c*********9
发帖数: 263 | | c*********9
发帖数: 263 | 2 BUMP
【在 c*********9 的大作中提到】
: 帮一老师问。谢谢！
| t********o
发帖数: 228 | 3 leukoplakia:
Due to chronic stimulation, such as smoking. Depends on the size and
morphology on laryngoscopy. May need biopsy to rule out carcinoma in situ.
If it is very small, can monitor it by periodic laryngoscopy. Narrow band
image may also be helpful. Meanwhile, stop smoking; if have GERD, start PPI
and change life style such as no food 4 h prior to bedtime, take PPIs, no
smoking, no coffee and tea, et al.
There are not really meds for leukoplakia.
If the patient is using steroid inhaler, need to rule out candida infection.
can start some topical nystatin swish and swallow.
Other white patches: lichen planus, some retention cyst of vocal cords.
In addition, vocal cord nodules are different story. it is due to voice
abuse. Need voice therapy.
Hope help. |
|
