Electroacoustic verification of frequency modulation systems in cochlear implant users
ConclusionThe electroacoustic evaluation protocol suggested was effective in evaluation of transparency between the frequency modulation system and the cochlear implant. Performing the adjustment of the speech processor and the frequency modulation system gain are essential when fitting this device.ResumoIntroduçãoO sistema de frequência modulada é um dispositivo que ajuda a melhorar a percepção da fala no ruído, e é considerado a abordagem mais benéfica para melhorar o reconhecimento da fala no ruído em usuários de implantes cocleares. De acordo c...
Source: Brazilian Journal of Otorhinolaryngology - March 28, 2019 Category: ENT & OMF Source Type: research

The Portuguese version of “The Utrecht questionnaire for outcome assessment in aesthetic rhinoplasty”: validation and clinical application
Publication date: March–April 2019Source: Brazilian Journal of Otorhinolaryngology, Volume 85, Issue 2Author(s): Francisco Rosa, Peter J.F.M. Lohuis, João Almeida, Mariline Santos, Jorge Oliveira, Cecília Almeida e Sousa, Miguel FerreiraAbstractIntroductionThe evaluation of surgical outcomes measured by patient satisfaction or quality of life is very important, especially in plastic surgery. There is increasing interest in self-reporting outcomes evaluation in plastic surgery.ObjectiveThe aim of this study was to perform the translation, cross-cultural adaptation and validation of “The Utrecht que...
Source: Brazilian Journal of Otorhinolaryngology - March 28, 2019 Category: ENT & OMF Source Type: research

Septum pyramidal adjustment and repositioning – a conservative and effective rhinoplasty technique
ConclusionThe septum pyramidal adjustment surgical technique is a simple procedure, as it does not require the reconstruction of the nasal dorsum. It has a low number of complications and preserves the anatomical structures.ResumoIntroduçãoNa rinoplastia, o dorso nasal tem importante relevância no quadro estético e funcional. A sua redução deve ser realizada com máxima precisão e ressecção controlada a fim de prevenir ou minimizar complicações potenciais. O termo septum pyramidal adjustment and repositioning consiste em uma técnica ci...
Source: Brazilian Journal of Otorhinolaryngology - March 28, 2019 Category: ENT & OMF Source Type: research

Multifocal myositis ossificans in masticatory muscles 30 years after gunshot wound: case report and literature review
Publication date: March–April 2019Source: Brazilian Journal of Otorhinolaryngology, Volume 85, Issue 2Author(s): Beatriz Godoi Cavalheiro, Claúdio Roberto Cernea, Lenine Garcia Brandão (Source: Brazilian Journal of Otorhinolaryngology)
Source: Brazilian Journal of Otorhinolaryngology - March 28, 2019 Category: ENT & OMF Source Type: research

Good results in the treatment of ossicular lesions without reconstruction – our explanation for seven cases
Publication date: March–April 2019Source: Brazilian Journal of Otorhinolaryngology, Volume 85, Issue 2Author(s): Silvio da Silva Caldas Neto, Mariana de Carvalho Leal, Nelson Caldas (Source: Brazilian Journal of Otorhinolaryngology)
Source: Brazilian Journal of Otorhinolaryngology - March 28, 2019 Category: ENT & OMF Source Type: research

Overexpression of CDC7 in malignant salivary gland tumors correlates with tumor differentiation
ConclusionsThe present study demonstrated cell division cycle-7 overexpression in malignant salivary gland tumors in comparison with pleomorphic adenomas, and also a correlation with tumor differentiation. Therefore, this protein might be a potential prognostic and therapeutic target for salivary gland tumors.ResumoIntroduçãoA cell division cycle-7 é uma serina/treonina quinase que tem um papel básico na regulação do ciclo celular e é um potencial marcador prognóstico ou terapêutico em alguns tipos de câncer humano.ObjetivosEste estudo investigou a express...
Source: Brazilian Journal of Otorhinolaryngology - March 28, 2019 Category: ENT & OMF Source Type: research

Expanding the limits of endoscopic intraorbital tumor resection using 3-dimensional reconstruction
ConclusionThree-dimensional reconstruction enhances preoperative planning for endoscopic orbital surgery. Tumors that extend lateral to the optic nerve may still be candidates for a purely endoscopic resection as long as they do not extend above the plane of resectability described herein.ResumoIntroduçãoA cirurgia orbital endoscópica é um campo emergente e são necessárias novas ferramentas para auxiliar no planejamento cirúrgico e determinar os limites da ressecabilidade tumoral.ObjetivoUsar a reconstrução radiográfica tridimensional para definir o limi...
Source: Brazilian Journal of Otorhinolaryngology - March 28, 2019 Category: ENT & OMF Source Type: research

Trismus and oral health conditions during diagnosis of malignant oral neoplasms
In this study, we evaluated the incidence of trismus and its effect on oral health in patients with malignant neoplasms of the oral cavity before performing the cancer treatment.MethodsThis review was carried out via interviews, visual clinical inspection and objective measurement of maximal mouth opening in 35 consecutive patients. Trismus was defined as a maximal mouth opening
Source: Brazilian Journal of Otorhinolaryngology - March 19, 2019 Category: ENT & OMF Source Type: research

Cervical vestibular evoked myogenic potentials and video head impulse test in Ménière disease
ConclusionFor the video head impulse test, a decreased gain of the vestibulo-ocular reflex for the lateral canal was observed, with a higher incidence of overt type corrective saccades compared to the control group. For the cervical vestibular evoked myogenic potential, there was a significant difference between the groups for the inter-amplitude parameter, including for asymptomatic ears. There was no correlation between the results of the tests and disease duration.ResumoIntroduçãoA doença de Ménière está entre as causas mais frequentes de vestibulopatias. Apesar de o diagn&oacut...
Source: Brazilian Journal of Otorhinolaryngology - March 17, 2019 Category: ENT & OMF Source Type: research

Non-squamous cell carcinoma diseases of the larynx: clinical and imaging findings
ConclusionImaging studies may provide clues for diagnosis of non-squamous cell laryngeal lesions. Clinical and imaging findings and previous clinical history should be evaluated together in clinical management of laryngeal lesions.ResumoIntroduçãoO carcinoma de células escamosas é a neoplasia laríngea mais comum, representando aproximadamente 95% de todas as neoplasias malignas da laringe. No entanto, vários outros tumores benignos e malignos, e doenças inflamatórias, podem afetar a laringe.ObjetivoO objetivo deste estudo é analisar os achados clínicos e...
Source: Brazilian Journal of Otorhinolaryngology - March 17, 2019 Category: ENT & OMF Source Type: research

Functional outcomes and survival of patients with oral and oropharyngeal cancer after total glossectomy
Publication date: Available online 16 March 2019Source: Brazilian Journal of OtorhinolaryngologyAuthor(s): Isabela de Cássia Marins Quinsan, Gustavo Carvalho Costa, Antonio Vitor Martins Priante, Cesar Augusto Cardoso, Caio Luis S. NunesAbstractIntroductionCancer of the oral cavity and oropharynx exhibits an aggressive behavior and its diagnosis is, in most cases, attained at advanced stages. Total glossectomy is a therapeutic option in locally advanced cancer, and the only choice in the presence of recurrent or residual disease after chemoradiotherapy.ObjectiveTo evaluate the clinical-epidemiological profile, posto...
Source: Brazilian Journal of Otorhinolaryngology - March 17, 2019 Category: ENT & OMF Source Type: research

Evaluation of serum prolidase enzyme activity and oxidative stress in patients with tinnitus
ConclusionWe detected that the total oxidant status, oxidative stress index and serum prolidase enzyme activity levels were higher in patients with tinnitus when compared to the healthy controls. This finding suggests that oxidative stress index and serum prolidase enzyme activity may play a role in the etiopathogenesis of tinnitus.ResumoIntroduçãoO zumbido é definido como a percepção de um som na cabeça na ausência de sons externos. A causa do zumbido ainda é desconhecida.ObjetivoNosso objetivo foi comparar os níveis séricos do estado oxidante total, est...
Source: Brazilian Journal of Otorhinolaryngology - March 16, 2019 Category: ENT & OMF Source Type: research

Auditory attention in individuals with tinnitus
ConclusionsIndividuals with tinnitus had a poorer performance compared to the control group regarding auditory attention ability. Therefore, it is inferred that tinnitus is associated with poor performance in selective and sustained auditory attention in the assessed volunteers. These aspects should be considered for the management of patients with tinnitus.ResumoIntroduçãoO zumbido caracteriza-se pela presença de som na ausência de estímulo sonoro externo. Em indivíduos com audiometria normal pode estar associado à dificuldade na atenção auditiva, principalment...
Source: Brazilian Journal of Otorhinolaryngology - March 9, 2019 Category: ENT & OMF Source Type: research

LwPTL: a novel classification for upper airway collapse in sleep endoscopies
ConclusionLwPTL seems a simple and straightforward staging system for classifying drug-induced sleep endoscopy, distinguishing the important upper retopalatal obstruction and the primary and secondary laryngeal collapses, providing more information for appropriate treatment selection.ResumoIntroduçãoNão há consenso sobre um sistema único de classificação para os achados obstrutivos da endoscopia do sono induzido por drogas. Os sistemas de classificação anteriores negligenciaram a abordagem da obstrução retropalatal superior, a divisão segme...
Source: Brazilian Journal of Otorhinolaryngology - March 9, 2019 Category: ENT & OMF Source Type: research

Is serum bilirubin level a predictor factor in parotid gland carcinoma?
ConclusionIn our study, we observed that increased preoperative bilirubin levels are associated with reduced survival time in the postoperative period of patients with parotid gland carcinoma.ResumoIntroduçãoOs níveis de bilirrubina têm sido associados ao risco de várias lesões malignas. A associação entre os níveis séricos de bilirrubina pré-tratamento e a sobrevida global dos pacientes com carcinoma da glândula parótida ainda não é clara.ObjetivosNeste estudo, avaliamos o efeito dos níveis séricos de bilir...
Source: Brazilian Journal of Otorhinolaryngology - March 9, 2019 Category: ENT & OMF Source Type: research

Assessment of inflammatory markers in otosclerosis patients
ConclusionThese results show that neutrophil lymphocyte ratio, platelet lymphocyte ratio, white blood cell and thrombocytes should not be used to predict otosclerosis, but suggest that mean platelet volume may be a negative predictive marker.ResumoIntroduçãoA otosclerose é uma doença idiopática caracterizada por neoformação óssea em focos da cápsula ótica humana. É mais comum em populações caucasianas, afetando o sexo feminino numa taxa 2 vezes maior que o masculino. A etiopatogenia ainda não foi totalmente elucidada.ObjetivoO...
Source: Brazilian Journal of Otorhinolaryngology - March 9, 2019 Category: ENT & OMF Source Type: research

Influence of speech-language therapy on P300 outcome in patients with language disorders: a meta-analysis
ConclusionThe present meta-analysis demonstrates that speech therapy does not influence the latency and amplitude results of the P300 evoked potential in children undergoing speech therapy intervention.ResumoIntroduçãoA evolução do paciente na clínica fonoaudiológica atua como fator motivador do processo terapêutico, contribuindo para a sua adesão ao tratamento e possibilitando ao terapeuta a revisão e/ou a manutenção de suas condutas. As medidas eletrofisiológicas, como o potencial evocado P300, auxiliam na avaliação, na compr...
Source: Brazilian Journal of Otorhinolaryngology - March 9, 2019 Category: ENT & OMF Source Type: research

Comparison of postoperative morbidity between conventional cold dissection and bipolar electrocautery tonsillectomy: which technique is better?
This study was conducted to assess and compare postoperative morbidity between cold dissection and bipolar electrocautery.MethodsThis prospective randomized clinical trial was performed on 534 patients who underwent tonsillectomy in Vali-e-Asr Hospital of Birjand, east of Iran from October, 2013 to October, 2015. The patients were systematically selected for cold dissection technique or bipolar electrocautery technique groups. Time of surgery, amount of intraoperative blood loss, postoperative hemorrhage, the intensity of local pain 4 and 24 h after operation and nausea and/or vomiting were recorded and compared in th...
Source: Brazilian Journal of Otorhinolaryngology - March 9, 2019 Category: ENT & OMF Source Type: research

The effects of music therapy in patients undergoing septorhinoplasty surgery under general anesthesia
Publication date: Available online 5 March 2019Source: Brazilian Journal of OtorhinolaryngologyAuthor(s): Erhan Gokçek, Ayhan KayduAbstractIntroductionMusic has been used for several years as a relaxation method to reduce stress and anxiety. It is a painless, safe, inexpensive and practical nonpharmacologic therapeutic modality, widely used all over the world.ObjectivesWe aimed to evaluate the effect of music therapy on intraoperative awareness, patient satisfaction, awakening pain and waking quality in patients undergoing elective septorhinoplasty under general anesthesia.MethodsThis randomized, controlled, prospec...
Source: Brazilian Journal of Otorhinolaryngology - March 6, 2019 Category: ENT & OMF Source Type: research

Allergic laryngitis: chronic laryngitis and allergic sensitization
Publication date: Available online 4 March 2019Source: Brazilian Journal of OtorhinolaryngologyAuthor(s): Andrea Campagnolo, Michael S. Benninger (Source: Brazilian Journal of Otorhinolaryngology)
Source: Brazilian Journal of Otorhinolaryngology - March 5, 2019 Category: ENT & OMF Source Type: research

Results of endoscopic transcanal tympanoplasty performed by a young surgeon in a secondary hospital
Publication date: Available online 28 February 2019Source: Brazilian Journal of OtorhinolaryngologyAuthor(s): Mert Cemal Gokgoz, Hamdi Tasli, Bekir HelvaciogluAbstractIntroductionTympanoplasty is performed to close the tympanic membrane perforation and recover the hearing level of patients with non-suppurative chronic otitis media. Endoscopic tympanoplasty has recently been increasingly preferred by ear nose and throat surgeons to treat tympanic membrane perforations.ObjectiveThe aim of this study is to discuss the outcomes of patients undergoing endoscopic tympanoplasty performed by a young surgeon in a secondary hospital...
Source: Brazilian Journal of Otorhinolaryngology - March 1, 2019 Category: ENT & OMF Source Type: research

Diagnosing acquired syphilis through oral lesions: the 12 year experience of an Oral Medicine Center
ConclusionThe frequency of oral syphilis has been rising over time and oral lesions may well represent a diagnostic clue; therefore, oral health professionals must be made aware and properly trained in an attempt to develop a high degree of clinical suspicion in the diagnosis of syphilis.ResumoIntroduçãoUm ressurgimento da sífilis no Brasil tem sido relatado nos últimos anos.ObjetivoNesse sentido, o presente estudo buscou investigar a frequência, características demográficas e clínicas dos pacientes com sífilis adquirida com envolvimento oral que receberam atend...
Source: Brazilian Journal of Otorhinolaryngology - February 26, 2019 Category: ENT & OMF Source Type: research

Polymorphism in GRHL2 gene may contribute to noise-induced hearing loss susceptibility: a meta-analysis
ConclusionRs3735715 polymorphism in GRHL2 gene may influence the susceptibility of noise-induced hearing loss. Additional large, well-designed and functional studies are needed to confirm this association in different populations.ResumoIntroduçãoPerda auditiva induzida por ruído é uma das principais doenças ocupacionais causadas pela interação gene-ambiente. O Grainy Like 2, ou GRHL2 é um gene que tem sido considerado como candidato. Nesse sentido, muitos estudos avaliaram a associação entre o GRHL2 e perda auditiva induzida por ruído, embora os r...
Source: Brazilian Journal of Otorhinolaryngology - February 26, 2019 Category: ENT & OMF Source Type: research

Changes in substance P levels of inferior turbinate in patients with mucosal contact headache
ConclusionThis study demonstrates the relationship between intranasal contact headaches and increased mucosal substance P levels. We also found that there is no correlation with substance P levels and volume of the inferior turbinate.ResumoIntroduçãoA cefaleia por ponto de contato da mucosa é uma dor direcionada que surge do contato entre o septo nasal e a parede nasal lateral. Evidências corroboram o papel da substância P na cefaleia de contato, de tal forma que a liberação da mesma a partir de terminações nervosas sensoriais possa causar inflamaçã...
Source: Brazilian Journal of Otorhinolaryngology - February 23, 2019 Category: ENT & OMF Source Type: research

Cortical auditory evoked potential in babies and children listeners
ConclusionThe obtained results can be considered as reference values of latency and amplitude of cortical auditory potentials in infants and children, and be used for monitoring their cortical auditory development.ResumoIntroduçãoOs potenciais evocados auditivos corticais têm sido cada vez mais utilizados em pesquisas e rotinas audiológicas. É importante que mais pesquisas sejam realizadas com maior número de crianças por faixa etária, a fim de contribuir para o conhecimento e descrever a variação das medidas de latência e amplitude, permitindo esta...
Source: Brazilian Journal of Otorhinolaryngology - February 23, 2019 Category: ENT & OMF Source Type: research

Surgical outcomes of sinonasal inverted papilloma: a 17 year review
This study aimed to analyze the surgical outcomes of patients with inverted papillomas, according to the Krouse staging and the different surgical approaches.MethodsRetrospective study of patients diagnosed with sinonasal inverted papillomas who underwent surgical treatment between 2000 and 2016 at a tertiary referral hospital. Cases with follow-up less than 12 months were excluded. The rate and the time of recurrence were the main outcomes. Values of p 
Source: Brazilian Journal of Otorhinolaryngology - February 23, 2019 Category: ENT & OMF Source Type: research

Factors influencing the quality of life of children with cochlear implants
ConclusionThe influencing factors that correlated with the quality of life of the implanted children were the child's older age at the evaluation, the better hearing and language skills, the mother's level of schooling and the family receptiveness.ResumoIntroduçãoO impacto multidimensional da deficiência auditiva nas várias demandas da vida das crianças usuárias de implante coclear é representado por variáveis que podem influenciar os resultados de audição, linguagem e qualidade de vida desta população.ObjetivoAvaliar os fatores influenciado...
Source: Brazilian Journal of Otorhinolaryngology - February 23, 2019 Category: ENT & OMF Source Type: research

Nasal lavage cytology and mucosal histopathological alterations in patients with rhinitis
ConclusionIn this series, 4% was the cutoff point for the number of eosinophils in the nasal lavage, for atopy differentiation. Upper airway remodeling accessed by basement membrane thickness showed similar inflammatory cell infiltrate in the nasal lavage, regardless of the presence of atopy.ResumoIntroduçãoA extensão da lesão epitelial na rinite alérgica e não alérgica e sua associação com alterações inflamatórias no lavado nasal, ainda não estão esclarecidas.ObjetivoVerificar a relação entre o processo inflamat...
Source: Brazilian Journal of Otorhinolaryngology - February 23, 2019 Category: ENT & OMF Source Type: research

Endoscopic cartilage tympanoplasty: full thickness and partial thickness tragal graft
ConclusionThis study reveals that endoscopic tragal cartilage shield tympanoplasty is a reliable technique; in fact it has a high degree of graft take and good hearing results, irrespective of the thickness. Furthermore, the tragal cartilage is easily accessible, adaptable, resistant to resorption and single-handed endoscopic ear surgery is minimally invasive, sutureless and provides a panoramic view of the middle ear.ResumoIntroduçãoA cartilagem é o material de enxerto de escolha no tratamento cirúrgico de certas condições clínicas da orelha média. Devido ao poss&iac...
Source: Brazilian Journal of Otorhinolaryngology - February 21, 2019 Category: ENT & OMF Source Type: research

Prevention of upper aerodigestive tract cancer through active search strategies and use of equipped propaedeutics
ConclusionThe method was effective in the identification of precancerous lesions for the purpose of secondary prevention, but equally important against upper aerodigestive tract cancer, since in the present study the chance of finding the latter was increased by 22.7, showing it is an alternative for future campaigns against the disease.ResumoIntroduçãoO câncer do trato aerodigestivo superior configura-se entre os mais frequentes e apresenta-se com importância epidemiológica no mundo. A maior parte apresenta-se avançada ao diagnóstico, com forte impacto negativo na sobrevida e...
Source: Brazilian Journal of Otorhinolaryngology - February 21, 2019 Category: ENT & OMF Source Type: research

Normative values for singing voice handicap index – systematic review and meta-analysis
ConclusionThe mean normative value of the singing voice handicap index was 20.35 with the confidence levels between 10.6 and 30.1.ResumoIntroduçãoNão há protocolos diagnósticos oficiais para avaliação de voz no canto. Nesse estudo baseado em uma revisão de literatura, são fornecidos padrões para o índice de desvantagem vocal no canto exclusivamente dedicado a distúrbios vocais no canto.ObjetivoO estudo visa determinar os valores normativos para o índice de desvantagem vocal no canto.MétodoO estudo é uma revisão s...
Source: Brazilian Journal of Otorhinolaryngology - February 21, 2019 Category: ENT & OMF Source Type: research

Molecular study of hearing loss in Minas Gerais, Brazil
ConclusionThis research describes for the first time the frequency of the 35delG and D13S1830 mutation in hearing-impaired individuals from Minas Gerais, Brazil, and the collected data reinforce the need for further studies in this population due to heterogeneity of hearing loss.ResumoIntroduçãoA surdez é o déficit sensorial mais frequente em humanos. Estima-se que a incidência seja de 4: 1000 nascimentos no Brasil. Programas específicos para atendimento clínico de pacientes com perda auditiva são escassos no Brasil e a questão é um importante problema de...
Source: Brazilian Journal of Otorhinolaryngology - February 21, 2019 Category: ENT & OMF Source Type: research

Evaluation of circulating cell free DNA in plasma as a biomarker of different thyroid diseases
Publication date: Available online 18 February 2019Source: Brazilian Journal of OtorhinolaryngologyAuthor(s): Ozge Caglar, Begum Cilgin, Mustafa Eroglu, Akin CayirAbstractIntroductionMany studies have been done on proteomics, genomics, epigenetic, immunogenetics in many body fluids. Among these, circulating cell-free DNA (ccfDNA) entered the literature in 1948, but it has not been studied for many years due to technological deficiencies. Following recent advances, geno-metastasis has been mentioned and new research is needed in this area. ccfDNA is known to be an important biomolecule in this regard.ObjectiveThe presence o...
Source: Brazilian Journal of Otorhinolaryngology - February 19, 2019 Category: ENT & OMF Source Type: research

Osteoporosis and hearing loss: findings from the Korea National Health and Nutrition Examination Survey 2009–2011
Publication date: Available online 18 February 2019Source: Brazilian Journal of OtorhinolaryngologyAuthor(s): Jun-Il Yoo, Ki Soo Park, Sung-Hyo Seo, Hyun Woo ParkAbstractIntroductionAge-related hearing impairment is the most common sensory dysfunction in older adults. In osteoporosis, the mass of the ossicles will be decreased, affecting the bone density of the cochlea, and interfering with the sound transmission to the cochlea. Age related hearing loss might be closely related to osteoporosis.ObjectiveTo determine the relationship between age-related hearing impairment and osteoporosis by investigating the relationship be...
Source: Brazilian Journal of Otorhinolaryngology - February 19, 2019 Category: ENT & OMF Source Type: research

Efficacy of topical clotrimazole vs. topical tolnaftate in the treatment of otomycosis. A randomized controlled clinical trial
ConclusionsClotrimazole cream treatment is more effective than Tolnaftate for uncomplicated otomycosis. More studies are needed to corroborate our results.ResumoIntroduçãoOtomicose, uma infecção fúngica do canal auditivo externo, é prevalente em climas quentes e úmidos. No entanto, a literatura não apresenta evidências suficientes sobre os diferentes tratamentos antifúngicos tópicos. O tolnaftato é um antifúngico tópico descrito como eficaz no tratamento da otomicose; entretanto, sua eficácia não está sufic...
Source: Brazilian Journal of Otorhinolaryngology - February 19, 2019 Category: ENT & OMF Source Type: research

Speech-in-noise perception ability can be related to auditory efferent pathway function: a comparative study in reading impaired and normal reading children
Publication date: Available online 28 January 2019Source: Brazilian Journal of OtorhinolaryngologyAuthor(s): Mehdi Akbari, Rasool Panahi, Ayub Valadbeigi, Morteza Hamidi NahraniAbstractIntroductionDeficient auditory processing can cause problems with speech perception and affect the development and evolution of reading skills. The efferent auditory pathway has an important role in normal auditory system functions like speech-in-noise perception, but there is still no general agreement on this.ObjectiveTo study the performance of the efferent auditory system in a group of children with reading impairment in comparison with ...
Source: Brazilian Journal of Otorhinolaryngology - January 29, 2019 Category: ENT & OMF Source Type: research

Hearing function of gold miners with and without a history of tuberculosis treatment: a retrospective data review
ConclusionsCurrent findings highlight the importance of strategic hearing conservation programs, including ototoxicity monitoring, and the possible use of oto-protective/chemo-protective agents in this population.ResumoIntroduçãoA África do Sul apresenta uma alta prevalência de coinfecção de tuberculose e HIV. Como a ototoxicidade associada aos tratamentos para essas condições é observada na exposição concomitante a outros agentes ototóxicos, como a exposição a ruídos perigosos, é importante investigar o impacto d...
Source: Brazilian Journal of Otorhinolaryngology - January 23, 2019 Category: ENT & OMF Source Type: research

Laryngopharyngeal reflux concept: what is known and what should we focus on?
Publication date: Available online 19 January 2019Source: Brazilian Journal of OtorhinolaryngologyAuthor(s): Seher Sirin, Ferhan Öz (Source: Brazilian Journal of Otorhinolaryngology)
Source: Brazilian Journal of Otorhinolaryngology - January 20, 2019 Category: ENT & OMF Source Type: research

Use of scanning electron microscopy in the cochlea of guinea pigs
ConclusionThe proposed modifications resulted in images of similar quality as those observed using the traditional methodology.ResumoIntroduçãoO emprego da microscopia eletrônica no estudo da orelha interna permitiu observar detalhes minuciosos das células ciliadas especialmente em estudos de ototoxicidade, entretanto o preparo deste material é trabalhoso e delicado. Buscando simplificar a manipulação destes materiais, testou-se o uso de dois agentes, azul de toluidina e ácido etilenodiamino tetra-acético, além da retirada do tetróxido de ós...
Source: Brazilian Journal of Otorhinolaryngology - January 8, 2019 Category: ENT & OMF Source Type: research

Management of hyperacusis in children – two case reports
Publication date: January–February 2019Source: Brazilian Journal of Otorhinolaryngology, Volume 85, Issue 1Author(s): Tanit Ganz Sanchez, Isabella Marques Pereira (Source: Brazilian Journal of Otorhinolaryngology)
Source: Brazilian Journal of Otorhinolaryngology - January 2, 2019 Category: ENT & OMF Source Type: research

Laryngeal and vocal alterations after thyroidectomy
ConclusionVocal symptoms, reported by 27.8% of the patients on the 1st post decreased to 7% in 6 months. In the acoustic analysis, f0 and APQ were decreased. Transient paralysis of the vocal folds secondary to recurrent and superior laryngeal nerve injury occurred in, respectively, 21% and 1.3% of the patients, decreasing to 6.6% and 0% after 6 months.ResumoIntroduçãoA disfonia é um sintoma comum após a tireoidectomia.ObjetivoAnalisar os sintomas vocais, auditivo-perceptivos e acústica vocal, videolaringoscopia, procedimento cirúrgico e achados histopatológicos em pacientes ...
Source: Brazilian Journal of Otorhinolaryngology - January 2, 2019 Category: ENT & OMF Source Type: research

Downregulation of Notch4 – a prognostic marker in distinguishing oral verrucous carcinoma from oral squamous cell carcinoma
ConclusionsThese preliminary findings strongly support the fact that Notch4 is downregulated in oral verrucous carcinoma and could be considered as a suitable prognostic marker in distinguishing oral verrucous carcinoma from oral squamous cell carcinoma. This distinguishing marker can help in improving therapeutic options in patients diagnosed with oral verrucous carcinoma.ResumoIntroduçãoO carcinoma verrucoso de cavidade oral é uma forma especial de carcinoma de células escamosas bem diferenciada que tem características clínicas, morfológicas e citocinéticas espec&ia...
Source: Brazilian Journal of Otorhinolaryngology - January 2, 2019 Category: ENT & OMF Source Type: research

Identification and management of inverted or everted edges of traumatic tympanic membrane perforations
ConclusionThis study suggests that endoscopic inspection can clearly identify inverted/everted eardrum edges using 30° and 70° endoscopes. The edge is glossy in inverted/everted eardrums, whereas the edge is rough and irregular in non-inverted/everted cases. The inverted/everted eardrums gradually became necrotic, but this did not affect the healing process. Additionally, edge approximation did not improve the healing outcome of traumatic tympanic membrane perforations.ResumoIntroduçãoA maioria das perfurações de membrana timpânica traumáticas apresenta bordas invertidas ou ...
Source: Brazilian Journal of Otorhinolaryngology - January 2, 2019 Category: ENT & OMF Source Type: research

A predictive model to distinguish malignant and benign thyroid nodules based on age, gender and ultrasonographic features
ConclusionsThe prediction formula reached high accuracy and may be an alternative to other decision support tools for thyroid nodule management.ResumoIntroduçãoPersiste na literatura uma discussão sobre uma ferramenta padronizada de apoio à decisão para o manejo de nódulos tireoidianos.ObjetivoCriar um modelo de previsão estatística para o manejo de nódulos tireoidianos.MétodoForam selecionados 204 casos de nódulos tireoidianos benignos e 57 malignos para o estudo retrospectivo. As variáveis idade, sexo e características ultrassonogr...
Source: Brazilian Journal of Otorhinolaryngology - January 2, 2019 Category: ENT & OMF Source Type: research

Comparison between chloral hydrate and propofol-ketamine as sedation regimens for pediatric auditory brainstem response testing
ConclusionBoth sedation regimens can be successfully used for sedating children undergoing auditory brainstem response testing. While deep sedation using propofol-ketamine regimen offers more efficiency than moderate sedation using chloral hydrate, it does carry a higher incidence of transient hypoxemia, which warrants the use of a highly skilled team trained in pediatric cardio-respiratory monitoring and airway management.ResumoIntroduçãoO uso de testes diagnósticos de potencial evocado auditivo de tronco encefálico sob sedação é atualmente o padrão-ouro em lactentes...
Source: Brazilian Journal of Otorhinolaryngology - January 2, 2019 Category: ENT & OMF Source Type: research

The first postoperative-stimulated serum thyroglobulin is a prognostic factor for thyroid microcarcinomas
Publication date: January–February 2019Source: Brazilian Journal of Otorhinolaryngology, Volume 85, Issue 1Author(s): Isabela de Oliveira Amui, José Vicente Tagliarini, Emanuel C. Castilho, Mariângela de Alencar Marques, Yoshio Kiy, José Eduardo Corrente, Gláucia M.F.S. MazetoAbstractIntroductionEndogenous thyroid-stimulating hormone-stimulated thyroglobulin collected after total thyroidectomy is a useful predictor of better prognosis in patients with differentiated thyroid carcinomas in general, but studies with microcarcinomas are scarce.ObjectiveTo assess whether the first postoperative ...
Source: Brazilian Journal of Otorhinolaryngology - January 2, 2019 Category: ENT & OMF Source Type: research

Does the reduction of inferior turbinate affect lower airway functions?
ConclusionThis study demonstrated that the widening of the nasal passage after the reduction of the inferior turbinate size had a favorable effect on the pulmonary function tests.ResumoIntroduçãoEmbora o nariz e os pulmões sejam órgãos separados, numerosos estudos relataram que todo o sistema respiratório pode ser considerado como uma única unidade anatômica e funcional. As vias aéreas superiores e inferiores afetam uma à outra diretamente ou através de mecanismos reflexos.ObjetivoAvaliar os efeitos da ablação por radiofrequênci...
Source: Brazilian Journal of Otorhinolaryngology - January 2, 2019 Category: ENT & OMF Source Type: research

Vocal assessment of addicts on methadone therapy via the RBH scale and objective acoustic parameters
Publication date: January–February 2019Source: Brazilian Journal of Otorhinolaryngology, Volume 85, Issue 1Author(s): Veljko Mirkov, Slobodan M. MitrovićAbstractIntroductionA large number of people around the world struggle daily to become free of their addiction to illegal psychoactive substances. In order to create an atmosphere of improved supervision, established communication and improved quality of life for drug addicts, centers have been set up to provide methadone as a substitute.ObjectiveThe aim of the research was to assess the vocal features of drug addicts on methadone therapy via subjective and objectiv...
Source: Brazilian Journal of Otorhinolaryngology - January 2, 2019 Category: ENT & OMF Source Type: research

The protective effects of whortleberry extract against cisplatin-induced ototoxicity in rats
ConclusionThe results obtained in this study show that whortleberry extract has a protective effect against cisplatin-induced ototoxicity.ResumoIntroduçãoA cisplatina é um dos principais agentes quimioterápicos utilizados para o tratamento de muitos tipos de câncer. No entanto, a ototoxicidade, um dos efeitos colaterais mais graves da cisplatina, restringe seu uso.ObjetivoNosso objetivo foi investigar os efeitos protetores do extrato de uva-do-monte contra a ototoxicidade induzida por cisplatina, avaliar o dano auditivo e histopatológico coclear e medir os parâmetros bioqu&iac...
Source: Brazilian Journal of Otorhinolaryngology - January 2, 2019 Category: ENT & OMF Source Type: research

Hypoparathyroidism: what is the best calcium carbonate supplementation intake form?
ConclusionThe calcium, phosphorus and calcium × phosphorus product serum levels evolved in a similar fashion in the three calcium carbonate intake forms.ResumoIntroduçãoNo hipoparatireoidismo, a suplementação de cálcio com carbonato de cálcio é necessária para o controle da hipocalcemia. A melhor forma de ingestão de carbonato de cálcio ainda é desconhecida, seja concomitante com alimentação, no suco ou em jejum.ObjetivoAvaliar os níveis séricos de cálcio, fósforo e produto cálcio-f&...
Source: Brazilian Journal of Otorhinolaryngology - January 2, 2019 Category: ENT & OMF Source Type: research