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  1. Fulltext Symptomatic oral squamous papilloma of the uvula - a rare incidental finding
    Ramasamy K, Kanapaty Y, Abdul Gani N
    Malays Fam Physician, 2019;14(3):74-76.
    PMID: 32175046
    Oral squamous papillomas are benign neoplasms of the oral cavity that occur commonly on the palate. Albeit benign and often asymptomatic, they may still cause concern due to their appearance, which may mimic other malignant oral pathologies. Human papillomavirus (HPV) is usually implicated in papilloma pathogenesis. We present a rare case of symptomatic oral squamous papilloma arising from the uvula and causing tongue and throat irritation. This benign lesion was excised with electrocautery.
  2. Spontaneous Thyroid Haemorrhage: A Cause of Upper Airway Obstruction
    Wong M, Kanapaty Y, Liew YT, Bakri A
    Acute Med, 2019;18(4):248-250.
    PMID: 31912057
    BACKGROUND: Spontaneous thyroid haemorrhage is a very rare condition that is potentially life-threatening. We report an unusual case of spontaneous thyroid haemorrhage leading to airway compromise requiring urgent intervention. We highlight key clinical findings and management steps with comparison to similar cases in the literature.

    CASE SUMMARY: An adult male presented with sudden anterior neck swelling and bruises on his neck and chest with hoarseness and dysphagia. Clinical assessment and CT scan revealed a thyroid haemorrhage with laryngopharyngeal, neck and chest haematoma. He was intubated for airway protection and given intravenous steroids and antibiotics. He was extubated well after 3 days.

    CONCLUSION: Careful prompt management of the patient's airway is of vital importance as worsening haematoma can lead to rapid airway compromise. Acute physicians should be aware of the clinical signs of thyroid haemorrhage, as this rare condition may present to the acute medical take.

  3. 'Pai Syndrome' with anterior alveolar polyp: A variant of a rare clinical entity
    Debnath KK, Kanapaty Y, Yong DJ, Chandran S, Bakri A
    Med J Malaysia, 2019 Jun;74(3):229-230.
    PMID: 31256179
    'Pai syndrome' (PS) is a rare congenital syndrome. Presented here, a new-born baby-girl who exhibited the characteristic features of having a midline nasal (septal) polyp, an anterior alveolar process polyp, and a pericallosal lipoma associated with corpus callosum dysgenesis of the brain. Both polyps were lined with stratified-squamous epithelium. The overall features were largely consistent with those described by Pai et al., in 1987. A midline cleft-lip (with or without cleft-alveolus) is one of the most common features of the syndrome which was however absent in this case. Instead, an anterior alveolar polyp is present, which is relatively rare.
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