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The utility of oropharyngeal pHmetry in the diagnosis and treatment of laryngop...

Sousa Teles, Sofia; Ferraria, Lília; Areias, Catarina; Neto, Mariana; Pires, Rafael; Couto, Ana Miguel; Antunes, Luís

Introduction: Laryngopharyngeal reflux is a chronic illness with variable and unspecific symptoms, representing up to 10% of otolaryngology appointments. Its diagnosis and treatment are controversial, with high rates of treatment failure. Oropharyngeal pHmetry is an objective diagnosis method that measures both liquid and gaseous pH variations in the oropharynx, having previously demonstrated a higher diagnosis...


Audiometric Results after Type I Tympanoplasty: Retrospective Study

Neto, Mariana; Alves, Sílvia; Teles, Sofia; Areias, Catarina; Teixeira, Henrique; Antunes, Luís

Type I tympanoplasty is a common surgery in otorhinolaryngology. The main objective is to restore the integrity of the tympanic membrane, preventing infections, and improving hearing.This is a retrospective study of all patients who underwent Portmann type I tympanoplasty at the Garcia de Orta hospital in the last 10 years. The types of graft used and the pre- and postoperative audiometric results were recorded...


Bilateral vocal fold paralysis: causes and treatment – 12 years’ experience

Santos, Cláudia; Areias, Catarina; Neto, Mariana; Paupério, Anita; André, Carla; Antunes, Luis

Aim: To analyse the cases of bilateral vocal fold paralysis (BVFP) diagnosed by the ENT department at Hospital Garcia de Orta. To emphasize rare causes of this entity and its treatment. Study design: Retrospective study of BVFP cases diagnosed between January 2011 and December 2022. Materials and methods: Inclusion criteria: diagnosis of BVFP by an ENT with videonasolaryngoscopy documentation. Patients with pha...


Glottic carcinoma with anterior commissure involvement – Is understaging a real...

Areias, Catarina; Santos, Cláudia; Vaz Carvalho, Filipa; Branco Lopes, Mariana; Sousa Teles, Sofia; Mendes Ferraria, Lília; André, Carla; Antunes, Luís

Objectives: To determine if anterior commissure (AC) involvement in glottic cancer (GC) is a prognosis factor to recurrence and 5-year survival rate. Study design: Observational retrospective. Methods: Assessment of medical files of patients who were diagnosed with GC with T1a and T1b staging during a 12-year period (2010-2021). Results: Twenty-three patients (67,6%) were classified with T1a stage (10 cases wit...


Complications of Acute Rhinosinusitis in the pediatric population - 10 years at...

Areias, Catarina; Sousa Martins, Joana; Mendes Ferraria , Lília; Dentinho, Jorge; Calhau, Paulo; Antunes, Luís

Objectives: Complications of acute rhinosinusitis (ARS) carry a potential risk of severe morbility and fatal outcome, and are more frequent in the pediatric population. The authors aim to describe complications of ARS in need of hospitalization: clinical features, epidemiology and medical and surgical treatment in our institution. Study design: Observational retrospective. Material and methods: Assessment of me...


Gradenigo syndrome: treatment and sequels

Carvalho, Filipa; Silva, Clara; Ferreira, Mafalda; Areias, Catarina; Romão, José; Miguéis, Maria do Carmo; Silva, Luís

A 41-year-old female, went to emergency department for horizontal diplopia, facial pain, otorrhea, hearing loss and left otalgia, with a week of evolution. The fisical examination reveled limitation of the left eye abduction, exudate in middle left ear, abcense of facial palsy or spontaneous nystagmus. Of the complementary study carried out, the following stand out: evidence of left apical petrositis, left...


Tympanostomy tubes complications in children

Machado, Ana Margarida; Areias, Catarina; Fonseca Neves, João; Silva, Nuno; Simões, João Filipe; Tomé, Pedro; Silva, Luís

Introduction: Despite the technical simplicity of the insertion of tympanostomy tubes, as a surgical procedure, it’s not free of risks. The most frequent postoperative complications include the presence of otorrhea, tube lumen obstruction, granulation tissue formation, premature extrusion, tube migration into the middle ear, myringosclerosis, atrophy or retraction pocket formation at the site of myringotomy or ...


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