10 documents found, page 1 of 1

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Oropharyngeal dysphagia in the acute post-stroke phase – is there a role for ri...

Rodrigues, Ana Rita; Barreto, Joana; Duarte, Delfim; Oliveira, Nuno

Introduction: Stroke is one of the main causes of morbimortality in developed countries. Oropharyngeal dysphagia (OPD) is the second most frequent complication in the acute post-stroke phase and it is an independent predictor of unfavorable outcome and institutionalization, being associated with longer hospital stays and a huge economic impact. There is a documented association between the presence of certain s...


Treatment of laryngeal cancer in a tertiary hospital - survival analysis of 10 ...

Barreto, Joana; Marques Gomes, Pedro; Duarte, Delfim; Viana, Miguel

Laryngeal cancer is the second most common neoplasm of the upper aero-digestive tract. The aim of this study is to epidemiologically characterize the patients with laryngeal cancer diagnosed and treated at our institution, as well as to carry out an analysis of their survival. A retrospective study was conducted which included 150 patients with a mean age at diagnosis of 62.8 ± 9.5 years, 145 of whom were male,...


Morphologic evaluation of the pre-lacrimal recess using computed tomography

Cunha-Cabral, Diogo; Marques Gomes, Pedro; Barreto, Joana; Duarte, Delfim; Ferreira Peneda, José

Objetives: This work aims to evaluate the morphology of the pre-lacrimal recess (PLR) of the maxillary sinus (MS) in the Portuguese population. Material e Methods: We performed a retrospective analysis of computed tomography images of the paranasal sinuses of 75 patients (150 sides). Multiple morphologic parameters of the MS and of the PLR were evaluated, such as the pneumatization of the MS, the width of the P...


Neutrophil-to-lymphocyte ratio as a predictor of survival in laryngeal carcinoma

Barreto, Joana; Marques Gomes, Pedro; Duarte, Delfim; Viana, Miguel

Introduction: The neutrophil-to-lymphocyte ratio (NLR) is an inflammatory marker and is associated with a worse prognosis in various neoplasms. Recently, it has also been associated with a worse prognosis in laryngeal carcinoma. Aim: To assess the association between NLR and survival in patients with laryngeal carcinoma at our institution. Material and Methods: This retrospective study included 118 patients wit...


Clinical evaluation protocol for chronic rhinosinusitis with polyposis during t...

Marques Gomes, Pedro; Cabral, Diogo Cunha; Carção, André; Barreto, Joana; Gonçalves, Ana Isabel; Azevedo, Paula; Penêda, José; Duarte, Delfim

Introduction: Chronic rhinosinusitis with nasal polyposis is a common pathology in Otorhinolaryngology, and the therapeutic options, in a simplified way, are medical and/or surgical. Medical therapeutic options, in addition to topical and oral corticosteroid therapy, include the use of biological agents. Three biological agents were recently approved for the treatment of chronic rhinosinusitis with nasal polypo...


Dysphonia and odynophagia: a presentation of late syphilis

Barreto, Joana; Gomes, Pedro; Duarte, Delfim; Nakamura, Roberto

Syphilis is known to be “the great imitator”, as the clinical history is often treacherous and the clinical spectrum of signs and symptoms is extremely extensive, making diagnosis particularly challenging. We present the case of a 69-year-old man with symptoms of hearing loss, dysphonia and odynophagia for 3 months. Associated with this, he had pruritus with generalized erythema and cutaneous desquamation, chan...


Lingual thyroid: a case report and literature review

Gomes, Pedro; Barreto, Joana; Azevedo, Paula; Duarte, Delfim

The presence of ectopic thyroid tissue at the base of the tongue is called lingual thyroid. Most cases are asymptomatic, sometimes being diagnosed accidentally, for example, in the context of an upper respiratory infection. In this paper, we present the case of a 44-year-old female patient, with a history of hypothyroidism, who came to the emergency department with fever, odynophagia, dysphagia, and right otalg...


Surgical emergencies in ENT: Observational Descriptive Study of the Experience ...

Gomes, Pedro; Barreto, Joana; Azevedo, Paula; Duarte, Delfim

Objective: To characterize the ENT (Ear, Nose and Throat) surgical emergencies in the Emergency Department of Hospital Pedro Hispano, between 2010 and 2020. Material and methods: Data was provided by the Statistics Service of the Hospital Pedro Hispano. Patients who underwent surgery during the emergency period were included. The variables evaluated included age, sex, origin, reason for surgical admission and s...


Cochlear nerve aplasia in a child with negative neonatal hearing screening test

Barreto, Joana; Gonçalves, Ana Isabel; Duarte, Delfim; Nakamura, Roberto

Otoacoustic emissions (OAE) are sounds produced by a healthy cochlea and are used as a neonatal hearing screening test with good sensitivity and specificity, differentiating the ears with normal hearing from those with hearing loss. However, this test does not exclude a neural hearing loss. The authors present a case of a 3-year-old male referred to an otorhinolaryngology consultation for recurrent otitis media...


O efeito de um protocolo de exercícios de fisioterapia nas medidas de actividad...

Barreto, Joana; Santos, Fátima

O objectivo do estudo foi comparar o mesmo protocolo de exercícios de fisioterapia quando efectuado em meio aquático (GA) e em meio terrestre (GB) em doentes com EA, relativamente aos resultados do índice BASDAI, EVA e teste de Schober. Foram seleccionados 45 pacientes e distribuídos por 3 grupos com 15 elementos cada, o GA, o GB e um grupo de controlo. Os 3 grupos foram avaliados durante 4 semanas. Não se veri...


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