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Endolymphatic hydrops (EH) results from increased endolymph volume in the inner ear, which leads to episodic vertigo, ear fullness, and sensorineural hearing loss. In these patients, Vestibular Evoked Myogenic Potential (VEMP) examination has high sensitivity and specificity for diagnosis. These patients have also been suggested to have frequency-specific changes in otoacoustic emissions (OAE). The aim of this study is to evaluate the result of the OAE examination in patients with altered...
The hypertrophy of inferior turbinates is considered one of the main causes of nasal obstruction. There are clinical and surgical options for treatment. If clinical control fails, the volumetric reduction of those structures is usually recommended. The endoscopic approach is considered safe, as it enables a comprehensive assessment of the extent of the turbinate anatomy and effective hemostasis. Turbinoplasty is a procedure that requires manual skill and has the advantages of non-exposure of...
Rhinoplasty is one of the most challenging facial plastic surgeries. Some authors claim that this surgery should include stabilization of the base of the nose by means of some technique — for example, grafts (columellar strut, septal extensor) or sutures (tongue-in-groove). To try to elucidate which technique is ideal, this study evaluated the effects on nasal tip rotation and projection, comparing columellar strut to the tongue-in-groove technique. A retrospective study was conducted, which...
Introduction: Allergic rhinitis is an inflammatory condition of the inside of the nose, mediated by Immunoglobulin E, in response to an inhaled allergen. Clinically, it presents with nasal obstruction, runny nose, nasal and/or eye itching, and sneezing. For its symptomatic treatment, environmental control is essential and nasal steroids are the gold standard in the adult and pediatric population. Another form of treatment is immunotherapy, changing the response to the allergen via the immune...
Septoplasty surgery is one of the most common procedures in the field of facial surgery. Although the rate of postoperative complications for this procedure is quite low, they can occur. To reduce the rate of these possible complications, several techniques were incorporated into the septoplasty procedure, including nasal packing, transseptal suture, nasal splint, among others. Thus, the present study aimed to evaluate the influence of using a nasal splint on postoperative comfort and nasal...
Introduction: 2020 was marked by the COVID-19 pandemic, a new type of coronavirus. It has a wide spectrum of action and can even be deadly. Methods: This is a prospective cross-sectional study, conducted in the form of an interview through telephone, with patients who were diagnosed with COVID-19 at the IPO Hospital, from March 2020 to July 2020. Results: Thirtysix patients, with an average age of 36.3 years, mostly females (63.9%), were interviewed. The most frequent symptoms were...
Obstructive Sleep Apnea Syndrome (OSAS) has been increasingly recognized as a high prevalence condition and an independent risk factor for cardiac, metabolic, neurological, and perioperative morbidities, as well as erectile dysfunction, and traffic accidents, with non-standard surgical treatments and controversial results that do not seem to keep pace with the promising findings in the pathophysiology of the disease. The aim of this study was to evaluate the results of the Functional Expansion...
Epistaxis is one of the most common otorhinolaryngological emergencies. Most cases are self-limiting and do not require medical support. While some bleeds require simple local compression to stop the bleeding, others require a more invasive approach, such as ligation or cauterization of the anterior ethmoidal artery or sphenopalatine artery. Anterior ethmoidal artery surgery by external access has been extensively described and studied in the literature. The advent of the endoscope for this...
The prominent ear is the most common congenital ear disorder. Some of its discovered features include the overdeveloped concha and the underdeveloped antihelix. The present study focuses on the analysis of the conchal bowl, while assessing its depth before and after otoplasty. Despite its anatomical and surgical importance for the correction of protruding ears, that ear structure has been little discussed in the literature. With the aim of contributing, by providing fresh information, an...
Facial anthropometry has an important role in rhinoplasty, as it makes palpable for surgeons the irregularities they deal with, while also assisting in the choice of the tools to correct them. Thus, the aim of the present study was to determine the pre- and postoperative nasal anthropometric measurements of patients undergoing rhinoplasty in a tertiary hospital (IPO Hospital, Curitiba, Brazil), given that such studies are scarce in the Brazilian population. The evaluation of the nasal...
Stapedotomy is a challenging ear surgery, with known risks and limitations, and with a great impact on the patient’s life. The microscope has long been established as the way to perform the procedure. With the advent of the endoscope, accompanied by a broad view of the anatomy of the middle ear and its structures, surgeons have increasingly opted for this means of access. Both have an endaural approach, showing similar audiometric results, each with its advantages and disadvantages. This...
Several types of laser have been used in the larynx. A diode laser is a portable and relatively cheap device. Thus, this paper aims to report the experience with the use of diode laser in laryngeal microsurgeries, through the analysis of electronic medical records of 37 patients who underwent laryngeal microsurgery from January to June 2014. It was noted that the main indication for the surgery was in women, aged 50-60 years, the vast majority with a diagnostic hypothesis of vocal polyp. The...
This FESS (Functions Endoscopic Sinus Surgery) article demonstrates the evolution of knowledge transmission through augmented reality (AR) to a safer procedure for frontal sinus surgery.
