19 documents found, page 1 of 2

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Effects of exercise prehabilitation on functional capacity and health-related q...

Garcia, Catarina; Leão, Inês; Pinto, Diogo; Dias Rato, Nuno; Campolargo, Ana; Dias, Isabel; Monteiro, Ana Raquel; Monteiro Soares, Adriana

Head and neck cancer (HNC) patients submitted to radical chemoradiotherapy (CRT) have to deal with various physical and psychosocial problems related to cancer and its treatment, which negatively affect functional capacity and health-related quality of life (HRQoL). Thus, the aim of this work was to analyse the impact of an exercise prehabilitation (EP) program on the functional capacity and HRQoL in HNC patien...

Date: 2024   |   Origin: Motricidade

Full-Thickness Skin Grafting Of Oral Defects: Enhancing Graft Stability With In...

Caixeiro, Leonor; Lanzaro, Larissa; Azevedo, Marta; Gaspar, Carolina; Zenha, Horácio; Costa, Horácio

Introduction: Full-thickness skin grafts (FTSGs) are vital in reconstructive surgery, especially for challenging oral cavity defects. Secure fixation is essential to prevent displacement and ensure integration with the recipient site. Traditional methods often fail in the oral environment due to moisture, movement, and bacteria. This study introduces a novel modification using intramural quilting sutures to enh...

Date: 2024   |   Origin: Revista Portuguesa de Cirurgia

Lessons learned from reconstructing advanced osteoradionecrosis with free vascu...

Lanzaro, Larissa; Caixeiro, Leonor; Chaves, Carolina; Morgado, Bruno; Pinto, Cristina; Zenha, Horácio; Costa, Horácio

BackgroundAt present, there is no universally accepted standard of care for osteoradionecrosis (ORN), and comprehensive clinical guidelines remain absent. The primary objective of this study is to offer insights into the effectiveness and safety of microvascular reconstruction approach in patients with ORN.MethodsA retrospective analysis was conducted on all patients who underwent free flap reconstruction follo...


Surgical management of severe mandibular actinomycosis: segmental mandibulectom...

Leite, Paula Maria; Chaves, Carolina F; Morgado, Bruno; Zenha, Horácio; Costa, Horácio

Actinomycosis is a chronic, suppurative, granulomatous bacterial infection primarily associated with Actinomyces israelii. The condition can be categorized into three distinct clinical types based on the affected anatomical region: cervicofacial, pulmonary, or abdominopelvic actinomycosis. The standard treatment for actinomycosis involves antibiotic therapy, with an empiric penicillin regimen as the first-line ...


Effects of a physical exercise program on quality of life and physical fitness ...

Joaquim, Ana; Amarelo, Anabela; Antunes, Pedro; Garcia, Catarina; Leão, Inês; Vilela, Eduardo; Teixeira, Madalena; Duarte, Bárbara; Vieira, Micael

To assess the effects of a group class physical exercise program on health-related quality of life (HRQOL), physical fitness and activity, and safety in early breast cancer women after treatment, a double phase trial [16-week control phase (CP) followed by a 16-week intervention phase (IP)] was designed. Outcomes were evaluated at baseline (T1), 8 (T2) and 16 (T3) weeks (CP), and 24 (T4) and 32 (T5) weeks (IP)....


Stylomandibular false ankylosis: an unusual complication after vascularized lli...

Morgado, Bruno; Poleri, Filipa; Gaspar, Carolina; Costa, Horácio; Zenha, Horácio

Stylomandibular fusion is a poorly documented and rare complication of maxillofacial surgical procedures. This case report describes a patient presenting with stylomandibular false ankylosis following mandibular reconstruction. A 59-year-old female patient underwent segmental mandibular resection and reconstruction for a defect resulting from ameloblastoma surgery using an iliac crest free flap. A styloid fract...


Use of Anterolateral Thigh Free Flap in the Treatment of a Sternal Keloid

Guedes, Tiago; Coelho, Gustavo; Guimarães, João; Costa, Horácio

Hypertrophic and keloid scars represent hyperproliferative disorders that can have a significant impact on patients’ lives. The authors present the case of a 53 years-old male with a sternal keloid after excision of a sebaceous cyst and multiple sessions of steroid infiltration, with worsening of the lesion. The patient underwent complete excision of the scar and reconstruction with an anterolateral thigh flap ...

Date: 2019   |   Origin: Acta Médica Portuguesa

ENDOVASCULAR MANAGEMENT OF LIFE-THREATENING CAROTID BLOWOUT SYNDROME AFTER OSTE...

Coelho, Andreia; Lobo, Miguel; Coelho, Gustavo; Azevedo, Marta; Campos, Jacinta; Augusto, Rita; Coelho, Nuno; Semião, Ana Carolina; Ribeiro, João Pedro

Aim: Carotid blowout syndrome is a rare but devastating complication of head and neck malignancy, and is associated with a reported mortality and neurologic morbidity of 40% and 60% respectively. The aim of this case report is to present our experience with a single case of massive haemorrhage from the internal carotid artery (ICA) in a previously irradiated neck treated with a stentgraft, hence maintaining car...

Date: 2018   |   Origin: Angiologia e Cirurgia Vascular


Computer simulation of breast reduction surgery

Cardoso, Augusta; Coelho, Gustavo; Zenha, Horácio; Sá, Vera; Smirnov, Georgi; Costa, Horácio

Background: Plastic surgery of the breast, particularly breast reduction, is considered difficult. It can become a challenge for a less experienced surgeon to understand exactly what to do when facing a particular type of breast and how to avoid unsatisfactory results. Methods: The goal of this study was to create a computer model of the breast that provides a basis for the simulation of breast surgery, particu...


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