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Full-Text Articles in Medicine and Health Sciences
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 …
Voice Rehabilitation Following Total Laryngectomy, Balasubramanian Thiagarajan
Voice Rehabilitation Following Total Laryngectomy, Balasubramanian Thiagarajan
Balasubramanian Thiagarajan
Despite continuing advances in surgical management of laryngeal malignancy, total laryngectomy is still the treatment of choice in advanced laryngeal malignancies. Considering the longevity of the patient following total laryngectomy, various measures have been adopted in order to provide voice function to the patient. Significant advancements have taken place in voice rehabilitation of post laryngectomy patients. Advancements in oncological surgical techniques and irradiation techniques have literally cured laryngeal malignancies. Among the various voice rehabilitation techniques available TEP (Tracheo oesophageal puncture) is considered to be the gold standard. This article attempts to explore the various voice rehabilitation technique available with primary …
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.
Eosinophlic Oesophagitis Review Of Literature, Balasubramanian Thiagarajan
Eosinophlic Oesophagitis Review Of Literature, Balasubramanian Thiagarajan
Balasubramanian Thiagarajan
This article reviews the published literature on the topic eosinophilic oesophagitis. This is actually a recent entity. Diagnosis of this condition depends on the awareness of the treating physician. Diagnosis is actually made after excluding the diagnosis of GERD and demonstration of more than 50 eosinophilis / high power field in the mucosal specimen studied. These patients respond well to topical / systemic steroids. Oesophageal dilatation may be needed to treat patients with severe degree of dysphagia which is fortunately rare.
Laryngeal Immunology, Balasubramanian Thiagarajan
Laryngeal Immunology, Balasubramanian Thiagarajan
Balasubramanian Thiagarajan
Larynx technically speaking is situated at the cross roads between air passage and food passage. This situation adds to its vulnerability due to exposure to pathogens, allergens, pollutants and toxins. It is also exposed to stomach acid in patients with gastro oesophageal reflux. Current studies reaveal that larynx is provided with unique immune system which could play an active / passive role in laryngeal protection. Animal studies reveal an abundance of lymphoid tissue in the mucosa of larynx and trachea. Various studies conducted with porcine larynx reveal that supraglottis contained fewer immunological cells when compared to other areas of larynx. …
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.