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Incus long process dysplasia – a clinical case

Trigueiros Cunha, António; Trigueiros Cunha, Nuno; Oom Duarte, Constança; Rainha Fernandes, João; Pimenta Machado, Maria; Macor, Carlos

Middle ear malformations are rare events, occurring in approximately 1 in 15,000 live births.1–3 They are generally associated with other head and neck anomalies and may also be part of syndromic malformations. Isolated malformations of the middle ear are therefore even rarer and pose a diagnostic challenge4, especially given the normal appearance of the auricle, external auditory canal, and tympanic membrane. ...


Positional and non-positional OSAS: differences in VOTE classification

Barbosa, João; Roque, Bárbara; Fernandes, João; Oom, Constança; Delgado, Inês; Serras, Daniela; Santos, Alberto; Macor, Carlos

Objective: To assess changes in the upper airway in patients with Positional Obstructive Sleep Apnea (SAOS-P) and Non-Positional Obstructive Sleep Apnea (SAOS-NP). Study Design: Retrospective Study. Materials and Methods: Evaluation of DISE in patients followed in the Snoring Consultation, undergoing the procedure between 2022 and 2024, using the VOTE classification. SAOS-P was defined as a ≥ 50% reduction in t...


Factors associated with multilevel collapse in DISE in patients with OSA

Oom, Constança; Roque, Bárbara; Rainha Fernandes, João; Barbosa, João; Palma Delgado, Inês; Santos, Alberto; Macor, Carlos

Objective: To identify factors associated with multilevel collapse during Drug-Induced Sleep Endoscopy (DISE) in patients with obstructive sleep apnea (OSAHS). Materials and Methods: Retrospective study of OSAHS patients who underwent DISE, using the VOTE classification. Multilevel collapse was defined as grade 2 obstruction in at least two levels. Sociodemographic, clinical, and anatomical variables were analy...


Correlation of otosclerosis grading on computed tomography with stapes surgery ...

Rio Rodrigues, Luís; Gaspar, Andrea; Trigueiros Cunha, António; Ruas Morgado, Filipa; Barbosa, João; Santos, Alberto; Macor, Carlos

Objectives: To investigate whether computed tomography (CT) findings in patients with otosclerosis influence the audiometric prognosis after stapedial surgery. Study design: Retrospective. Material and methods: Patients undergoing stapes surgery, who had undergone prior ear CT and pre- and postoperative pure-tone audiometry (PTA), were included. The degree of otosclerosis on CT was classified according to the S...


Pediatric bruxism – Implication of tonsil and adenoid hypertrophy in its etiolo...

Morgado, Filipa; Lopes, Patrícia; Caetano, Gonçalo; David, Bruna; Gaspar, Andréa; Pimenta Machado, Maria; Santos, Alberto; Macor, Carlos

Objective: To identify the incidence of bruxism in children with obstructive sleep-disordered breathing (OSRD) and to evaluate the impact of adenotonsillectomy on the resolution of bruxism. Study Design: Retrospective observational study of 54 children with OSRD who underwent adenotonsillectomy. Materials and Methods: Questionnaire applied to caregivers of children aged 2-12 years, who underwent adenotonsillect...


Evolution of otitis media with effusion in the paediatric population of Hospita...

Fernandes Lopes, Patrícia; Ruas Morgado, Filipa; Santos, Alberto; Macor, Carlos

Objective: Description of the evolution of a paediatric population with surgical indication for Otitis Media with Effusion (OME) during the SARS- CoV-2 lockdown. Study design: Observational retrospective study. Material and Methods: During the pandemic period, in March 2021, we reassessed 21 children proposed for bilateral transtympanic tube placement and adenoidectomy in the last quarters of 2019 and 2020. We ...


Hearing aids in the elderly: quality of life and inequality

Morgado, Filipa; Caetano, Gonçalo; Gaspar, Andrea; Rodrigues, Luís; Oom, Constança; Machado, Maria; Santos, Alberto; Macor, Carlos

Objectives: To evaluate the impact of hearing aids (HA) on the quality of life of patients with presbycusis and identify the causes for not using them. Study design: Retrospective cohort. Materials and methods: The Hearing Handicap Inventory for the Elderly (HHIE) was applied to patients with presbycusis, with indication for HA, followed in the ENT Service of a tertiary hospital between 2021 and 2022. Patients ...


Vocal quality after transoral CO2 laser cordectomy

Rio Rodrigues, Luís; Santos, Alberto; Hespanhol, Sandra; Oom, Constança; Ruas Morgado, Filipa; Trigueiros Cunha, António; Macor, Carlos

Objectives: To assess vocal quality in patients undergoing transoral laser microsurgery (TLM) of the larynx with CO2 laser according to the type of cordectomy. Study Design: Cross-sectional observational study. Methods: Patients who underwent TLM for glottic squamous cell carcinoma (SCC) were divided into Group A (type III cordectomy) and Group B (types IV-V). The following parameters were assessed: fundamental...


Arytenoid bilateral subluxation following laryngeal mask airway – first case re...

Caneira, Tiago; Subtil, João; Fragoso, Rita; Araújo, João; Santos, Alberto; Macor, Carlos

Background: Laryngeal mask is a very practical every-day device for airway management, with rare complications reported. We did not find reports of bilateral cases, making the present case a singular one. Methods: A 28-year-old male, with no airway problems expected, submitted to orthopedic surgery with combined brachial plexus block with balanced general anesthesia with easy insertion of the laryngeal mask. Re...


Halitosis – what the ENT should know

Cunha, António Trigueiros; Rodrigues, Luís Rio; Canavarros, Fernando; Santos, Alberto; Macor, Carlos

Halitosis defines as an unpleasant scent emanating from oral cavity beyond what is socially acceptable. It’s present in about 1/3 of the world population with clinical, psychological and social consequences. It is multifactorial, but it’s mainly related with oral pathology (80-90%). Other potentially causing etiologies of this condition are ENT pathologies (such as chronic rhinosinusitis or caseous chronic tons...


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