Postoperative hiccups of nasopharyngeal carcinoma

summary

On plain MRI scan of nasopharynx, the mucosa of nasopharynx increased about 0.7cm in thickness, the pharyngeal recess became shallow, and multiple enlarged lymph nodes were found in bilateral parapharyngeal space and neck, with a larger size of about 2.0x1.1cm. No obvious destruction of skull base was found. Bilateral tonsils were symmetrically enlarged, which did not exceed the median line of posterior pharyngeal wall. No abnormality was found in paranasal sinus and nasal cavity Let's listen to the expert's advice on hiccups after nasopharyngeal carcinoma surgery

Postoperative hiccups of nasopharyngeal carcinoma

First, the postoperative sequelae of nasopharyngeal carcinoma mainly include the following manifestations: blood and epistaxis in the nasal discharge, tinnitus, hearing loss, etc. tumors located in the anterior wall of the top of the nasopharynx are more likely to cause nasal congestion, and headache is a common symptom. Yes, he was rescued. In Qingdao, there have also been cases of death caused by the treatment of psoriasis with plum blossom needle plus external application of mercury containing folk prescription, which has to arouse the deep thinking of psoriasis patients. 　　

Second: local reaction: including skin, mucous membrane, salivary gland reaction. The skin reaction is dry dermatitis or even wet dermatitis. Local use of 0.1% borneol talcum powder or lanolin as the matrix of anti-inflammatory ointment. The mucosal reactions were hyperemia, edema, exudation and secretion accumulation in the mucosa of nasopharynx and oropharynx.

Third: can cause the head and neck of the temporomandibular joint dysfunction, sometimes difficult to open the mouth, neck movement is limited. In order to prevent these complications, we should do some appropriate activities according to the physical condition during radiotherapy, such as deep breathing, outdoor walking, slow rotation of left and right hands before and after neck, mouth opening exercise, such as small round plastic bottle or smooth log in mouth, and massage the temporomandibular joint, so as to improve our quality of life.

matters needing attention

At present, immunoenzymatic method is widely used to detect IgA / VCA and IgA / EA antibody titers of Epstein Barr virus. The former has higher sensitivity and lower accuracy, while the latter is just the opposite. Therefore, the detection of both antibodies should be carried out simultaneously in patients with suspected nasopharyngeal carcinoma, which is helpful for early diagnosis. For patients with IgA / VCA titer ≥ 1:40 and / or IgA / EA titer ≥ 1:5, exfoliated cells or biopsies should be taken from the site of NPC even if there is no abnormality in the nasopharynx. If the diagnosis is not confirmed at the moment, regular follow-up should be carried out, and multiple biopsy should be performed if necessary.