Objective: Development of a protocol for patients with gender dysphoria related to voice. Study Design: Systematic review. Materials and Methods: A literature review was conducted using the PubMed and Google Scholar databases, including publications in English, Portuguese, and Spanish that addressed the clinical evaluation and medical and/or surgical treatment of voice in transgender patients. The systematic re...
Introduction: The use of prognostic markers to decide the most appropriate therapies to perform in each case is assumed as one of the pillars of the approach to the patient with squamous cell carcinoma (SCC) of the hypopharynx and larynx. In addition to the clinical and pathological stage determined by the classification system TNM, there is evidence that the tumor-related systemic inflammatory response (SIR) h...
Introduction: Vestibular disorders in pediatric patients is still a controversial subject but has gained relevance over the years. In recent studies, its prevalence varied between 0.7% and 15%. Nevertheless, the true prevalence can be underestimated given that its clinical presentation is expressed compared to adults; it can present as rotatory vertigo, but It can also cause vision complaints, headaches, motor ...
Introduction: TNM staging plays a central role in therapeutic decision-making, being also useful for estimating prognosis. Clinical staging (cTNM) is based on physical examination, endoscopy e imaging studies. Pathological staging (pTNM) is based on histopathological analysis after the surgical procedure. Discrepancies between cTNM and pTNM in larynx cancer have been reported in the literature, but some controv...
Engineered nanoparticles (NPs) are emerging contaminants of concern and it is important to understand their environmental behavior and ecological risks to exposed organisms. Despite their ubiquitous presence in the environment, there is little information about the hazards of certain NPs, such as boron (BNPs) and vanadium (VNPs). The aim of the present research was to investigate the effects of commercial BNPs ...
Aim: To study otoscopy in terms of interobserver and intraobserver agreement, accuracy, sensitivity, specificity, positive and negative predictive value for the diagnosis of otitis media with effusion (OME) in children. Study Design: Cross-sectional study and agreement analysis. Methods: We presented otoscopy images to Otorhinolaryngology specialists and residents and they were instructed to identify the imag...
Frontal sinus mucoceles are benign, slow growing lesions capable of local bone erosion. Currently, endoscopic sinus surgery is the mainstay for its treatment, however there are still indications for an external surgical approach. Here, we focus on the indications for an external surgical approach for frontal sinus mucocele treatment. To do so, we review the patients with frontal sinus mucocele treated by this a...
Aims: To compare the hearing outcomes and complications after primary and revision stapes surgery and establish possible predictors for revision surgery. Study Design: Descriptive and analytical cross-sectional study, with retrospective data collection. Methods: Patients were selected from a pool of patients who underwent stapes surgery in the past 12 years and divided into two groups: a group consisting of 178...
Clinical case: the authors present a case of a 51-year-old woman with a history of right palpebral ptosis and binocular vertical diplopia. The initial imaging study showed a nonspecific focal increase of the right lateral wall of cavernous sinus. Laboratorial investigation and electromyographic analysis were normal. Symptoms were promptly controlled with high doses of steroid therapy. One year later, during wit...
Objectives: To report the experience of our department in the surgical approach of the patients admitted between 2012 and 2018 for intracranial infection of otogenic etiology, in the context of a tegmen defect. Study Design: Retrospective, Case Series Material and Methods: Pre-existing otological pathology, intracranial complication, surgical approach and its timing, materials used to correct the defect, as wel...