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Facial nerve palsy, acute otitis media and Epstein-Barr virus infection

Cunha-Cabral, Diogo; Carção, André Alves; Gomes, Pedro Marques; Lopes, Gustavo; Duarte, Delfim; Penêda, José Ferreira

Introduction: Facial nerve palsy is a rare complication of acute otitis media. Despite most cases are assumed to have a bacterial origin, in a significant proportion of them there are no clinical or laboratorial signs indicative of bacterial infection. A viral etiology was proposed in some of these cases. Case summary: In this work we present a case of facial nerve palsy secondary to acute otitis media caused b...


Susac’s Syndrome – a case report

Rodrigues, Ana Rita; Gomes, Pedro Marques; Cunha-Cabral, Diogo; Duarte, Delfim; Oliveira, Nuno

Susac’s Syndrome (SS) is an occlusive immune-mediated microangiopathy that preferentially affects cerebral, retinal and cochlear arterioles. Classically, it is associated with the triad of visual defects, encephalopathy and sensorineural hearing loss (SNH). Diagnosis is based on clinical features and findings from fluorescein angiography (FA), brain magnetic resonance imaging (CE-MRI) and audiometry. Treatment ...


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...


Tracheostomy: evaluation of the medical resident’s knowledge

Cunha-Cabral, Diogo; Alves Carção, André; Marques Gomes, Pedro; Duarte, Delfim; Ferreira Penêda, José

Objective: To evaluate the medical residents’ knowledge of tracheostomy. Materials and Methods: We administered a questionnaire to medical residents to collect information about their training in tracheostomy during the medical course and contact with tracheostomized patients during internship (“Internato de Formação Geral” - IFG). Knowledge about tracheostomy was evaluated through eight multiple-choice quest...


Middle Ear Risk Index and results of pediatric tympanoplasty - adequate predictor?

Carção, André; Gomes, Pedro Marques; Cunha-Cabral, Diogo; Duarte, Delfim; Neves, Marta

Aim: To assess the usefulness of the Middle Ear Risk Index (MERI) in adequately predicting the success of tympanoplasty in the pediatric population. Methods: Retrospective study of children (age under 18 years old) who underwent tympanoplasty between 2014 and 2021. Demographic data, contralateral ear status, surgical technique, type of graft, pre and postoperative audiometric data and MERI score were collected....


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