MyMedR

Mysterious Case of Drooling Infant - Hidden Foreign Body over Hard Palate

Gan BC

Kathmandu Univ Med J (KUMJ), 2023;21(82):235-237.

Foreign body over the hard palate is a rare clinical entity that happen almost exclusively in young pediatric age group with only about 40 odd cases ever reported. Most cases in the literature are described as incidental findings of hard palate mass causing heightened anxiety to parents and clinicians alike during routine oral cavity examination. Owing to its rarity and lackluster presenting symptoms, this simple condition are often overlooked but has high propensity to develop into life threatening condition if dislodged into the airway.

Fulltext A concealed giant peritonsillolith masquerading as oropharyngeal tumor

Gan BC, Mohamad I, Lazim NM

Braz J Otorhinolaryngol, 2020 Dec;86 Suppl 1:72-74.

PMID: 29102399 DOI: 10.1016/j.bjorl.2017.09.002

Fulltext The Mysterious Whistling Breath: Foreign Body Aspiration

Chandran S, Gan BC, Goh BS

Cureus, 2023 Jan;15(1):e34267.

PMID: 36855495 DOI: 10.7759/cureus.34267

Foreign body aspiration is commonly seen in the pediatric age group and can be a life-threatening condition. Typical presentations include coughing, wheezing, and choking and can often masquerade as asthma causing misdiagnosis and treatment delay. Most of the time, the actual aspiration event is unnoticed, and patients may remain asymptomatic until they present with recurrent infections with or without positive radiological findings. Aspirated objects tend to migrate distally, and organic objects may induce edema and inflammation. Diagnosis is crucial as near-total or total obstruction of the airway may cause asphyxia and, subsequently, death if no immediate intervention is taken.

Thyroid function status evaluation in patient post-radiotherapy for nasopharyngeal carcinoma: A retrospective study

Loh ZH, Mohamad S, Gan BC, Zakaria Z, Mohamad I

Med J Malaysia, 2023 Mar;78(2):197-201.

PMID: 36988530

INTRODUCTION: Nasopharyngeal carcinoma (NPC) is among the most common malignancy in Malaysia. Radiationinduced hypothyroidism has been reported in other countries. However, in Malaysia, no studies were ever done to determine the effect of radiation on hypothyroidism. The objective of this study is to evaluate the practice of taking thyroid function test (TFT) and determine hypothyroidism post-radiation in patients with NPC.

MATERIALS AND METHODS: A retrospective study on the symptoms and results of TFT according to the dosage of intensity-modulated radiotherapy (IMRT) given to patients with NPC. Data were traced and analysed.

RESULTS: A total of 78 patients were identified. All patients received IMRT with 33-35 fractions of radiotherapy (RT) with total dosage of 66-70 Gray given. Not all patients had their thyroid function status measured routinely. Twelve patients did have symptoms of hypothyroidism. TFT were obtained in this group but the results were normal. No correlation was found between RT and hypothyroidism.

CONCLUSION: There was no correlation between IMRT and the development of hypothyroidism. A prospective study with better control of inclusion and exclusion criteria, and longer follow-up period with TFT, is needed to demonstrate the consistency of these findings.

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