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Full-Text Articles in Medicine and Health Sciences

Role Of Imaging In Rhinology, Balasubramanian Thiagarajan Dec 2014

Role Of Imaging In Rhinology, Balasubramanian Thiagarajan

Balasubramanian Thiagarajan

This E book discusses the role of imaging in rhinology. Since this book has been authored by an otolaryngologist it goes without saying that a surgeon's perspective will be evident throughout the book. It contains about 250 CT scan images with succinct description.


Cavernous Hemangioma Uvula An Interesting Case Report And Review Of Literature, Balasubramanian Thiagarajan Sep 2014

Cavernous Hemangioma Uvula An Interesting Case Report And Review Of Literature, Balasubramanian Thiagarajan

Balasubramanian Thiagarajan

Elongated uvula is mostly asymptomatic. In rare instances it may be come symptomatic. This article discusses a patient who presented with intractable cough due to cavernous hemangioma involving uvula. Uvula in this patient was found to be in contact with the posterior portion of the tongue. This case is being presented for its rarity.


Odontogenic Keratocyst Mandible An Interesting Case Report And Literature Review, Balasubramanian Thiagarajan, Geetha Ramamoorthy Sep 2014

Odontogenic Keratocyst Mandible An Interesting Case Report And Literature Review, Balasubramanian Thiagarajan, Geetha Ramamoorthy

Balasubramanian Thiagarajan

The term odontogenic keratocyst was first described by Philipsen in 1956. This cyst actually arises from the cell rests of dental lamina. It can occur anywhere in the jaw but is commonly seen in the posterior part of the mandible. Since the clinical features and radiological appearance are not characteristic this condition is commonly misdiagnosed. This is more so when the lesion is related to the nonvital tooth. Odontogenic keratocyst has been rechristened as keratocystic odontogenic tumor by WHO working group in 2005. This was necessitated to differentiate this lesion from its orthokeratinizing variant which is currently considered as odontogenic …


Subperiosteal Hematoma Of Orbit An Interesting Case Report And Review Of Literature, Balasubramanian Thiagarajan Sep 2014

Subperiosteal Hematoma Of Orbit An Interesting Case Report And Review Of Literature, Balasubramanian Thiagarajan

Balasubramanian Thiagarajan

Subperiosteal Hematoma orbit is an uncommon disorder which may occur following injury to orbit. Of course there are other causes that cause this condition as well. This condition has been reported in young adults. This case report discusses a patient who developed subperiosteal hematoma following trivial injury to orbit. Since this condition had occurred following trivial injury to orbit diagnosis was not made pre operatively. It was discovered only on the table. A high index of suspicion and an accurate history is necessary to identify this condition. This case is being reported not only for its rarity but also to …


Endoscopic Orbital Decompression, Balasubramanian Thiagarajan Aug 2014

Endoscopic Orbital Decompression, Balasubramanian Thiagarajan

Balasubramanian Thiagarajan

Orbital decompression surgery has been indicated in patients with compressive optic neuropathy, severe corneal exposure, cosmetic deformity due to proptosis. Traditional orbital decompression approaches were fraught with complications. With the advent of nasal endoscopes decompression is being carried out transnasally under endoscopic guidance. The entire medial wall of orbit can be taken down transnasally using nasal endoscope, and the inferior wall of orbit can be removed using the same approach. Currently endoscopic orbital decompression is being preformed commonly with very minimal complications. The aim of this paper is to review the current literature on the subject.


Orbital Complications Of Sinusitis A Review, Balasubramanian Thiagarajan Aug 2014

Orbital Complications Of Sinusitis A Review, Balasubramanian Thiagarajan

Balasubramanian Thiagarajan

Introduction: Despite availability of excellent antibiotics, orbital complications’ following sinusitis is rather common. With the emergence of fungal sinusitis orbital involvement by the disease is getting frequent. Prevalence of life style disorders like diabetes mellitus has added to the woes. This article attempts to review the entire gamut of orbital complications following sinus infections. Aim: This study aims at analyzing orbital complications following sinusitis at Government Stanley Medical College Hospital during the period 2009 – 2013. Study design: Retrospective study Methodology: Cases with rhinosinusitis treated in our Institution during the period 2009-2013 were taken up for analysis. 112 patients were …


Patterns Of Orbital Disorders, Balasubramanian Thiagarajan Aug 2014

Patterns Of Orbital Disorders, Balasubramanian Thiagarajan

Balasubramanian Thiagarajan

This article discusses various patterns of presentations of orbital lesions. Since this article has been authored by an otolaryngologist, the entire concept has been viewed from otolaryngologist's angle. With the advent of nasal endoscope trans nasal access to orbit is becoming the order of the day. Major advantage being that external skin incision is avoided.


Laying The Tears Highway- A Drive Through Endo-Dcr, Balasubramanian Thiagarajan, Srikamakshi Kothandaraman Aug 2014

Laying The Tears Highway- A Drive Through Endo-Dcr, Balasubramanian Thiagarajan, Srikamakshi Kothandaraman

Balasubramanian Thiagarajan

This article is an attempt to review the technique of Dacryocystorhinostomy in the treatment of epiphora and bring to light the various modifications that have been developed in recent times to refine the procedure and optimize the outcome of surgery.


Presbyacusis A Review, Balasubramanian Thiagarajan Mar 2014

Presbyacusis A Review, Balasubramanian Thiagarajan

Balasubramanian Thiagarajan

Life expectancy of Humans is on the rise. World’s human population is aging rapidly. According to a report of US census Bureau nearly 24% of current world population is above the age of 50. This is a phenomenal number. Hearing loss due to degenerative process is rather common in old age. Presbyacusis is defined as a progressive bilateral symmetrical age related sensorineural hearing loss. The hearing loss is confined to higher frequencies. This causes a greater burden on them considering the fact that they already have failing eyesight. This article attempts to review the current scenario pertaining to Presbyacusis with …


Coblation Adenoidectomy Our Experience, Balasubramanian Thiagarajan, Vrinda Balakrishnan Nair Mar 2014

Coblation Adenoidectomy Our Experience, Balasubramanian Thiagarajan, Vrinda Balakrishnan Nair

Balasubramanian Thiagarajan

Aim of our study is to compare the efficacy and safety of coblation adenoidectomy versus conventional cold steel adenoidectomy. The study design included 40 children between age groups 4 – 8. Twenty of these children underwent coblation adenoidectomy while the other group of 20 underwent conventional cold steel adenoidectomy. The parameters taken into consideration for comparison included Post operative pain, operating time, intraoperative bleeding and presence of residual adenoid tissue 6 weeks after surgery. In this study the coblation group demonstrated less post operative pain, less intraoperative bleeding and more complete removal of adenoid tissue. Operative time was found to …


Coblation Wands, Balasubramanian Thiagarajan Mar 2014

Coblation Wands, Balasubramanian Thiagarajan

Balasubramanian Thiagarajan

This article discusses the architecture of coblation wands used in otolaryngological surgeries. Wand happens to be the most important consumable of the coblation system. These wands are also expensive and meant only for single use. Hence this technology has a built in recurring cost factor.


Coblation Tonsillectomy Our Experience, Balasubramanian Thiagarajan Mar 2014

Coblation Tonsillectomy Our Experience, Balasubramanian Thiagarajan

Balasubramanian Thiagarajan

Tonsillectomy happens to be the commonly performed surgery these days. Like any other surgical procedure this surgical procedure has also undergone tremendous technological changes. One such evolving change happens to be coblation tonsillectomy. Coblation technology is actually an offshoot of radiofrequency surgery. This technique involves passing radiofrequency energy through a conductive medium like isotonic sodium chloride or potassium chloride solution. This produces a plasma field which is composed of sodium and hydroxyl ions which ablates tissue. This tissue ablation takes place at (60-70° C) which is much lower than that achieved during other electro surgical techniques (400 – 600° C). …


Coblation An Overview, Balasubramanian Thiagarajan Mar 2014

Coblation An Overview, Balasubramanian Thiagarajan

Balasubramanian Thiagarajan

The term coblation is derived from “Controlled ablation”. This procedure involves non-heat driven process of soft tissue dissolution using bipolar radiofrequency energy under a conductive medium like normal saline. When current from radiofrequency probe pass through saline medium it breaks saline into sodium and chloride ions. These highly energized ions form a plasma field which is sufficiently strong to break organic molecular bonds within soft tissue causing its dissolution. This article attempts to provide a broad overview of the technology and its uses in the field of otolaryngology.


Kashima's Posterior Cordectomy Using Coablator Our Experience., Balasubramanian Thiagarajan, Vrinda Balakrishnan Nair Mar 2014

Kashima's Posterior Cordectomy Using Coablator Our Experience., Balasubramanian Thiagarajan, Vrinda Balakrishnan Nair

Balasubramanian Thiagarajan

Aim: To study the effectiveness of coblation technology in performing Kashima's procedure for bilateral abductor vocal fold paralysis. Methodology: Managing patients with bilateral vocal fold abductor paralysis is rather tricky one. It calls for delicate balance between airway and phonation. Various endolaryngeal techniques have been used to manage this problem. Here the authors describe their experience with posterior cordectomy using coablator. This study includes 10 patients who presented with stridor following bilateral abductor paralysis. All our patients were on tracheostomy tubes. They were very anxious with the tube and wanted decannulation done. All of these patients were operated by the …


Mutational Falsetto: A Panoramic Consideration, Balasubramanian Thiagarajan, Srikamakshi Kothandaraman Jan 2014

Mutational Falsetto: A Panoramic Consideration, Balasubramanian Thiagarajan, Srikamakshi Kothandaraman

Balasubramanian Thiagarajan

This article is intended to present everything that is known about puberphonia in a comprehensive yet concise manner. The evolution of the approach and attitude to its treatment from ancient concepts to recent trends is highlighted.