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Full-Text Articles in Medicine and Health Sciences
Grisel Syndrome A Review, Balasubramanian Thiagarajan, Geetha Ramamoorthy
Grisel Syndrome A Review, Balasubramanian Thiagarajan, Geetha Ramamoorthy
Balasubramanian Thiagarajan
Grisel syndrome is defined as atlanto-axial subluxation following infections of upper airway. These patients present with torticollis which is persistent. Radiology is normal in these patients. This is actually a sinister problem which should always be kept in mind before taking up a patient for adenotonsillectomy. Subclinical subluxation of atlanto-axial joint may become overt causing brain stem compression following adenotonsillectomy surgery. This actually occurs because the paraspinal muscles are relaxed (due to the use of muscle relaxants) during the procedure. The actual position of tonsillectomy (Rose position) aggravates this condition. This article attempts to explore this problem with a review …
Relaxation Thyroplasty – A Classical Surgical Approach For Puberphonia, Balasubramanian Thiagarajan, Karthikeyan Arjunan
Relaxation Thyroplasty – A Classical Surgical Approach For Puberphonia, Balasubramanian Thiagarajan, Karthikeyan Arjunan
Balasubramanian Thiagarajan
Abstract: The persistence of adolescent voice even after puberty in the absence of organic cause is known as puberphonia. 1,2,3 The condition is commonly seen in males.1-7 . This case report illustrates a novel surgical method “Retrusion thyroplasty” in the management of puberphonia. Introduction: The persistence of adolescent voice even after puberty in the absence of organic cause is known as puberphonia. 1,2,3 The condition is commonly seen in males.1-7 Normally adolescent males undergo voice changes due to sudden increase in length of vocal cords due to enlargement of thyroid prominence (Adam’s apple). This is uncommon in females because their …
The Return Of The Strangler? Case Report Of A Fatal Case Of Diphtheria, Balasubramanian Thiagarajan, Srikamakshi Kothandaraman, Seethalakshmi Narashiman
The Return Of The Strangler? Case Report Of A Fatal Case Of Diphtheria, Balasubramanian Thiagarajan, Srikamakshi Kothandaraman, Seethalakshmi Narashiman
Balasubramanian Thiagarajan
This article is a case report of a case of diphtheria which presented as diphtheritic tonsillitis in stridor and finally succumbed to diphtheritic myocarditis. Here we describe the case presentation, the treatment modalities undertaken, and the fatal course of events followed by an elaborate discussion on diphtheria.
Huge Epiglottis Cyst Causing Upper Air Way Obstruction A Case Report And Literature Review, Balasubramanian Thiagarajan, Karthikeyan Arjunan
Huge Epiglottis Cyst Causing Upper Air Way Obstruction A Case Report And Literature Review, Balasubramanian Thiagarajan, Karthikeyan Arjunan
Balasubramanian Thiagarajan
Cystic lesions involving larynx are fairly common. They constitute about 5% of benign laryngeal lesions. Majority of cysts arise from epiglottis. Lingual surface of epiglottis is commonly involved. These cysts have the potential to cause acute upper airway obstruction. This article discusses a patient who presented with a large epiglottic cyst with acute upper airway obstruction. This case is being reported not only for its rarity but also for management challenges it provides.
Preventing Nerve Damage During Thyroid Surgery, Balasubramanian Thiagarajan
Preventing Nerve Damage During Thyroid Surgery, Balasubramanian Thiagarajan
Balasubramanian Thiagarajan
Thyroid sugery is a potential risk for vital nerves which include recurrent laryngeal nerve and superior laryngeal nerve. Out of these two damage to recurrent laryngeal nerve leaves the patient with a hoarse voice. Situation is more disastrous if recurrent laryngeal nerve is damaged on both sides during total thyroidectomy. This leads to bilateral abductor paralysis condeming the patient to life long tracheostomy. This article discusses various preventive steps that can be taken while performing thyroidectomies to avoid injury to recurrent laryngeal nerves.
Laryngology Interesting Case Records, Balasubramanian Thiagarajan
Laryngology Interesting Case Records, Balasubramanian Thiagarajan
Balasubramanian Thiagarajan
This e book contains interesting case records of patients with disorders of larynx and neck. Best way to learn otolaryngology is to peruse case sheets of these patients and by examining them. No book is a substitute for a patient. Case materials documented in this book have been collected from the author’s personal collection. Relevant discussion is provided at the end of each case record, substantiated with references and citations.