Introduction: Cerebrospinal fluid (CSF) leaks are abnormal communications between the subarachnoid space and the nasal cavity and can be classified as spontaneous or traumatic (including iatrogenic fistulas). Various procedures and materials have been described for endoscopic repair. However, the endoscopic technique for repairing CSF leaks is broadly debated. Objective: To present the experience of a tertiary...
Objective: To identify risk factors and appropriate therapeutic regimens in fluoroquinolone-resistant otorrhea Study Design: Retrospective study of patients with otorrhea undergoing ear exudate culture and identified as resistant to ciprofloxacin, from 2015 to 2022. Materials and Methods: Review of clinical records and ear exudate cultures. Results: Thirty-seven ear exudates with cultures resistant to fluoroqui...
Introduction: Multiple sclerosis management has progressed significantly due to the development of novel treatments. Thus, assessing the patients’ treatment response is essential to optimize therapeutic decisions. This study aimed to establish a national consensus on the assessment and monitoring of the response to multiple sclerosis treatment with disease-modifying therapies. Methods: The Delphi methodology wa...
Introduction: Cardiovascular disease (CVD) is highly prevalent in the general population, especially in older age groups. Published studies associate loss of smell with comorbidities such as dyslipidemia, stroke, and heart failure. However, results are inconsistent, and the relationship between CVD and olfactory dysfunction remains unclear. Objective: To evaluate the correlation between loss of smell, cardiovas...
Introduction: Conjunctivodacryocystorhinostomy (CDCR) is primarily indicated for proximal lacrimal obstruction, as well as in trauma or persistent epiphora after DCR. Objective: To review the clinical indications for CDCR, describe the surgical technique, and outline the challenges encountered. Materials and Methods: Retrospective series of patients undergoing CDCR with Jones Stop Loss Jones Tubes (SLJT) tubes....
Introduction: Subtotal Petrosectomy (SPT) is an effective and definitive solution in cases of recurrent chronic otitis media. The expansion of its indications demonstrates its usefulness and safety in resolving various challenging otologic pathologies. Materials and Methods: A retrospective study of 25 patients (26 ears) who underwent SPT was conducted. Data regarding the indication, surgical procedures perform...
Introduction and goals: Graves' orbitopathy is the most common extrathyroidal manifestation of Graves' disease and manifests as proptosis, exposure keratitis and compressive optic neuropathy. Its treatment, particularly when refractory to medical therapies, involves surgical decompression of the orbit. The objective of this work is to evaluate the effectiveness and safety of transnasal endoscopic decompression ...
Objectives: To characterize demographics, presentation, histologic types, treatment and survival of patients with sinonasal malignancies diagnosed at a tertiary hospital center in Portugal. Study design: Retrospective study. Material and methods: Review of clinical records from January 2012 to December 2021. Results: Nineteen patients were included, with male predominance (57.9%) and a mean age at diagnosis of ...
We report the case of a 73-year-old male patient with late recidivism of a middle year cholesteatoma, diagnosed 33 years after the first surgery. The patient presented with symptoms of otitis externa refractory to appropriate medical treatment and the suspicion of cholesteatoma arose based on the patient's clinical history. Computed tomography scan revealed a large soft-tissue lesion with an imminent intracrani...
A Consulta de Ato Único-CAU prestada no Ambulatório Programado de Alta Resolução do Hospital Distrital de Santarém (HDS-EPE) foi pioneira em Portugal possibilitando ao utente que no mesmo dia e local seja observado por um profissional de saúde, realize caso necessário os exames complementares que permitam umdiagnóstico preciso e/ou realize procedimentos cirúrgicos de menor complexidade, após o qual regressará a...