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Transnasal endoscopic orbital decompression in Graves’ disease: experience of 2...

Baptista, Luís André; Colaço, Tiago; Baptista, Margarida; Castelhano, Lu´ís; Correia, Filipe; Donato, Mariana; Oliveira, Vítor; Silva, Deodato

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 ...


Transoral CO2 laser microsurgery: Analysis of the management of laryngeal cance...

Gilberto, Nelson; Almeida, Gustavo; Sousa, Pedro Machado; Escada, Pedro Alberto

Objectives: Describe surgical results of transoral CO2 LASER Microsurgery for laryngeal cancer. Material and methods: Retrospective analysis of 29 patients with oropharyngeal and laryngeal cancer submitted to transoral LASER microsurgery between 2009 and 2015 in the Hospital de Egas Moniz. Results: Two patients had oropharyngeal cancer and 29 laryngeal cancer. The tumors were classified in Tis (2 cases), T1 (17...


Endoscopic resection of invasive glomangiopericytoma following preoperative emb...

Oliveira, Vitor Manuel; Gilberto, Nelson; Marques, Luis; Almeida, Gonçalo Neto; Silva, Deodato Rego; Escada, Pedro Alberto

Objectives: The sinonasal hemangiopericytomas (SNHPC) are rare tumors, originating from perivascular modified myoepithelial cells, and are often referred as glomangioperycitomas (GPC). These lesions have a rather benign local behavior, with rare metastasis rate but high recurrence rate. Histologically are classified as low-grade malignant lesions. The treatment is the complete excision of the lesion with intrao...


Translation, Cultural Adaptation and Validation of the Satisfaction with Amplif...

Roque dos Reis, Luis; Donato, Mariana; Sousa, Rita; Escada, Pedro Alberto

Introduction: The scale Satisfaction with Amplification in Daily Life uses a simple and easily administered questionnaire to evaluate the adaptation of individuals to their hearing aids. The objective of this study is to validate the scale for European Portuguese speakers, by means of translation and cultural adaptation of the questionnaire. The study includes an evaluation of reproducibility and a description ...

Date: 2017   |   Origin: Acta Médica Portuguesa

Vestibular Schwannoma surgery or facial nerve preservation surgery?

Neto d'Almeida, Gonçalo; Marques, Luis; Gonçalves Pereira, Pedro; Escada, Pedro Alberto

The authors review the evolution of the surgical strategy regarding vestibular nerve schwannomas. The classic neurosurgical goal aims to remove the tumor completely. Presently, we believe this approach has changed significantly. Both the preservation of the facial nerve and tumor resection are the main objectives of the surgery. In this review, we place a special emphasis to the management of large tumors (grad...


Noise-induced hearing loss and distortion product otoacoustic emissions: Two ex...

Escada, Pedro Alberto; Madeira da Silva, José

This paper describes two case reports of patients with noiseinduced hearing loss: the first was caused by the repeated exposure to skeet shooting sports; in the second case the hearing loss was caused by using a oral jet irrigator for removal of cerumen of the external auditory canal.In both cases, the evaluation with otoacoustic emissions added diagnostic information to conventional audiometry: in the case of ...


Self-assessment of the singing voice. State of the art and required investigations

Capucho, Clara; Escada, Pedro Alberto; Madeira da Silva, José

The purpose of this paper is to review the medical literature in the topic of the self-assessment of singing voice, describe the instruments that have been used for this purpose, describe the process of their creation and validation and point out topics of research needed in this area in Portugal.Traditionally, the evaluation of the disease or the assessments of the treatment outcomes were based in clinical obs...


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