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Malignant otitis externa: experience at a tertiary center
Caetano, Mariana; Rosa, Cláudia; Correia, Mariana; Levy, João; Eça, Tiago; Carvalho, Tomás; Tomé, Diogo; Luís, LeonelObjective: This study seeks to report the experience of a tertiary medical institution in managing MOE. Materials and Methods: A retrospective analysis of MOE cases admitted to our tertiary hospital from January 2018 to December 2023 was conducted. Results: Six patients, with a median age of 81.7 years, were included. Pseudomonas aeruginosa was the most isolated organism. CT scans, conducted for all patients, r...
Use of titanium mesh to reconstruct lateral skull base defects through three di...
Rosa, Cláudia; Caetano, Mariana; Carvalho, Tomás; Levy, João; Oliveira, Vitor; Eça, Tiago; Luís, LeonelAim: Evaluate the treatment of tegmen defects with titanium mesh through three different approaches – middle cranial fossa or transmastoid alone or a combination of both, evaluating and comparing their outcomes. Material & Methods: Retrospective data collection of patients submitted to surgical correction of middle cranial fossa SB defects with titanium mesh reconstruction plates between 2021 and 2023 in a ...
Pediatric Hearing Loss: Referral, Visiting and Treating – REVISIT RANU (Univers...
Arede Antunes, Miguel; Carmo, Filipa; Duarte Silva, Filipa; Nurdin, Aliya; Levy, João; Fuzeta Eça, Tiago; Garrido, André; Ferrão, Otília; Leonel LuísIntroduction: New risk and suspicion factors for childhood deafness were recently introduced in the literature, justifying the suggestion to review the algorithm associated with Portuguese Universal Neonatal Hearing Screening (UNHS). Goals: Develop an algorithm that allows screening, early diagnosis, referral and rapid intervention in child deafness. Material and methods: Algorithm creation based on literature ...
Exploratory Tympanotomy: Indications and operative findings
Carvalho, Tomás; Eça, Tiago; Levy, João; Gouveia, Victor; Luis, LeonelObjectives: Review the main indications and intraoperative findings in patients undergoing exploratory tympanotomy. Study design: Observational, retrospective, longitudinal study Material and methods: All patients who underwent exploratory tympanotomy, in our institution, from 2015 to 2019 were included. Patients with pathologic findings at otoscopy were excluded. Results: A total of 45 patients underwent unila...
Orbital complications of acute rhinosinusitis in paeds: 10 years of our experie...
Calha, Mariana; Levy, João; Rodrigues, Pedro; Gouveia, Victor; Oliveira, Vitor; Luís, LeonelObjectives: Acute rhinosinusitisis a very common diagnosis in the paediatric population. Despite its usual favourable course, it can sometimes complicate, namely to the orbital compartment, which represents a threat to vision, even with appropriate and aggressive treatment. Our primary goal was to analyse the reality of a portuguese hospital during the past 10 years, discussing there sults and comparing them wi...
First Line Antibiotics in Acute Otitis Media: Are There Differences Between Spe...
Eça, Tiago Fuzeta; Duarte, Catarina; Levy, João; Ferrão, Otília; Luís, LeonelIntroduction: AOM is the most common diagnosis for the prescription of antibiotics in children. The Portuguese National Health Autority issued a clinical guideline in 2012, updated in 2014, in which it recommends the use of amoxicillin as first-line antibiotic. The option is based on the fact that amoxicillin is the most effective oral antibiotic against the microorganisms with the greatest risk for acute inva...