29 documents found, page 1 of 3
Ramsay-Hunt Syndrome with Cranial Polyneuropathy and Severe Dysphagia: A Rare a...
Pedrosa Rocha, Gustavo; Trindade Soares, MafaldaRamsay-Hunt syndrome is defined by varicella-zoster virus (VZV) reactivation in the geniculate ganglion of the facial nerve and its presentation involves otalgia, vesicular lesions of the outer ear and ipsilateral facial paralysis. Cranial polyneuropathy extension is rare, can sometimes take a challenging and delayed diagnosis and poor prognosis.We illustrate a case of varicella zoster virus cranial polyneuropa...
Audiometric profile of cochlear implant recipients
O'Neill Mendes, Nuno; Antunes, Joselina; Pedrosa, Gustavo; Carvalho, Liliana; Barbosa, Leonel; Guimarães, Ana; Freire, FilipeObjectives: Describe the population of cochlear implant (CI) recipients in one hospital across 9 years. Study design: Retrospective Material & methods: Hearing evaluation before and after cochlear implantation was obtained using tonal and vocal audiometry (each ear individually and sound field). Cases not suitable for conventional audiometry were tested using visual reinforcement audiometry or Brain Evoked ...
Auditory Brainstem Response in Neonatal Hyperbilirubinemia
Orfão, João; Antunes, Joselina; Mendes, Nuno; Raposo, Diogo; Barbosa, Leonel; Guimarães, Ana; Freire, FilipeObjective: To establish the changes in auditory brainstem responses (ABR) associated to neonatal hyperbilirubinemia in term infants. Study design: Retrospective study. Material & Methods: The clinical records of 27 children born in Hospital Prof. Doutor Fernando Fonseca, who underwent ABR before 12 months of life, were reviewed. The ABR results were compared between the group of infants with hyperbilirubine...
Impact of the SARS-COV-2 pandemic in training in Otolaryngology and Head and Ne...
Carvalho, Liliana; Órfão, João; Antunes, Joselina; Barbosa, Leonel; Freire, FilipeObjective: The pandemic caused by the SARS-COV-2 virus has reshaped the hospital dynamics, which was particularly evident in specialties with surgical activity. This study aims to describe the impact of one year of pandemic in training in Otolaryngology residents in Portugal. Methods: Analysis of 31 surveys answered by Otolaryngology residents in Portugal. Results: Most (80,6%) reported extra activity...
Interobserver agreement on DISE: Do we all see the same?
Mendes, Nuno O'Neill; Antunes, Joselina; Rito, João; Pedrosa, Gustavo; Adónis, Cristina; Guimarães, Ana; Freire, FilipeObjectives: Evaluate interobserver agreement on DISE classification and consequent therapeutic decision-making. Study design: Cross-sectional. Material & methods: 20 DISEs performed in adults at one Hospital were recorded. Videos were reviewed by six observers (3 senior Otolaryngologists and 3 residents). The observers rated the exam findings and suggested the best treatment for each case. Kappa coefficient...
Chronic otitis media: association between computed tomography and intraoperativ...
Antunes, Joselina; Melo, Marta; Carvalho, Liliana; Adónis, Cristina; Freire, FilipeObjectives: Determine computed tomography (CT) charecteristics in chronic otitis media (COM) with or whitout cholesteatoma, and its association with intraoperative findings. Methods: Observational study that included patients followed in Professor Doutor Fernando Fonseca Hospital, between 2011 and 2020. COM diagnosis was made based in medical history and phisical examination, confirmed with ear surgery. All pat...
Chronic rhinosinusitis with nasal polyps: Challenges and prospective - Populati...
Carvalho, Liliana; Órfão, João; Antunes, Joselina; Barbosa, Leonel; Freire, FilipeChronic rhinosinusitis with nasal polyps is a commonly found disease in otolaryngology and its treatment is either medical and/or surgical. This condition is often associated with recurrence, which lead to high morbidity. The retrospective evaluation of the affected population allows the revision of the characteristics of these patients and their disease and identify potential alternative therapies. In this pop...
Incidental mastoid opacification on computed tomography in pediatric age
O'Neill Mendes, Nuno; Melo, Marta; Rito, João; Órfão, João; Rocha, Gustavo; Guimarães, Ana; Freire, FilipeObjectives: To determine the prevalence of incidental mastoid opacification (OIM) in a pediatric population from one hospital. Verify the events that led to otolaryngology consultation and to ascertain occurrence of ear disease. Study design: Retrospective study Material & methods: We analysed the computed tomography scans (head, paranasal sinus, temporal bone) performed across 2 years in individuals <18...
Fine needle aspiration biopsy in the diagnosis of neck masses
Raposo, Diogo; Menezes, Marco; Carvalho, Liliana; Trindade-Soares, Mafalda; Ferreira, Marco; Freire, FilipeObjective: To evaluate the diagnostic performance of fine needle aspiration biopsy (FNAB) in the diagnosis of neck masses. Study design: Retrospective study. Materials and Methods: Analysis of 181 neck FNAB performed in Hospital Prof. Doutor Fernando Fonseca between 2011-216. Results: The diagnostic sensitivity and specificity of FNAB for detection of malignant disease was 88.6% and 96%. The sensitivity for det...
Primary external auditory canal cholesteatoma: Pediatric case report
Melo, Marta; Órfão, João; Rito, João; Cardoso, Marta; Freire, FilipeCase report of a 12 year old female child, with complaints of otalgia and left ear otorrhea with 3 months of evolution. Physical examination revealed a polypoid lesion that completely obliterated the external auditory canal (EAC). Computed tomography of the ear showed an extensive soft tissue mass, which occupied and enlarged the EAC, with remodeling and erosion of the walls, aspects compatible with external au...