香港耳鼻喉專科

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Rm 02, 5/F., Kai Seng Commerical Centre,
4-6 Hankow Road, TST Kln, HK
(near Kowloon Hotel)
Tel: (852) 3100 0555
Fax: (852) 3100 0556

ENT Doctor

Untreated Acoustic Neuroma Can Result in Death

Acoustic neuromas are typically benign and, thus, don’t require aggressive treatment. This is usually the case with small acoustic neuromas showing little to no signs of growth or resulting in little to no signs. You and your ENT doctor will likely just monitor it through regular hearing and imaging tests to make sure that it won’t affect your health.

 

But there are also cases when an acoustic neuroma can be fatal, if and when it’s left untreated after diagnosis! You and your doctor have to discuss your treatment options so that your life isn’t in danger of being prematurely snuffed out.

 

Why It Can be Fatal

Keep in mind that an acoustic neuroma is a tumor, an abnormal growth in the small canal linking the inner ear to the brain. If said tumor keeps on growing, no matter how slowly it may be, it can expand into the skull activity.

 

The growing acoustic neuroma can squash the tissue at the base of the brain and the brain stem. The brain stem regulates consciousness, heart rate and breathing, among other life functions. As the brain tissue and brain stem are being squashed by the tumor, their functions are being compromised.

 

Take note that there can be a build-up of cerebral spinal fluid (CSF), too, a condition known as hydrocephalus. The excessive pressure can damage brain tissues and cause impairments in brain function, as well as observable symptoms like headaches, impaired vision and loss of balance, even mild dementia.

 

If the tumor isn’t treated, it will adversely affect blood pressure, breathing and consciousness, too. Think of it as suffering from a slow death, which can be prevented with prompt and proper treatment.

 

How It Can be Treated

The type of treatment for an acoustic neuroma varies depending on its size and specific location. Your overall health as well as your medical history and physical symptoms will also be considered in deciding the treatment protocol. You doctor will consider one or more of these treatments.

 

  • Surgery

Your surgeon will remove the tumor from the small ear acanal and its surrounding area so as to stop its growth. But it isn’t just tumor removal at stake here. Your doctor will also work toward preserving your hearing and facial nerve. You should still have control over your facial muscles instead of suffering from facial paralysis.

 

Like all invasive surgery, there are complications to the removal of an acoustic neuroma. These can include facial numbness or weakness, balance issues and hearing loss.

 

  • Radiation therapy

Known as stereotactic radiosurgery, it’s usually recommended for small tumors less than 3 centimeters in size. It’s also a common option for older adults and for people who aren’t suitable candidates for surgery.

 

In both surgery and radiation therapy, your ENT doctor will recommend supportive therapy. You may even be recommended for hearing aids or cochlear implants to restore your sense of hearing.

 

For details of our ENT services, diagnosis, and treatment, please consult our ENT specialist.

 

 

 

Source:

HK ENT Specialist Ltd.

Hong Kong based ENT clinic centre

For ENT Services, Audiology & Speech Therapy,

Sleep Disordered Breathing Management,

Hearing Aid Prescription & Medical Cosmetic Services

https://www.hkentspecialist.hk

聲帶白班有機會惡化為惡性腫瘤!有何誘因及症狀?

上文我們談及聲沙是聲帶結節和聲帶息肉的症狀之一,但你若是有長期吸煙飲酒習慣的人士,最近又出現持續的聲沙,就要小心除了聲帶結節及息肉外,有機會是聲帶白斑。

 

 

聲帶白斑是什麼?

聲帶白斑是聲帶黏膜表面有白色斑塊,聲帶白斑有機會惡化為癌腫瘤。在喉部的腫瘤中,聲帶癌的進展較為緩慢,起初只在聲帶出現白斑,後來逐漸地轉變為惡性腫瘤,病變位置多發生在聲帶前三分之一的部位,並有出血可能,而聲帶白斑也被視為癌前病變,不能輕視。

 

 

聲帶白斑有何誘因?

  • 慢性咽喉炎或喉部周圍組織炎症及長期反覆刺激聲帶。
  • 胃酸倒流會對聲帶做成長期刺激,誘發聲帶疾病。
  • 長期煙和酒會對聲帶造成長期刺激和損害。
  • 長時間說話或用聲過度,聲帶黏膜過度疲勞,刺激上皮增生。
  • 缺乏維他命A和B,也會引起聲帶白斑。

 

 

聲帶白斑的症狀有哪些?

聲音沙啞表明聲帶出問題。聲帶一旦長出白斑,不論是在聲帶的表面還是邊緣,都會引起不同程度的聲沙。喉嚨有異物感,有的病人感覺喉嚨被痰纏住,不停要清喉。有的病人覺得喉嚨癢。逐漸出現痰中帶血,或吞嚥困難等等。

 

 

如何治療聲帶白斑?

治療以手術為主,手術可以更快捷地清除病變組織,使症狀迅速好轉。透過喉顯微手術將聲帶白斑切除,再將組織拿去化驗以排除聲帶癌的可能,另可加上喉部的雷射治療,目的是減少聲帶白斑復發。

 

若聲帶已出現癌變,治療則分為早期及晚期治療,早期以放射治療為主,晚期則放射和化療並用。目前無論技術和儀器都很先進,許多早期聲帶癌或喉癌的病人,都可以透過手術和放射治療,除去癌細胞並保存喉部功能。

 

 

如何預防聲帶白斑?

生活有規律,不過度用聲,充足休息,增強體質。統計數據顯示,85%的聲帶白斑患者有長期吸煙習慣,戒煙非常重要。有慢性疾病如咽喉炎,過敏症等必須好好治理。有胃酸倒流也要正視,因倒流的胃酸對聲帶的傷害極大。

 

 

如果你有長期吸煙習慣,發現聲音在幾星期至幾個月內逐漸變差,請不要掉以輕心,一定要盡早檢查聲帶是否已出現病變,以免錯失治療的黃金時機。遇有任何耳鼻喉問題,請立即聯絡香港耳鼻喉專科(電話: 3100 0555),由我們的耳鼻喉科醫生為你診治。

 

 

資料來源:

香港耳鼻喉專科

提供耳鼻喉科服務、頭及頸外科服務

聽力及言語治療、驗配助聽器服務

人工耳蝸植入、睡眠障礙治療

面部整形治療、醫學美容服務

https://www.hkentspecialist.hk

What Are Your Surgical Options for Dysphagia?

In some cases, surgery is a must in addressing dysphagia, a condition characterized by persistent difficulty in swallowing. Surgery is usually recommended when the underlying cause is GERD, pharyngoesophageal diverticulum, throat blockages, achalasia, or esophageal cancer.

 

The type of surgery will depend on the underlying cause. Furthermore, speech and swallowing therapy will likely be recommended after recovery from surgery. Here are three options that you may want to discuss with your ENT doctor.

 

Heller Myotomy

The Heller myotomy procedure is typically used in the treatment of achalasia, a disorder of the esophagus that makes swallowing abnormally difficult. This is a minimally invasive procedure wherein several tiny incisions are made in the esophagus, followed by the insertion of small scope into these tiny incisions.

 

The small scope has miniature surgical instruments passing through it while a video camera connected to it sends enlarged images of the esophagus to a monitor. The surgeon can then perform the operation by manipulating the miniature instruments in the scope.

 

The Heller myotomy procedure has several advantages that make it popular among surgeons and patients with dysphagia caused by achalasia. These include:

  • Less pain after the operation since only minimal manipulation has been done
  • Faster recovery
  • Shorter stay in the hospital, usually 1-2 days, as compared with the possible 7-day stay for a conventional open procedure

 

In short, you can more quickly return to your normal activities and work.

 

Peroral Endoscopic Myotomy (POEM)

Yet another possible surgical option for the treatment of swallowing disorders like achalasia is peroral endoscopic myotomy (POEM). This is an endoscopic procedure wherein your surgeon inserts an endoscope through your mouth and down your throat. Your surgeon then makes an incision in your esophagus’ inner lining and cuts the muscle responsible for dysphagia.

 

POEM is an in-patient procedure requiring between two and three hours for completion. Like the Heller myotomy procedure, it’s popular because it doesn’t require incisions in the abdomen or chest. It also doesn’t require long hospital stays.

 

Esophageal Dilation

The medical professionals qualified to perform an esophageal dilation are otolaryngologists, or ear, nose and throat specialists, and gastroenterologists. Esophageal dilation stretches the abnormally narrow passages of the esophagus, known as strictures, which can be caused by underlying medical conditions.

 

In it, your ENT doctor inserts an endoscope into your esophagus, just as with the POEM procedure. He then inflates the balloon attached to the endoscope, which results in the gentle expansion of the strictures.

 

Esophageal dilation is performed as a treatment for certain swallowing disorders like:

 

  • Achalasia, wherein the sphincter muscle in the esophagus becomes abnormally tight
  • Esophageal stricture, or the narrowing of the esophagus
  • Schatzki’s ring, an abnormal ring of tissue at the point where the esophagus and stomach meet

 

These three surgical options have their pros and cons in terms of the success rate, total cost and risks for side effects and complications. You should be well aware of these things before going under the knife, so to speak.

For details of our ENT services, diagnosis, and treatment, please consult our ENT specialist.

 

 

Source:

HK ENT Specialist Ltd.

Hong Kong based ENT clinic centre

For ENT Services, Audiology & Speech Therapy,

Sleep Disordered Breathing Management,

Hearing Aid Prescription & Medical Cosmetic Services

https://www.hkentspecialist.hk

什麼造成聲帶結節及息肉?如何治療及預防?

"小雲是入職一年的小學老師,作為老師的她,除了授課需要長時間說話外,很多時也要大聲叫喊來維持課室的秩序。最近,她越來越感到唔夠氣,說話變得很辛苦,上午的課堂完結時,已感到聲嘶力竭,根本無法繼續下午的課堂。小雲為此十分困擾,心想難道只一年就要結束老師的職業生涯嗎?"

 

經過耳鼻喉科醫生的診斷,小雲老師常說喉嚨疲倦、說話冇氣的真正原因,是她的聲帶出了問題。

 

 

事實上,長期過度用聲或用聲不當,都會使喉嚨及聲帶勞損,繼而出現聲帶問題,常見的是聲帶結節或聲帶息肉。情況就好似人長期大力執筆寫字,皮膚在長時間磨擦下起繭一樣。

 

 

  • 聲帶結節

聲帶結節就是俗稱的聲帶起繭。要長時間說話,喜歡大聲說話或大聲吆喝,久而久之聲帶就受不了,這種過度用聲和不良用聲的情況,令聲帶出現慢性發炎。若情況沒有改善,聲帶就會反復發炎,造成聲帶表皮增生,皮下組織變化,繼而在兩側聲帶前端位置形成繭,這就是聲帶結節。當聲帶有了結節,患者就會感到喉嚨極不舒服,聲音變得沙啞,說話時聲帶很快疲倦。

 

治療聲帶結節

由於藥物治療聲帶結節的效果未如理想,因此治療聲帶結節仍以手術治療為主。病人須要接受全身麻醉,醫生用喉鏡固定病人的聲帶,用顯微鏡放大患處,再由喉顯微器械將聲帶結節切除。手術後病人須要噤聲一星期,待傷口癒合後,一般可回復正常聲調。

 

預防聲帶結節

在醫生的角度來說,聲帶結節手術是治標方法,治本方法仍以預防為上,若喉嚨不舒服,應讓聲帶多休息。另外,吸煙也是造成喉嚨及聲帶受損的重要因素,保護好聲帶必須戒煙。

 

 

  • 聲帶息肉

聲帶長息肉的原因大致跟聲帶結節相同,同樣是跟長期過度用聲,令聲帶出現勞損有關。患者會出現聲音沙啞,喉部易倦甚至失聲。聲帶息肉多發生在男性身上,特別有抽煙習慣的男士症狀較為嚴重。

 

治療聲帶息肉

若是輕微或剛出現的聲帶息肉,通過藥物及少說話讓聲帶休息或可復原。但對於症狀已持續一段時間,在休息和藥物治療下仍未能解決的,就要通過手術治療,手術過程跟上面治療聲帶結節大致一樣。

 

無論是聲帶結節或聲帶息肉,手術後若仍舊不當用聲,聲帶問題仍會復發,所以有需要接受言語治療去改正不良用聲的習慣,學習正確的用聲方法,例如調整音調及學習呼吸等,減輕聲帶壓力。

 

 

你正受聲線問題困擾嗎?請不遲疑,立即聯絡香港耳鼻喉專科,電話: 3100 0555。由我們的耳鼻喉科醫生為你診治。

 

 

資料來源:

香港耳鼻喉專科

提供耳鼻喉科服務、頭及頸外科服務

聽力及言語治療、驗配助聽器服務

人工耳蝸植入、睡眠障礙治療

面部整形治療、醫學美容服務

https://www.hkentspecialist.hk

Be Prepared to Answer Questions and to Ask Questions During Your Dysphagia Appointment

We experience difficulty swallowing, known as dysphagia, at one point or another, usually when we attempt to swallow large food or when we eat too quickly. When dysphagia happens occasionally, there’s no cause for concern as it’s quite normal. But if you experience persistent dysphagia, you should see your ENT doctor as soon as possible.

 

Your persistent difficulty may be a sign of an underlying medical condition. This is particularly true if it’s associated with discomfort or pain, perhaps extreme difficulty in swallowing that makes it impossible.

 

But before getting to your doctor’s clinic for your appointment, you may want to prepare a list of questions and be ready to answer questions from your ENT doctor. The exchange of questions and answers will contribute to a better appointment.

 

List Down Your Questions

On the phone while setting your appointment, you should ask about pre-appointment restrictions necessary for diagnostic exams. You may have to restrict your diet, for example. You should also list down your symptoms – what they are, when they started and how they are manifested – as well as your medications, drugs and supplements.

 

You should also write certain key personal information that may have affected your ability to swallow. These can include surgery, medications and major life changes and stressful events.

 

And don’t forget to list down a few basic questions. You don’t want to forget a question in the clinic and remember it when you’re already at home.

  • What are the possible causes of my swallowing difficulty?
  • Why are these risk factors in my case?
  • What are the medical tests that I have to undergo?
  • What are the possible medical interventions for my condition?
  • What are the ways I can manage dysphagia with my other health conditions?
  • What do I have to do in terms of lifestyle habits?
  • What other resources can I refer to about dysphagia?

 

Don’t hesitate asking these questions as you are well within your rights to do so. Just be courteous so you can get the answers you’re seeking for.

 

Anticipate Your Doctor’s Questions

The appointment is, of course, a two-way street. Your doctor will also ask questions intended to determine the possible causes of your dysphagia and their corresponding treatments.

 

The questions your doctor will likely ask and for which you should ideally have ready answers are:

  • When did your symptoms start?
  • Were your symptoms occasional or continuous, chronic or acute, tolerable or painful?
  • What things appear to alleviate or worsen your symptoms? (You may have a more difficult time swallowing some food, for example, than others)
  • What other symptoms aside from difficulty swallowing have you experienced? (You may regurgitate food, or vomit after eating or drinking, or bring up black bile-like material or blood)
  • Have you been unintentionally losing weight?

 

The back-and-forth exchange will eventually narrow down the possible causes of your difficulty in swallowing. Be honest in your answers even when it seems embarrassing – your ENT doctor has probably heard and seen it all in his line of work.

 

If you have been experiencing symptoms such as voice changes, constant coughing, pain when swallowing, ear pain and sore throat that has not disappeared for more than two weeks, get yourself checked by a qualified ENT doctor. It could be nothing but it’s always better to be safe than sorry.

 

 

Source:

HK ENT Specialist Ltd.

Hong Kong based ENT clinic centre

For ENT Services, Audiology & Speech Therapy,

Sleep Disordered Breathing Management,

Hearing Aid Prescription & Medical Cosmetic Services

https://www.hkentspecialist.hk

什麼造成聲帶發炎?如何預防和保護聲帶?

誰不想擁有一副清脆悅耳的聲音,但不良的習慣、錯誤用聲、疾病或病菌入侵,都可以使聲帶受損,令嘹亮的聲音黯然失色。

 

什麼疾病會對聲帶造成傷害?

什麼會導致聲帶問題?

治療聲帶疾病有哪些方法?

怎樣好好保護好聲帶?

 

我們會在接著的聲線系列為大家一一分享。

聲帶疾病包含急性或慢性發炎、聲帶結節、聲帶息肉、聲帶惡性腫瘤、聲帶萎縮、聲帶麻痺等等,今次我們會先談談聲帶疾病之《聲帶發炎》。

 

 

  • 帶急性發炎

聲帶急性發炎主要由病毒造成的上呼吸道感染,在季節交替時特別多人患病。通常是病菌入侵導致上淋巴組織發炎,淋巴組織發炎引致咽喉紅腫熱痛。

 

聲帶急性發炎症狀通常不會對患者的日常生活造成嚴重障礙,但患者仍會感到喉嚨疼痛,許多時還併發咳嗽、流鼻水、打噴嚏、頸部淋巴結腫大、聲音沙啞、聲帶水腫等症狀。一般待病情痊癒聲音也會復原。

 

 

治療急性聲帶發炎

由病毒引起的聲帶發炎,醫生會給患者服用抗生素,程為期3-7天不等。一般服藥及休息後7-10天便可復原。患病期間要多飲溫水,戒吃刺激辛辣食物,禁煙,因吸煙常會使喉嚨痛的症狀加劇或延長症狀。

 

 

預防聲帶急性發炎

病毒主要透過患者的飛沫或與患者密切接觸而傳染,最好的預防方法就是勤洗手,不要挖鼻、搓眼、咬手指,這些不良習慣易被病毒入侵。另外應遠離有病徵的人士,如須照顧病者,必須有保護意識,避免感染。

 

 

  • 聲帶慢性發炎

慢性聲帶發炎主要是過度用聲(例如需要長時間說話)、慣性錯誤發聲(經常大叫大喊,大聲吆喝)、吃過多刺激性的食物(經常進食辛辣食物、飲酒、抽煙)。另外,如果患者有胃酸倒流情況,當胃酸倒流入喉嚨時會傷及聲帶,當聲帶反覆受胃酸倒流刺激,聲帶會逐漸變厚,繼而聲線變得沙啞,喉嚨常感到有痰,所以患者會常常清喉,聲帶慢性發炎亦已形成。

 

治療聲帶慢性發炎

病毒引起的急性聲帶發炎沒有處理好,若反覆感染也可以變成慢性炎症,所以有炎症必須服藥及讓聲帶休息。至於胃酸倒流問題,可能是飲食過度或生活作息不良導致,改善生活作息,飲食有節制,嚴禁就寢前大飲大食都有幫助。不過,胃酸倒流也可能是其他隱疾的症狀(例如幽門螺旋菌感染或胃癌),所以建議若有胃酸倒流情況,應求診確定原因。

 

 

下篇文章我們會繼續探討聲線問題 – 聲帶結節和聲帶息肉。如果你受到聲線問題困擾,請聯絡香港耳鼻喉專科,電話: 3100 0555,由我們的耳鼻喉科醫生為你診治。

 

 

資料來源:

香港耳鼻喉專科

提供耳鼻喉科服務、頭及頸外科服務

聽力及言語治療、驗配助聽器服務

人工耳蝸植入、睡眠障礙治療

面部整形治療、醫學美容服務

https://www.hkentspecialist.hk

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註: 本站提及的疾病和治療方法僅供讀者參考,並不代表本站推薦該種療法,亦不能代替專業醫生診治,讀者如有需要,應該尋求專業醫生意見。