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 of 10 year published literature on this subject.
Abstract: Gingival hyperplasia / hypertrophy is a rather common condition. This article reviews literature pertaining only to gingival overgrowth following drug ingestion. A wide range of causes have been attributed to gingival overgrowth. Drug induced overgrowth commonly occurs following medications prescribed for non dental causes. Pathogenesis of gingival overgrowth following ingestion of certain drugs is […]
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. This study of immunological profile of laryngeal tissue becomes more relavant because laryngeal transplantation is around the corner.
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 surgeries Introduction: Thyroid gland is intimately related to two important nerves that control voice; i.e. Superior laryngeal and recurrent laryngeal nerves. Surgeon who operates on thryoid should always keep in mind the unpleasant morbidity caused by inadvertant injury to these nerves during surgery. Thyroid surgery is one of the commonly […]
Hyperbaric Oxygen Therapy Introduction: Hyperbaric oxygen therapy is defined as administration of 100% oxygen to a patient placed inside a chamber pressurised to greater than 1 atmosphere at sea level 1. Local application of oxygen under high pressure without completely enclosing the patient is not considered to be hyperbaric oxygen therapy. History: Hyperbaric oxygen therapy […]
This interesting case report discusses a case of hypertrophied lingual tonsil. Commonest cause of lingual tonsil hypertrophy is compensatory enlargement following tonsillectomy, next comes GERD which is common in children. Even though such huge enlargement of lingual tonsil is rare, it can be troublesome if it occurs.
Tonsillare snare is widely used to remove palatine tonsils even today. Palatine tonsils being highly vascular bleeds a lot on removal. In order to minimize bleeding on removing these structures the concept of snaring was introduced by Curtis C Eves in 1910. This article describes this instrument, its history, and mode of action.