MyMedR

Ectopic tooth in the roof of the maxillary sinus

Elango S, Palaniappan SP

Ear Nose Throat J, 1991 Jun;70(6):365-6.

Eruption of a tooth into a nonoral environs is rare. Ectopic eruption of the tooth into the nasal cavity and chin has been reported before. This is a report of an ectopic third molar tooth in the roof of the maxillary sinus, which has not, to our knowledge, been reported before.

Nasal manifestations of yaws

Elango S, Palaniappan SP

Ear Nose Throat J, 1989 Nov;68(11):870, 873-5.

PMID: 2612395

Yaws is an infectious, non-venereal disease of the tropical countries, which is caused by Treponema pertenue. Gangosa and goundou were seen commonly in cases of yaws in Africa, particularly in the early part of this century. After successful WHO mass treatment campaigns, these conditions are rarely seen now. A case of yaws with gangosa, goundou, and a nasopharyngeal carcinoma is presented here for its rarity.

The way we teach otolaryngology in an integrated problem-based curriculum

Elango S, Arumainayagam GC, Palaniappan SP

Med Teach, 1991;13(1):63-6.

PMID: 1865800

The University Science Malaysia, Penang, the third medical school in Malaysia, is following an integrated curriculum. In this curriculum, the students are taught the subject of otolaryngology from the second year of their course unlike the traditional schools where they are taught in the fourth or fifth year. This paper describes how otolaryngology is introduced in this integrated, problem-based curriculum.

Fulltext Oesophageal food bolus impaction

Elango S, Palaniappan SP, Lingam VS, George L

Singapore Med J, 1990 Dec;31(6):624-6.

PMID: 2281364

Impaction of food usually occurs in patients having obstructive lesions of the oesophagus. The food bolus impaction normally occurs in patients older than 60 years of age. Though food bolus impaction in the oesophagus is not uncommon, food bolus in the oesophagus causing complete obstruction resulting in total dysphagia is rare. This is a case report of a woman who had complete obstruction of the oesophagus following impaction by a piece of meat. The various treatment modalities available for such a condition are discussed.

Fulltext Influence of Preoperative Nutritional Status on Surgical Outcomes of Arthroplasty in Geriatric Femoral Neck Fractures

Lakha Singh SS, Theveraja KD, Ho JPY, Palaniappan SP, Subramaniam SR, Lakha Singh SS, et al.

Geriatr Orthop Surg Rehabil, 2025;16:21514593251327914.

PMID: 40160432 DOI: 10.1177/21514593251327914

BACKGROUND: Patients with geriatric neck of femur (NOF) fractures often have multiple medical conditions and compromised baseline nutrition, impacting arthroplasty outcomes. Indicators like BMI, albumin, hemoglobin, urea, creatinine, CRP, and HbA1c influence nutritional status and postoperative results. This study evaluates the impact of preoperative nutrition on surgical outcomes, including postoperative complications, mobility, and pain scores in geriatric femoral neck fractures.

METHODS: A retrospective study of 141 geriatric patients with NOF fractures admitted to Kuala Lumpur General Hospital between 2022-2023, treated operatively, was conducted. Associations of age, gender, ethnicity, BMI, education, smoking status, comorbidity, pre-fracture mobility, American Society of Anesthesiologists (ASA) level, and perioperative nutritional parameters with post-surgical complications, mobility, and WOMAC scores 1-year post-surgery were analyzed using logistic regression.

RESULTS: Higher BMI (AOR = 1.21, 95% CI: 1.07-1.42, P = 0.03) and ASA levels ≥2 (AOR = 2.53, 95% CI: 1.30-4.91, P = 0.01) were significant predictors of post-surgical complications. Abnormal hematological variables, including hemoglobin (AOR = 1.78, 95% CI: 1.45-2.45, P < 0.001), urea (AOR = 1.35, 95% CI: 1.15-1.60, P = 0.002), creatinine (AOR = 1.20, 95% CI: 1.00-1.52, P = 0.04), and HbA1c (AOR = 1.40, 95% CI: 1.25-1.67, P = 0.004), were also associated with complications. BMI (AOR = 1.12, 95% CI: 1.06-1.30, P = 0.049) and abnormal hematological variables, including hemoglobin (AOR = 1.99, 95% CI: 1.05-2.70, P = 0.003), urea (AOR = 1.58, 95% CI: 1.06-1.95, P = 0.006), creatinine (AOR = 1.21, 95% CI: 1.09-1.38, P = 0.048), and HbA1c (AOR = 1.98, 95% CI: 1.25-2.57, P = 0.002), were significant predictors of reduced post-surgical mobility. No significant factors were associated with WOMAC scores at 1 year.

CONCLUSION: Preoperative nutritional status significantly impacts outcomes in geriatric patients undergoing arthroplasty for femoral neck fractures. Comprehensive preoperative nutritional assessments are essential for improving postoperative outcomes.

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