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  1. Diagnostic challenges in tuberculous otitis media
    Tang IP, Prepageran N, Ong CA, Puraviappan P
    J Laryngol Otol, 2010 Aug;124(8):913-5.
    PMID: 20426886 DOI: 10.1017/S0022215110000265
    To demonstrate the different clinical presentations of tuberculous otitis media and the management of selected cases.
  2. Efficacy of relocation of submandibular duct in cerebral palsy patients with drooling
    Puraviappan P, Dass DB, Narayanan P
    Asian J Surg, 2007 Jul;30(3):209-15.
    PMID: 17638641
    The efficacy of relocating the submandibular duct to treat drooling in children with cerebral palsy was studied.
  3. An abnormal sigmoid sinus with a dire clinical implication
    Puraviappan P, Prepageran N, Ong CA, Abd Karim R, Lingham OR, Raman R
    Ear Nose Throat J, 2014 Jun;93(6):E55-6.
    PMID: 24932833
  4. Endoscopic, endonasal decompression of spinal stenosis with myelopathy secondary to cranio-vertebral tuberculosis: two cases
    Puraviappan P, Tang IP, Yong DJ, Prepageran N, Carrau RL, Kassam AB
    J Laryngol Otol, 2010 Jul;124(7):816-9.
    PMID: 20003599 DOI: 10.1017/S0022215109992271
    Tuberculosis can cause extensive osseo-ligamentous destruction at the cranio-vertebral junction, leading to atlanto-axial instability and compression of vital cervico-medullary centres. This may manifest as quadriparesis, bulbar dysfunction and respiratory insufficiency.
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