Mr. Wang, who got the laryngoscope report, felt like a bolt from the blue and the sky was falling.

Such scenes are often staged in the Otolaryngology Clinic of Henan Provincial People's Hospital.

"Most patients have symptoms of hoarseness. Many people don't pay attention to it at first, and they have to go to the hospital until they can't stand it. At this time, some situations are already quite serious. " Wan Paul, deputy director and chief physician of the Department of Otolaryngology, Henan Provincial People's Hospital, said with regret.

In the prime of life, Mr. Wang is the backbone teacher of a key high school, and his career is booming, becoming a well-known "famous teacher".

Not only do I have classes almost every day, but I also have to answer questions for students after class, and I feel thirsty every day.

"I really don't want to ask for leave unless I have to. If a student misses a class, it may disrupt the whole teaching plan. " Mr. Wang said.

But this time, it is really a "last resort"! As early as six months ago, he began to have symptoms such as throat discomfort and hoarseness. At first, he didn't pay attention to it, but chose to drink more water, eat some throat lozenges, throat lozenges and the like to try to relieve it, which lasted for half a year.

Recently, he suddenly found that his hoarseness continued to increase, and even had problems such as poor breathing and obvious foreign body sensation, so he had to rush to Henan Provincial People's Hospital for treatment.

Chief physician Wan Paul immediately realized the seriousness of the problem after asking about the condition in detail, and suggested that he have a laryngoscope examination immediately.

Mr. Wang was very resistant at first. He repeatedly asked Wan Paul if the laryngoscope was the same as the gastroscope, and the anesthetic still hurt. Can I prescribe some anti-inflammatory drugs instead of laryngoscope?

"Laryngoscopy uses a topical anesthetic, and the whole inspection can be completed in just a few minutes. The equipment and technology are very mature and the pain is very low. "

After repeated patient explanations by Wan Paul, Mr. Wang finally followed the advice.

The result of the exam is worrying. Through the clear presentation of the image, Mr. Wang believes that the humble "hoarse voice" has actually evolved into a malignant tumor!

After comprehensive evaluation, Wan Paul judged that because the tumor has developed into malignancy, the carbon dioxide laser treatment of early laryngeal cancer has missed the best opportunity and can only be surgically removed.

Van Paul's team successfully removed the diseased tissue through surgery. After leaving the hospital, Mr. Wang should follow the doctor's advice and have a regular review.

Although the operation went smoothly, if Mr. Wang didn't delay for half a year, but sought medical treatment in time, the outcome would probably be very different.

The symptoms of hoarseness are real. But the real reason behind it may be confusing and hidden.

How can we remain vigilant and identify the truth behind hoarseness in time and accurately? Wan Paul reminded that these matters must be kept in mind:

Congenital-hoarseness can be caused by many reasons, some of which are caused by congenital vocal cord dysplasia and dysplasia, and often do not become malignant, but only affect normal pronunciation.

Inflammation-such as acute and chronic laryngitis, reflux esophagitis, reflux laryngitis, etc. Generally, symptomatic drugs and atomized inhalation are used for treatment.

Trauma-including laryngeal foreign body, laryngeal trauma, surgical intubation, etc. Hoarseness due to scar formation.

Teachers, singers, salespeople, children and other people generally have the phenomenon of voice abuse such as shouting and excessive use of sound, which often leads to vocal polyps and vocal nodules. Generally speaking, rest (rest and controlled speech) and medication are used.

No matter the size of the tumor, it may directly lead to hoarseness. Common benign tumors mainly include papilloma caused by virus infection, and malignant tumors are often called laryngeal cancer, so laryngoscopy should be done according to the doctor's advice.

Other symptoms such as vocal cord paralysis caused by nerve injury can also cause hoarseness.

It's time to draw the focus! Generally speaking, once the symptoms of hoarseness persist for 10 days or more than half a month, we must not treat them lightly. It is recommended to go to a regular medical institution in time.

Statistics show that long-term smoking and drinking are closely related to laryngeal cancer, and about 95% patients with laryngeal cancer have the habit of smoking and drinking.

The synergistic effect of tobacco and alcohol should not be underestimated. People who smoke and drink for a long time should be more alert to symptoms such as hoarseness. It is suggested to quit smoking and limit alcohol and develop good hygiene habits.

How to judge the cause of hoarseness for ordinary people who lack professional medical knowledge? Which department should I see?

Don't worry, Henan Provincial People's Hospital has set up a unique "hoarseness clinic" in the International Medical Center. Every Wednesday morning, experts sit in the clinic to protect your health. (Qin Jishi)