45 documents found, page 1 of 5
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 FerreiraIntroduction: 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...
Oropharyngeal dysphagia in the acute post-stroke phase – is there a role for ri...
Rodrigues, Ana Rita; Barreto, Joana; Duarte, Delfim; Oliveira, NunoIntroduction: 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...
Predictors of fistula after laringectomy: a 10-year review
Gomes, Pedro Marques; Cabral, Diogo Cunha; Oliveira, Nuno; Duarte, Delfim; Azevedo, PaulaIntroduction: Total laryngectomy (TL) is a surgical procedure used to treat advanced laryngeal cancer. Although effective, it is associated with several postoperative complications, one of the most important being pharyngocutaneous fistula (PCF). The incidence of this complication varies from 8.7% to 27%, depending on factors such as surgical technique and patient characteristics. The development of PCF can pro...
Surgical margins and prognosis in the treatment of laryngeal carcinoma with CO2...
Gomes, Pedro; Cabral, Diogo Cunha; Penêda, José Ferreira; Carção, André Alves; Duarte, Delfim; Lopes, GustavoIntroduction: Surgical treatment of laryngeal cancer has evolved in recent decades to preserve organ function without compromising oncological safety. Transoral microsurgery with CO2 laser (TLM) has been widely adopted in the early stages of laryngeal cancer due to its effectiveness in tumor resection and organ preservation. However, the narrower safety margins compared to open techniques may increase the risk ...
Clinical and functional impact of post-stroke oropharyngeal dysphagia: a retros...
Rodrigues, Ana Rita; Dias, Adelaide; Duarte, Delfim; Oliveira, NunoObjectives: To assess the impact of post-stroke oropharyngeal dysphagia (OPD) on clinical and functional outcomes. Study Design: Observational, retrospective, single-center study. Materials and Methods: A total of 137 patients hospitalized due to stroke who underwent fiberoptic endoscopic evaluation of swallowing (FEES) between January 2018 and December 2023 were included. The incidence of aspiration pneumonia ...
Susac’s Syndrome – a case report
Rodrigues, Ana Rita; Gomes, Pedro Marques; Cunha-Cabral, Diogo; Duarte, Delfim; Oliveira, NunoSusac’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 ...
Treatment of laryngeal cancer in a tertiary hospital - survival analysis of 10 ...
Barreto, Joana; Marques Gomes, Pedro; Duarte, Delfim; Viana, MiguelLaryngeal 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, JoséObjetives: 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...
Microtia and congenital atresia of the external auditory canal: a case report
Gomes, Pedro; Cabral, Diogo Cunha; Duarte, Delfim; Lopes, GustavoMicrotia and congenital atresia of the external auditory canal (EAC) are congenital malformations of the external ear that are often associated. Microtia results from a malformation of the auricle, while congenital atresia is a total or partial occlusion of the EAC. The challenge for the otolaryngologist is the management, which may include reconstructive surgery and auditory rehabilitation. Each case is unique...
Protocol for intralesional injection of bevacizumab for severe recurrent respir...
Marques Gomes, Pedro; Cabral, Diogo Cunha; Carção, André; Ferreira, Joana; Castro, Eugénia; Duarte, Delfim; Azevedo, PaulaIntroduction: Recurrent respiratory papillomatosis (RRP) is a chronic condition associated with the growth of papillomas in the airways, with impaired voice and respiratory quality. Recent studies have shown that intralesional injection of bevacizumab increases the interval between surgeries, improves quality of life, and has a virtually zero risk of complications. Objectives: To establish a protocol for intral...