Understanding Recurrent Unilateral Parotitis: Causes and Next Steps
Parotitis In the past six months, there have been 5-6 episodes of unilateral parotitis. A CT scan has ruled out the possibility of salivary gland stones. Due to accompanying symptoms of dry eyes and dry mouth, a referral was made to the rheumatology and immunology department. Tea...
Dr. Zheng Jueyi Reply:
Dear Ah Sheng, Hello. If the possibility of a salivary gland stone has been ruled out, it may be worthwhile to consult a dentist to check for any dental issues. Additionally, you could ask an infectious disease specialist to evaluate for any other unusual infections. However, gi...[Read More] Understanding Recurrent Unilateral Parotitis: Causes and Next Steps
Understanding Ear and Oral Lesions After Long Phone Calls: When to Seek Help
After the phone call, there are "bumps" appearing on the ear? Hello, doctor :) I worked part-time the day before yesterday, and my job involved making phone calls for about three hours. After that, my ear felt a bit sore, but I didn't pay much attention to it. Howe...
Dr. Zheng Jueyi Reply:
Hi Xiao M: 1. It could be an outer ear canal inflammation or folliculitis. You can observe it for now, but if the pain persists, it is advisable to seek medical evaluation. 2. It may be inflammation or stones in the small salivary glands at the floor of the mouth. Rinsing your mo...[Read More] Understanding Ear and Oral Lesions After Long Phone Calls: When to Seek Help
Understanding Redness and Dryness Inside the Lips: ENT Insights
Inner lips The inner side of the lips is showing redness, has folds, and is dry. What could be the issue? Thank you.
Dr. Zheng Jueyi Reply:
Dear A-Jing, Hello, it is possible that the inflammation of the lips is due to simple inflammation or caused by an autoimmune dysfunction leading to dry mouth syndrome, which may result in inflammation of the minor salivary glands in the lips. If the symptoms persist without imp...[Read More] Understanding Redness and Dryness Inside the Lips: ENT Insights
Understanding Salivary Gland Tumors: Symptoms, Diagnosis, and Concerns
Salivary gland tumor I have had a small lump below my left ear for several years. At first, I didn't pay much attention to it, but in the past two years, it has grown quite rapidly and is now about 4 centimeters wide. It is not painful, movable, soft in texture, and has a ro...
Dr. Zheng Jueyi Reply:
Dear Mr. Li, This location is indeed a tumor of the parotid gland, most of which are benign tumors. A computed tomography (CT) scan can provide a lot of information for the physician's interpretation. A large and soft tumor may potentially be a lipoma or a cyst. We can wait...[Read More] Understanding Salivary Gland Tumors: Symptoms, Diagnosis, and Concerns
Understanding Salivary Gland Tumors: When to Consider Surgery
Salivary gland tumor Thank you, Dr. Cheng, for your previous response. (1) I learned from online research that lipomas and cysts are also types of benign tumors. (2) I would like to ask Dr. Cheng whether lipomas or cysts need to be surgically removed, and if the surgical excision...
Dr. Zheng Jueyi Reply:
Dear Mr. Li, The length of the surgical incision is related to the location of the tumor, primarily to observe whether it is close to the facial nerve. If the tumor is relatively superficial, a smaller incision may suffice. However, if it is deeper or in close proximity to the f...[Read More] Understanding Salivary Gland Tumors: When to Consider Surgery
Understanding Lymph Nodes and Salivary Gland Tumors: Key Insights
Lymph node salivary gland tumor-related issues? Hello Doctor, I apologize for bothering you again. I have already visited a nearby otolaryngology clinic. The doctor performed a physical examination and mentioned it is a lymph node, but I still feel something is off. There is a mo...
Dr. Zheng Jueyi Reply:
Hello, there are many small lymph nodes around the parotid gland. If the examination shows small lymph nodes, you should trust the judgment of the clinical physician. If you still have concerns, you can seek a second opinion from another clinical physician. Thank you! Wishing you...[Read More] Understanding Lymph Nodes and Salivary Gland Tumors: Key Insights
Understanding Salivary Gland Tumors and Lymph Node Swelling: Key Insights
Regarding the issue of lymphadenopathy in salivary gland tumors? Hello, doctor. I would like to ask you about the causes of salivary gland tumors, their severity, and why lymph nodes can become enlarged. What is the difference between benign and malignant tumors? Recently, I ofte...
Dr. Zheng Jueyi Reply:
Hello, based on your description, it seems more like a benign lymph node, as it is movable and small and round. It is commonly found in areas such as behind the ear and the neck, and the size may vary between the left and right sides. It is generally recommended to seek a detaile...[Read More] Understanding Salivary Gland Tumors and Lymph Node Swelling: Key Insights
Understanding Throat Discomfort: Causes and Concerns
Foreign body in the throat? Hello, I previously experienced a sensation of something being stuck in my throat and noticed a small white spot when I looked in the mirror. After a few days, it disappeared on its own, but occasionally, I still experience this situation. What could b...
Dr. Xu Jiazhen Reply:
Hello: Common chronic laryngitis often presents with a sensation described as "gritty" or "rough." This is a form of chronic inflammation, and the small white secretions are primarily from minor salivary glands. Generally, this is not a cause for concern, alth...[Read More] Understanding Throat Discomfort: Causes and Concerns
Persistent Lip Blister: Causes and Treatment Options Explained
Blister I have a blister inside my lip that has been painless for over a month. After I popped the blister, I applied some Guangdong eye powder, but it reappears after 3 to 4 days. I'm not sure what to do about it.
Dr. Xu Jiazhen Reply:
This is a small cyst of the minor salivary glands, which may regenerate after rupture or removal. This is primarily related to obstruction of the salivary gland ducts and individual constitution. It is recommended to consult an otolaryngologist for further evaluation.[Read More] Persistent Lip Blister: Causes and Treatment Options Explained
Understanding Tongue Blisters: When to See an ENT Specialist
Tongue issues? Hello Dr. Zheng, I recently noticed a blister forming under my tongue. It was initially small, so I didn't pay much attention to it, but suddenly it has grown larger in the past few days, making it somewhat inconvenient for me to eat. I'm worried about ac...
Dr. Zheng Jueyi Reply:
Dear Xiao Qiao, Hello, based on the symptoms you described, it seems that you may have a cyst in the minor salivary glands located at the floor of the mouth. This is often caused by inflammation leading to the obstruction of the ducts of these minor salivary glands. After eating...[Read More] Understanding Tongue Blisters: When to See an ENT Specialist
Understanding Salivary Gland Cysts: Symptoms and Treatment Options
Regarding the protrusion under the tongue mentioned in the previous article? I found some information about a condition called a salivary gland cyst, but I'm not sure if that's what I have. The doctor seemed to immediately suggest surgery, which made me feel scared, so ...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, I completely agree with your perspective. However, the determination of whether a condition is benign or malignant can truly only be made under a microscope, including for salivary gland cysts. Sincerely, Lecturer Chen Jian-Zhi, Fu Jen Catholic University.[Read More] Understanding Salivary Gland Cysts: Symptoms and Treatment Options
Impact of Salivary Gland Cyst Surgery on Aviation Medical Fitness
The impact of branchial cleft cysts on flying? Hello, Doctor. I underwent surgery for a salivary gland cyst in March 2009. Everything was normal post-surgery, and I have had no complications. I am currently interested in pursuing a career as a pilot and have already logged over 2...
Dr. Chen Jianzhi Reply:
Dear Inquirer, Hello, this question has truly stumped me! According to the current literature, there has been no discussion regarding the impact of branchial cleft cyst surgery on hearing and balance, nor is it known whether it affects aviation medical examinations. Therefore, w...[Read More] Impact of Salivary Gland Cyst Surgery on Aviation Medical Fitness
Understanding Salivary Gland Tumors and Nasopharyngeal Cancer Risks
Salivary gland (parotid gland) tumors and nasopharyngeal carcinoma? Hello Dr. Chen, thank you for your sincere response to my previous question regarding the EB virus. Today, I went for a follow-up appointment with the otolaryngology department. Last year, my EB test result was i...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, regarding your EB test, you may follow the recommendations of your attending physician. As for your father, it is advised to have at least one examination of the nasopharynx; the physician can use either a mirror or an endoscope for this. Sincerely, Dr. Chen...[Read More] Understanding Salivary Gland Tumors and Nasopharyngeal Cancer Risks
Clarifying Prescription for Chronic Pharyngitis: A Patient's Inquiry
Reply to the doctor? Dr. Chen, you mentioned that the prescription you gave me includes special medications for treating chronic pharyngitis. Is this prescription correct? (Genesafe tablets, Mekin tablets, Wellpin gastrointestinal medication) I apologize for the confusion, but I ...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Yes, that is correct. The prescription is based on your medical examination and condition. Eustachian tube dysfunction is just one of the many symptoms of chronic pharyngitis, similar to neck pain or salivary gland swelling. Sincerely, Dr. Chien-Chih Chen P...[Read More] Clarifying Prescription for Chronic Pharyngitis: A Patient's Inquiry
Understanding Salivary Glands and Chronic Pharyngitis: Your ENT Questions Answered
Consultation Inquiry Hello, Dr. Chen. I saw you today for my appointment, and you mentioned that what I felt on my chin was a salivary gland. I forgot to ask if everyone can feel it, or is it because of inflammation? If there is inflammation, do I need to take medication? Additio...
Dr. Chen Jianzhi Reply:
Dear Inquirer, Hello, the salivary glands are palpable in everyone, especially in women, individuals with a lean physique, or those experiencing inflammation. Your condition is due to chronic pharyngitis leading to inflammation of the salivary glands, which may cause localized s...[Read More] Understanding Salivary Glands and Chronic Pharyngitis: Your ENT Questions Answered
Understanding Oral Mucosa and Tonsil Issues: Symptoms and Solutions
Oral mucosa and tonsil issues? Dear Doctor, I have a few questions I would like to ask: 1. Last July and August, I noticed many small white spots (approximately 0.1-0.2 cm in diameter) on the mucous membrane of the right side of my mouth. The areas with white spots feel slight...
Dr. Ye Dawei Reply:
Dear Sir/Madam: Q: Are the small white spots on the oral mucosa truly salivary glands? They appear normal now, but is there a possibility they could worsen into another serious condition in the future? Could it be oral cancer? A: Currently, it does not seem to be. Q: I do not...[Read More] Understanding Oral Mucosa and Tonsil Issues: Symptoms and Solutions
Recovery Time After Salivary Gland Cyst Removal: What to Expect
The recovery time after the surgical removal of a salivary gland cyst? Dr. Chen: Last time I asked you about the removal surgery for a salivary gland cyst, and you mentioned that it is normal to experience swelling and numbness at the incision site afterward. You also said that t...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, based on your literal question, if the surgical wound is larger, the recovery time will definitely be longer. May I ask how large your surgical wound is? Sincerely, Dr. Chen Jian-Zhi, Physician at Taoyuan Hospital, Department of Health, and Lecturer at Fu Je...[Read More] Recovery Time After Salivary Gland Cyst Removal: What to Expect
Post-Salivary Gland Surgery: Common Concerns and Recovery Insights
Some issues after salivary gland cyst removal? Dear Doctor, a few weeks ago I underwent a minor surgery for salivary gland removal. It has been about 3 to 4 weeks since the surgery, and the wound has mostly healed (though it may not be completely healed yet). However, when I gent...
Dr. Chen Jianzhi Reply:
Dear Inquirer, According to your literal question, after surgery, there is typically a healing period for the wound under normal circumstances, which includes the recovery of sensation and the formation of scars. The tingling sensation (sensation recovery) and the feeling of a l...[Read More] Post-Salivary Gland Surgery: Common Concerns and Recovery Insights
Understanding Salivary Gland Removal: ENT Specialist Insights
Hi! Dr. Chen Thank you for your response. I apologize for asking questions that you may not be able to answer >o<" … Without discussing the various causes of saliva production, may I ask you a few questions regarding the removal of salivary glands? (1) Is it appropriat...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Based on your literal question, do you really need to remove the salivary glands due to excessive saliva secretion? Even if one side of the salivary gland is removed, the other side often compensates by increasing secretion, resulting in a similar condition as befo...[Read More] Understanding Salivary Gland Removal: ENT Specialist Insights
Excessive Saliva Production: Should You Consider Salivary Gland Removal?
Hello, Dr. Chen? I am the person asking the question "Excessive Saliva, I would like to inquire about salivary gland removal issues": https://adoctor.tw/article/57503 &SortBy=&PageNo=1. Do you experience difficulty swallowing? No, I do not have difficulty swallo...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, thank you for providing so much information. However, I sincerely apologize as I am still unable to answer your question because I have not encountered such a case before. Sincerely, Dr. Chen Chien-Chih, Physician at Taoyuan General Hospital, Department of H...[Read More] Excessive Saliva Production: Should You Consider Salivary Gland Removal?