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Predictors of swallowing disorders in Obstructive Sleep Apnea Syndrome: a case-...

Baptista, Luís André; Cruz, Fátima; Custódio, Sara; Cabral, Rui; Nascimento, David; Silva, Gonçalo; Bernardes, Gonçalo; Brycsh, Eva; Guincho, Joana

Introduction: Obstructive sleep apnea syndrome (OSAS) is a prevalent sleep disorder characterized by recurrent upper airway collapse, leading to intermittent hypoxia and sleep fragmentation. While OSAS is associated with multiple systemic comorbidities, its impact on swallowing function remains underrecognized. This study aims to compare swallowing characteristics between OSAS patients and controls and identify...


Surgical outcome of endoscopic endonasal repair of anterior skull base cerebros...

Guincho, Joana; Baptista, Luís; Correia, Filipe; Cabral, Rui; Escada, Pedro

Introduction: Cerebrospinal fluid (CSF) leaks are abnormal communications between the subarachnoid space and the nasal cavity and can be classified as spontaneous or traumatic (including iatrogenic fistulas). Various procedures and materials have been described for endoscopic repair. However, the endoscopic technique for repairing CSF leaks is broadly debated.  Objective: To present the experience of a tertiary...


BAHA in the auditory rehabilitation of patients with chronic cholesteatomatous ...

Guincho, Joana; Baptista, Luís; Sousa, Carlota; Rodrigues, Beatriz; Santos, Ricardo; Colaço, Tiago; Lança, Beatriz; Cabral, Rui; Nunes, Gonçalo

Introduction: The treatment of chronic cholesteatomatous otitis media (CCOM) is surgical and may require an open technique mastoidectomy. Hearing loss resulting from the disease and/or its surgical removal is traditionally corrected with tympanoplasty or conventional hearing aids, but other options are available, such as the Bone Anchored Hearing Aid (BAHA). Objective: To evaluate the functional outcomes and im...


Olfaction and cardiovascular risk: a connection yet to be explored

Sousa, Carlota; Guincho, Joana; Baptista, Luís; Correia, Filipe; Donato, Mariana; Escada, Pedro

Introduction: Cardiovascular disease (CVD) is highly prevalent in the general population, especially in older age groups. Published studies associate loss of smell with comorbidities such as dyslipidemia, stroke, and heart failure. However, results are inconsistent, and the relationship between CVD and olfactory dysfunction remains unclear. Objective: To evaluate the correlation between loss of smell, cardiovas...


Conjunctivodacryocystorhinostomy - experience of a Tertiary Hospital

Guincho, Joana; Baptista, Luís; Sousa, Carlota; Cabral, Rui; Correia, Filipe; Branco, Pedro; Almeida, Gustavo; Gilberto, Nelson; Escada, Pedro

Introduction: Conjunctivodacryocystorhinostomy (CDCR) is primarily indicated for proximal lacrimal obstruction, as well as in trauma or persistent epiphora after DCR. Objective: To review the clinical indications for CDCR, describe the surgical technique, and outline the challenges encountered. Materials and Methods: Retrospective series of patients undergoing CDCR with Jones Stop Loss Jones Tubes (SLJT) tubes....


Surgery vs. chemoradiotherapy in the treatment of locally advanced squamous cel...

Baptista, Luís André; Cardoso, Mariana; Arede, Carolina; Jacinto, Filipe; Pereira, Margarida; Guincho, Joana; Rodrigues, Beatriz; Sousa, Carlota

This unicentric retrospective observational study analyzed 132 individuals with squamous cell carcinoma of the hypopharynx in T3 and T4a stages, diagnosed between 2017 and 2021, with the aim of comparing survival outcomes in individuals treated with initial surgery vs. definitive chemoradiotherapy (CRT) and determining prognostic predictors. The median follow-up time was 31.5 months, with a median age of 61 yea...


Subtotal petrosectomy - a tertiary center’s experience

Branco, Pedro; Pimentel Morais, Catarina; Guincho, Joana; Colaço, Tiago; Castelhano, Luís; Correia, Filipe; Santos, Ricardo; Pereira, Sílvia

Introduction: Subtotal Petrosectomy (SPT) is an effective and definitive solution in cases of recurrent chronic otitis media. The expansion of its indications demonstrates its usefulness and safety in resolving various challenging otologic pathologies. Materials and Methods: A retrospective study of 25 patients (26 ears) who underwent SPT was conducted. Data regarding the indication, surgical procedures perform...


Success of Cochlear Implantation in patients after bacterial meningitis

Guincho, Joana; Gani, Kaamil; Cabral, Rui; Donato, Mariana; Santos, Ricardo; O'Neil, Assunção; Escada, Pedro

Aim: To present the results of cochlear implantation after bacterial meningitis, regarding auditory gain, time of use and improvement in quality of life. Material and Methods: Retrospective, transversal study, based on the analysis of data from patients with severe and profound sensorineural hearing loss due to bacterial meningitis, who underwent uni or bilateral cochlear implant surgery at CHLO between 2014 an...


Smell and taste: 8 years of experience from a Tertiary Center

Guincho, Joana; Baptista, Luís; Sousa, Carlota; Donato, Mariana; Cabral, Rui; Escada, Pedro

Introduction: Olfactory dysfunction (OD) affects up to 20% of the population. Despite significant progress in olfactory function testing, the diagnosis and treatment of OD remains a challenge. Aim: To conduct a descriptive and statistical analysis of patients undergoing follow-up for olfaction and taste dysfunction.  Methods: Retrospective study including patients evaluated for olfaction and taste dysfunctions ...


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