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Unilateral Vocal Fold Paralysis and Voice Therapy: Predictors of Long-Term Qual...

Sousa, Francisco Alves de; Santos, Mariline; Azevedo, Sara; Pinto, Ana; Freitas, Susana Vaz; Coutinho, Miguel; Almeida e Sousa, Cecília

To date, little is known about the long-term predictors of quality of life (QoL) in unilateral vocal fold paralysis (UVFP). The main objective of this study was to evaluate the predictors of long-term QoL in UVFP patients submitted to voice therapy (VT) exclusively. Data from patients diagnosed with UVFP who followed a VT program between 2013 and 2019 were reviewed. Video laryngoscopy (VL) records were obtained...


Geriatric otorhinolaryngology: reasons for outpatient referrals from generalist...

Alves, Clara Serdoura; Santos, Mariline; Castro, Afonso; Lino, João; Freitas, Susana Vaz; Almeida e Sousa, Cecília; da Silva, Álvaro Moreira

Purpose: To determine the main symptoms leading to referral of geriatric patients from primary care to otorhinolaryngology. Methods: Retrospective, observational study performed on patients aged 65 and older, referred from Primary Care to the Otorhinolaryngology and Head and Neck Surgery department of a tertiary centre during 2019 and 2020. Symptoms leading to otorhinolaryngological referral were categorized as...


SARS-CoV-2 and hearing: An audiometric analysis of COVID-19 hospitalized patients

Sousa, Francisco Alves De; Pinto Costa, Rodrigo; Xará, Sandra; Nóbrega Pinto, Ana; Almeida e Sousa, Cecília

Purpose: COVID-19 associated hearing loss is still an ongoing matter of debate. No original studies exist on audiological effects of SARS-CoV-2 infection in hospitalized patients. The main objective was to determine whether SARS-CoV-2 may affect auditory function in clinically ill COVID-19 patients. Materials and methods: COVID-19 patients with moderate-severe disease and without prior history of hearing abnorm...


Universal neonatal hearing screening: 2019 results in Centro Hospitalar Univers...

Casanova, Maria Jorge; Costa, Joana Raquel; Sampaio, Liliana; Coutinho, Miguel Bebiano; Magalhães, António; Almeida e Sousa, Cecília

Objectives: We aimed to study the effectiveness of the UNHS in a tertiary hospital, and analyze the newborn population in regards to risk factors for deafness and UNHS results. Study design: observational retrospective study of all children born in CMIN in 2019. Material and methods: Clinical records and hearing examinations performed in the UNHS implemented in CHUP were collected. We analyzed demographic data,...


Cystic fibrosis: Relationship between sinus and lower airway disease

Rodrigues Dias, David; Nóbrega Pinto , Ana; Santos, Pedro; Sousa Castro, Sandra; Bebiano Coutinho, Miguel; Almeida e Sousa, Cecília

Purpose: To evaluate the relationship between Chronic Rhinosinusitis (CRS) and lower airway disease (LAD) in cystic fibrosis (CF) patients.  Material and Methods: Retrospective study of CF patients observed between January 2010 and December 2019 in our department. Lung function tests parameters, image studies, need for lung transplantation, colonization and hospitalization rates were collected and its associati...


Positional downbeat Nystagmus: A narrative review

Rego, Angela; Sousa, Francisco; Feliciano, Telma; Almeida e Sousa, Cecília

Objectives: To review the pathophysiology, differential diagnosis and treatment of central and peripheral positional downbeat nystagmus.  Study design: Narrative review.  Material and Methods: A search on “positional downbeat nystagmus” based on evidence presented in peer-reviewed journals was conducted on Pubmed® and ScienceDirect®databases. Reference lists of retrieved articles were manually searched to ident...


Efficacy of myringotomy in hearing complaints in adults with chronic otitis med...

Machado, Andre; Azevedo, Sara; Sousa, Francisco; Reis Rego, Ângela; Ferraz, Sara; Silva, Ana; Almeida e Sousa, Cecília

Objectives: To understand the role of myringotomy with the placement of a transtympanic ventilation tube in the hearing complaints of adults with otitis media with effusion.  Study Design: Retrospective study.  Material and Methods: Patients with chronic otitis media with effusion at the Centro Hospitalar Universitário do Porto between January 2011 and January 2018 over 18 years, with chronic otitis media with ...


Bilateral congenital semicircular canal malformation and hearing loss − Case re...

Costa, Joana Raquel; Coutinho, Miguel Bebiano; Soares, Teresa; Almeida e Sousa, Cecília

The main aims of this observational study were to describe a poorly characterized malformation of the inner ear termed bilateral congenital semicircular canal malformation; determine if the degree and pattern of semicircular canal dysmorphology and the presence or absence of a well-formed cochlea predict audiological outcomes, type, and severity of congenital hearing loss; and investigate its relationship with ...


Embryology and post natal development of the nasal septum and nasal pyramid: Na...

Dias, David Rodrigues; Gonçalves Ferreira, Miguel; Santos, Mariline; Sousa e Castro, Sandra; Almeida e Sousa, Cecília; Almeida e Sousa, Cecília

The nose is a central structure for the harmony of the face. Most of the development of the nose and face occurs during embryogenesis, between 4 and 8 weeks. Although this process occurs to a large extent at the onset of embryogenesis, the neonate's nose is in many aspects different from the adult's nose as significant changes in the septal cartilage, upper lateral cartilages, nasal pyramid and middle third of ...


Comparison of surgical success between two different approaches of the lacrimal...

Costa, Joana Raquel; Casanova, Maria; Soares, Teresa; Almeida e Sousa, Cecília

Objective: Compare the surgical success rate ofdacryocystorhinostomy (DCR) between (1) two different techniques: External-DCR vs Transcanalicular-DCR; and comparing (2) two different age groups: <65 years vs ≥65 years.Materials and methods: Retrospective study involving 258 participants who underwent DCR between 01-01- 2014 and 31-12-2018. We define as surgical success as a total resolution of the initial sy...


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