopharyngeal Cancer: Understanding Symptoms and Risks
Understanding the Link Between Nasopharyngeal Cancer and Sinusitis
Nasal cavity and paranasal sinus examination for nasopharyngeal carcinoma and sinusitis? Hello Doctor, I started experiencing symptoms like coughing in early April without a fever. Initially, the clinic diagnosed it as a cold, but after taking medication for a month, my cough did...
Dr. Zheng Jueyi Reply:
Hello: Please inform the physician that there is a family history of nasopharyngeal carcinoma, although it has not been confirmed by a CT scan. It is recommended that the physician conduct a thorough examination of the nasopharynx, and if necessary, a biopsy of the nasopharyngeal...[Read More] Understanding the Link Between Nasopharyngeal Cancer and Sinusitis
Why Does My Tongue Taste Salty? Understanding Oral Mucosa Inflammation
Since the end of June to the beginning of July, there has been a sudden salty taste in my mouth? Since the end of June until now in early July, I have suddenly experienced a salty taste on my tongue. I first noticed this salty taste at the tip of my tongue, similar to the taste o...
Dr. Zheng Jueyi Reply:
Hello: If you are experiencing abnormal sensations in your tongue and the otolaryngologist does not find any obvious abnormalities, it is recommended to consult a neurologist for further evaluation. Wishing you peace and good health. Sincerely, Dr. Cheng Jue-Yi, Director of the D...[Read More] Why Does My Tongue Taste Salty? Understanding Oral Mucosa Inflammation
Understanding Eustachian Tube Dysfunction: Symptoms and Management
Eustachian tube dysfunction Hello Doctor: My left ear initially experienced frequent feelings of fullness (although I could still clear it by yawning). After about a month of this, I felt something was wrong and went to a clinic for a check-up. The diagnosis was middle ear effusi...
Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned could be due to: 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during flying, hiking, or diving, but also when forcefully blowing your nose or bending over. 2) Sudden sensorineural hearing loss. 3) Otitis medi...[Read More] Understanding Eustachian Tube Dysfunction: Symptoms and Management
Can Fungal Sinusitis Symptoms Resolve on Their Own Before Surgery?
Can the symptoms of fungal sinusitis resolve and heal on their own? Hello, Doctor: I would like to ask you again. I have been diagnosed with fungal sinusitis and surgery is scheduled for July 6. The basis for the diagnosis was a CT scan taken on June 23 at a local hospital and an...
Dr. Zheng Jueyi Reply:
Hello: During the hospitalization, I reported that my symptoms have improved to the attending physician. Please have the doctor reassess whether surgical treatment is necessary. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngolo...[Read More] Can Fungal Sinusitis Symptoms Resolve on Their Own Before Surgery?