LINGUAL THYROID OUR EXPERIENCE |
Author : BALASUBRAMANIAN THIAGARAJAN, KARTHIKEYAN ARJUNAN, SEETHALAKSHMI NARASHIMAN |
Abstract | Full Text |
Abstract : Lingual thyroid is an uncommon congenital disorder of thyroid gland development, resulting in a lack of descend of the gland from foramen caecum to its normal prelaryngeal location. In this paper wediscuss a series of cases of ectopic thyroid gland its incidence, clinical presentation, sex ratio, age group, endocrine status, radiological features and appropriate surgical approaches. |
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RHINOSPORIDIOSIS OUR EXPERIENCE |
Author : BALASUBRAMANIAN THIAGARAJAN |
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Abstract : This article discusses the personal experience of author in the management of rhinosporidiosis. Living in an endemic area of disease the author had the privilege of managing about 200 cases of rhinosporidiosis during 2005 to 2010. Commonest area of involvement happened to be nasal cavity. Inside the nasal cavity rhinosporidiosis was commonly seen arising from inferior meatus. All these patients gave history of bathing in ponds which could account for the common etiopathogenic factor. All the cases were managed by surgical resection followed by 9 months course of T Dapsone to minimize risk of recurrence. Despite these measures the author had a recurrence rate of about 19%. Imaging really provided a road map as majority of these lesions were removed endoscopically. |
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VERSATILITY OF BICORONAL FLAP APPROACH IN HEAD AND NECK SURGERIES |
Author : BALASUBRAMANIAN THIAGARAJAN, LEENA BALACHANDAR |
Abstract | Full Text |
Abstract : Bicoronal approach popularised by Tessier is one of the versatile approaches for skulland frontal region (1-6).In this article we present our experience regarding Bicoronal flapapproach in 3 different cases. Each patient had different pathologies in frontal region forwhich the same approach had been used. We also describe in detail about the incision, itsindications and contra indications, advantages and disadvantages. Incision was made in hairbearing area. Hence post operatively, cosmetic results were appealing in all the patients 9. Itpreserves the supraorbital neurovascular bundle, so complaints related to that are avoided. Inthis article, we discuss about the individual patient, merits and demerits of this particularapproach in each patient. |
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ADENOID, FAMILIAL |
Author : SULABHA M NAIK, MAHENDRA S NAIK, GINNI DATTA, CHANDRAPRAKASH SHARMA, DALBIR SINGH |
Abstract | Full Text |
Abstract : Waldeyer’s ring is a collection of lymphoid tissue at the entrance to the aerodigestive tract.Adenoids are present in the nasopharyx.They begin to regress from the age of 8 to 10 years1 and nearly always disappear by adulthood. The persistent presence of adenoid tissue after puberty has been reported in literature.While investigating a case of nasal obstruction in adults,the possibility of persistence of adenoid tissue should be borne in mind. |
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BIPP (BISMUTH IODINE PARAFFINE PASTE) PACK REVISITED |
Author : BALASUBRAMANIAN THIAGARAJAN |
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Abstract : This review article takes a new look at the use of BIPP pack following nasal and ear surgeries. Itlists the advantages and pitfalls of using this packing material. Pubmed search revealed very littlematerial on this topic hence I compiled existing data to bring out an article. |
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MANDIBULAR SWING APPROACH FOR A RECURRENT PARA PHARYNGEAL SPACE TUMOR – REPORT OF A CASE. |
Author : BALASUBRAMANIAN THIAGARAJAN, KARTHIKA A |
Abstract | Full Text |
Abstract : Para pharyngeal space tumors , most of them benign, account forsome 0.5% of tumors of head and neck. The importance of thesetumors lie mainly in two aspects- on the one hand, the difficultyof early diagnosis and on the other hand the extremecomplications of performing surgery in Para pharyngeal region.This article discusses a clinical case of recurrent parapharyngeal tumor. A 32 yr old man presented with a recurrentleft side neck swelling,4cm in diameter,which was subsequentlyconfirmed as schwannoma by FNAC. Para pharyngeal tumorwas successfully removed by mandibular swing approach and excision technique. His post operative course was uneventful and the pre operative clinical symptoms such as dysphagia and dysphnea completely resolved after surgery. |
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INTERESTING CASE RECORD OF A TOOTH INSIDE NASAL CAVITY |
Author : BALASUBRAMANIAN THIAGARAJAN |
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Abstract : I am presenting an interesting case report of an ectopic erection of teeth into left nasal cavity. Discussion isfocussed on clincal, radiological presentation, probable etiology, diagnosis, management and complications.Tooth inside nasal cavity is a rare form of supernumerary teeth which can be identified by performing CTscan. |
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