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Full-Text Articles in Medicine and Health Sciences

Grisel Syndrome A Review, Balasubramanian Thiagarajan, Geetha Ramamoorthy Apr 2013

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 …


Proptosis Due To Otolaryngology Causes A Study, Balasubramanian Thiagarajan, Srikamakshi Kothandaraman Mar 2013

Proptosis Due To Otolaryngology Causes A Study, Balasubramanian Thiagarajan, Srikamakshi Kothandaraman

Balasubramanian Thiagarajan

Proximity of orbit to nose and paranasal sinuses makes it rather vulnerable to insults due to otolaryngological causes. The medial wall of orbit (Lamina papyracea) is rather paper thin and it happens to form the lateral wall of anterior ethmoid air cells. Infections / tumors involving paranasal sinuses can involve orbit also causing proptosis. The aim of the article is to study the common otolaryngological causes of proptosis in our Institution during 2009 – 2012.


Odontogenic Cysts Of Upper Jaw An Analysis, Balasubramanian Thiagarajan Mar 2013

Odontogenic Cysts Of Upper Jaw An Analysis, Balasubramanian Thiagarajan

Balasubramanian Thiagarajan

This article attempts to analyze all cases of odontogenic cysts involving upper jaw who presented at Stanley Medical college during 2007 – 2012. This article analyzes the incidence of these cysts during the above said period, age of occurence, sex prediliction if any, clinical presentations and optimal treatment modality. Common complaints with which patients presented to our Institution was swelling over jaw, next was loosening of dentition, paresthesia. 30 patients had presented with cysts involving upper jaw out of which 29 were females and one was male. All these patients underwent surgical removal of the cystic lesion.


Pleomorphic Adenoma Hard Palate A Case Report And Literature Review, Balasubramanian Thiagarajan Mar 2013

Pleomorphic Adenoma Hard Palate A Case Report And Literature Review, Balasubramanian Thiagarajan

Balasubramanian Thiagarajan

Pleomorphic adenoma is the common salivary gland tumour encountered. Most of these tumours occur in major salivary glands; Parotid gland happens to be the commonly involved one. This case report discusses a case of intraoral salivary gland tumour (in the hard palate). This case report discusses a case of pleomorphic adenoma of hard palate with a review of corresponding world literature. Even though these tumours are painless and slow growing ones, it is important to identify these cases rather early and extirpate them totally.


Fracture Nasal Bones, Balasubramanian Thiagarajan, Venkatesan Ulaganathan Mar 2013

Fracture Nasal Bones, Balasubramanian Thiagarajan, Venkatesan Ulaganathan

Balasubramanian Thiagarajan

Nose is the most prominent part of the face, hence it is likely to be the most common structure to be injured in the face. Although fractures involving the nasal bones are very common, it is often ignored by the patient. Patients with fractures of nasal bone will have deformity, tenderness, haemorrhage, edema, ecchymosis, instability, and crepitation. These features may be present in varying combinations. This article discusses the pathophysiology of these fractures, role of radiography and ultrasound in their diagnosis and their management.


Fracture Zygoma And Its Management Our Experience, Balasubramanian Thiagarajan, Seethalakshmi Narashiman, Karthikeyan Arjunan Mar 2013

Fracture Zygoma And Its Management Our Experience, Balasubramanian Thiagarajan, Seethalakshmi Narashiman, Karthikeyan Arjunan

Balasubramanian Thiagarajan

Zygoma is a very crucial component which maintains facial contour. Fractures involving zygoma is very common, in fact it is the second most common facial bone to the fractured following facial trauma (next only to nasal bones). Fractures involving maxilla not only creates cosmetic deformities, it also causes disruption of ocular and mandibular functions too. This article attempts to discuss in detail the etiopathogenesis and the various management options available. It also includes our 3 years experience in treating these patients at Stanley Medical College Chennai. During the period of 3 years between 2010 - 2012 about 82 patients got …


Fracture Frontal Bone And Its Management, Balasubramanian Thiagarajan Mar 2013

Fracture Frontal Bone And Its Management, Balasubramanian Thiagarajan

Balasubramanian Thiagarajan

Fractures involving frontal bone are rather uncommon. Injuries to this bone is rather critical because of its proximity to brain. This article attempts to discuss this topic with focus its prevalence, its causes and various treatment modalities available. Three crucial areas need to be addressed. They include anterior table, posterior table and frontal sinus outflow tract. Posterior table fractures are usually associated with anterior table fractures and CSF leak. Hence these patients should be treated as head injury cases


Anatomy Of Orbit Otolaryngologist's Perspective, Balasubramanian Thiagarajan Feb 2013

Anatomy Of Orbit Otolaryngologist's Perspective, Balasubramanian Thiagarajan

Balasubramanian Thiagarajan

A careful study of anatomy of orbit is very important to an ENT surgeon because of its proximity to the para nasal sinuses. A comprehensive knowledge of orbital and peri orbital anatomy is necessary to understand the various disorders of this region and in its surgical management. Current day otolaryngologists venture into other unchartered territories like orbit, lacrimal sac etc. Anatomical knowledge of this area will help otolaryngologists to avoid complications during surgical procedures involving this area. This article attempts to explore this topic from otolaryngologist’s perspective.


Faciomaxillary Trauma An Update, Balasubramanian Thiagarajan Feb 2013

Faciomaxillary Trauma An Update, Balasubramanian Thiagarajan

Balasubramanian Thiagarajan

This supplement of otolaryngology online journal covers the topic of Faciomaxillary trauma. Topics covered include fractures involving nasal bones, zygoma, maxilla and frontal bones. The entire discussion is from the perspective of otolaryngologist.


Ramsay Hunt Syndrome A Case Report And Review Of Literature, Balasubramanian Thiagarajan Jan 2013

Ramsay Hunt Syndrome A Case Report And Review Of Literature, Balasubramanian Thiagarajan

Balasubramanian Thiagarajan

This is a case report of a rather rare disorder i.e. Ramsay Hunt syndrome. This is caused by Varicella zoster infections involving geniculate ganglion of facial nerve. This syndrome is manifested by the presence of blebs in the external auditory canal, ear ache, and lower motor neurone type of facial paralysis. This patient had excellent recovery following administration of oral steroids and acyclovir.


Eosinophilic Otitis Media A Literature Review, Balasubramanian Thiagarajan Jan 2013

Eosinophilic Otitis Media A Literature Review, Balasubramanian Thiagarajan

Balasubramanian Thiagarajan

Eosinophilic otitis media is actually a recent introduction. These patients may manifest with sudden hearing loss. There may be associated bronchial asthma and allergic rhinitis. Diagnostic criteria of this condition are rather vague. A review of literature shows that demonstration of eosinophils in the middle ear secretion of these patients could be considered to be pathognomonic of this condition.