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SelectedWorks

2014

Laryngology

Articles 1 - 7 of 7

Full-Text Articles in Medicine and Health Sciences

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 …


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 …